Job DescriptionJob DescriptionMoore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team. The ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently.
Position: Certified Medical Biller/Coder
Employment Type: Full-Time
Location: Forestville – Maryland
Key Responsibilities:
Accurate CPT, ICD-10, and HCPCS coding (OB/GYN focus)
Review and submission of claims (commercial, Medicaid MCOs MD/DC )
Manage denials, appeals, and AR follow-up
Verify patient eligibility and benefits
Ensure compliance with payer policies (UHC, CareFirst, JHHP, MD/DC Medicaid, etc.)
Work within EMR/PM system
Apply appropriate modifiers (25, 59, 51, etc.)
Monitor payer updates and policy changes
Qualifications:
CPC, CCS, or equivalent certification (Required)
Minimum 5 years medical billing/coding experience
OB/GYN experience strongly preferred
Knowledge of CMS-1500 claims
Strong understanding of Medicaid and MCO billing guidelines
Excellent communication and problem-solving skills
Preferred Skills:
Experience with ultrasound and preventive + problem visit coding
Familiarity with AR workflow optimization
Knowledge of Maryland/DC payer compliance
Competitive compensation based on experience.
Join a team committed to excellence in women’s healthcare!
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