Medical Biller/ Coder (OB/GYN coder)
Core
Accurate coding of medical procedures and diagnoses across inpatient, outpatient, ambulatory, and specialty care to ensure compliance and optimize reimbursements.
Role type
Medical Biller / Coder (OB/GYN focus)
Builds
Revenue cycle operations for a network of women's health practices
Domain
Healthcare / Medical Billing & Coding
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10 coding, CPT coding, medical terminology, anatomy knowledge, health record content analysis, Medicare/Medicaid/managed care plan knowledge, HIPAA regulations, EHR/Billing systems proficiency, Microsoft Office proficiency
Preferred skills
CPC or CCS certification, OB/GYN coding experience, provider education skills
Technologies
EHR/Billing platforms, Microsoft Office (Word, Excel, Outlook)
Responsibilities
Review clinical documentation for accurate CPT and ICD-10 coding; Validate medical necessity against CMS and payer guidelines; Process charge captures and review billing edits; Collaborate with providers to resolve documentation inconsistencies; Identify coding trends and resolve payer denials; Assist with provider education on compliance; Maintain production standards and report daily metrics
Seniority
Mid-level, hands-on IC