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healthcare

Posted Mar 3

Medical Biller/ Coder (OB/GYN coder)

Responsibilities

  • Review clinical documentation and diagnostic results to ensure accurate CPT and ICD-10 coding.
  • Validate medical necessity and ensure coding aligns with CMS and payer-specific guidelines.
  • Collaborate with providers and billing teams to clarify documentation or coding inconsistencies.
  • Identify coding trends, resolve payer denials, and provide recommendations for improvement.
  • Maintain production standards and report daily coding productivity and quality metrics.

Requirements

  • High School Diploma or GED required.
  • Completion of a formal coding program (AHIMA, CCS, or AAPC preferred).
  • experience in a physician billing or revenue cycle setting; Emphasize on OB/GYN coding!
  • Proficiency in ICD-10, CPT, medical terminology, anatomy, and health record content.
  • Licensure/Certification:
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred.
  • Non-certified coders with strong
  • experience may be required to obtain certification within an agreed timeframe. Key Skills
  • In-depth knowledge of Medicare, Medicaid, and managed care plans (HMO, PPO, POS, Indemnity).
  • Understanding of HIPAA, Medicare Fraud and Abuse regulations, and EHR/Billing systems.
  • Proficiency in Microsoft Office (Word, Excel, Outlook) and healthcare billing platforms.
  • Customer-focused approach and ability to work effectively with clinical staff and patients.

Experience

  • experience OR 5 years of OB/GYN coding

Benefits

  • Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s healthcare experience.
  • We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team.
  • With strong collaborative care teams; passionate administrators and a significant investment in operational support, Diana Health employees are well-supported to bring their very best to the work they love. Come join us! Role Description
  • At Diana Health, we believe in advancing women’s healthcare through compassion, integrity, and innovation.
  • As a member of our Revenue Cycle team, you’ll play a vital role in ensuring the accuracy and integrity of our financial operations while supporting patient-centered care. Benefits
  • Competitive compensation
  • Medical, dental & vision plans, with an HSA/FSA option
  • 401(k) with employer match Paid time off
  • Paid parental leave

Additional details

  • We are restructuring the traditional approach to care to create an
  • experience that is good for patients and good for providers.
  • We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives.
  • Diana Health is seeking a skilled and detail-oriented Medical Biller / Coder to join our Revenue Cycle team.
  • In this role, you’ll ensure the accurate coding of medical procedures and diagnoses across our diverse range of services including inpatient, outpatient, ambulatory, and specialty care.
  • You’ll play a key role in supporting compliance, optimizing reimbursements, and ensuring all documentation aligns with federal and state regulations. What You’ll Do
  • Process charge captures and review billing system edits to prevent claim denials.
  • Assist with provider education on documentation and coding compliance.
  • Strong analytical and organizational skills with attention to detail.
  • Excellent verbal and written communication skills.

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