OB/GYN Professional Fee Coder

Threat Intelligence SpecialistSecurity AnalystFull TimeRemoteTeam 11-50

Location

United States

Posted

15 days ago

Salary

Not specified

No structured requirement data.

Job Description

As a Level II OB/GYN Professional Fee Coder, you will play a vital role in ensuring accurate, compliant coding of clinician services across obstetric, gynecologic, and reproductive health encounters. You’ll collaborate with coding leadership, OB/GYN providers, and the broader Enterprise Coding Team — all while enjoying the flexibility of a telecommuting position. Review clinical documentation for OB/GYN encounters including prenatal visits, postpartum care, colposcopy, hysteroscopy, LEEP, ultrasound, minor gynecologic procedures, and office E&M encounters. Assign accurate CPT, ICD 10 CM, and HCPCS codes for: Global obstetric packages Obstetric ultrasounds and fetal monitoring Gynecologic office procedures Family planning and reproductive health services Preventive women’s health visits Problem focused OB/GYN E&M encounters Global obstetric packages Obstetric ultrasounds and fetal monitoring Gynecologic office procedures Family planning and reproductive health services Preventive women’s health visits Problem focused OB/GYN E&M encounters Validate correct billing of OB packages including prenatal visits, and postpartum care. Maintain processes and controls for OB/GYN coding and billing within assigned work queues. Ensure all coding complies with CMS, payer specific rules, ACOG guidance, and specialty compliance standards. Collaborate with leads and supervisors regarding specialty specific questions and workflow priorities. Develop and share written procedures to improve OB/GYN coding workflows and support team training.

Job Requirements

  • High School diploma or GED.
  • Minimum two years of hospital or professional services experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding.
  • Coding certification from AAPC or AHIMA: AAPC (e.g., CPC; COBGC strongly preferred) AHIMA (e.g., RHIA, RHIT, CCS)
  • AAPC (e.g., CPC; COBGC strongly preferred)
  • AHIMA (e.g., RHIA, RHIT, CCS)
  • Active membership with AAPC or AHIMA.
  • Ability to pass an internal coding assessment.
  • Completion of an accredited coding program (AAPC or AHIMA).
  • In depth knowledge of: OB package billing rules CPT/ICD 10 CM guidelines for OB/GYN CCI edits, NCD/LCD, payer specific policies
  • OB package billing rules
  • CPT/ICD 10 CM guidelines for OB/GYN
  • CCI edits, NCD/LCD, payer specific policies
  • Experience using Epic and 3M Encoder.
  • Strong written and verbal communication skills.
  • Experience collaborating with providers and clinical teams.
  • Coursework in anatomy/physiology, reproductive anatomy, medical terminology, and procedural coding.

Benefits

  • Healthcare for full-time employees covered 100% and 88% for dependents.
  • $50K of term life insurance provided at no cost to the employee.
  • Two separate above market pension plans to choose from.
  • Vacation - up to 200 hours per year dependent on length of service.
  • Sick Leave - up to 96 hours per year.
  • 9 paid holidays per year.
  • Substantial Tri-Met and C-Tran discounts.
  • Employee Assistance Program.
  • Childcare service discounts.
  • Tuition reimbursement.
  • Employee discounts to local and major businesses.

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