Medical Biller/ Coder (OB/GYN coder)Diana Health • New York, New York, United States
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Medical Biller/ Coder (OB/GYN coder)
Diana Health
- New York, New York, United States
- New York, New York, United States
À propos
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. Process charge captures and review billing system edits to prevent claim denials. Collaborate with providers and billing teams to clarify documentation or coding inconsistencies. Identify coding trends, resolve payer denials, and provide recommendations for improvement. Assist with provider education on documentation and coding compliance. Maintain production standards and report daily coding productivity and quality metrics. Qualifications
Education & Experience:
High School Diploma or GED required. Completion of a formal coding program (AHIMA, CCS, or AAPC preferred). Minimum of 3 years’ applied coding experience OR 5 years of OB/GYN coding 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. Strong analytical and organizational skills with attention to detail. Proficiency in Microsoft Office (Word, Excel, Outlook) and healthcare billing platforms. Excellent verbal and written communication skills. Customer‑focused approach and ability to work effectively with clinical staff and patients. Why Join Diana Health
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 Diana Health Culture
Having a growth mindset and striving for continuous learning and improvement Positive, can do / how can I help attitude Empathy for our team and our clients Taking ownership and driving to results Being scrappy and resourceful
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Compétences linguistiques
- English
Avis aux utilisateurs
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