OB/GYN, Endo Coder

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate clinical documentation and accurately assign diagnosis and procedure codes for professional services in accordance with official coding guidelines and payer specifications.

• Timely and accurately code assigned tickets to facilitate clean claim submissions and proper reimbursements.

• Investigate and resolve coding scenarios, including payer-specific edits and questions regarding documentation.

• Achieve daily productivity goals while consistently maintaining high coding quality.

• Report coding and documentation challenges, trends, and potential risks to the Lead Medical Coder and/or Medical Coding Manager.

• Refer complex situations or ambiguous documentation through established processes.

• Stay updated with current coding standards and payer policies, ensuring that all required credentials remain in good standing.

• Engage in department meetings and continuous education opportunities.

• Broaden coding expertise into additional specialties as business demands change.

• Complete assigned coding cases within a 48-hour timeframe.

• Maintain an individual coding accuracy rate of 95% or higher.

• Undertake other responsibilities as assigned by leadership.

⛳️ Requirements

• Successful completion of a coding program approved by AHIMA or AAPC, with an active credential in good standing, such as CPC or CCS; CPC is preferred.

• At least 3 years of recent hands-on coding experience in physician/professional services across one or more specialties.

• Proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10-CM, modifiers, disease processes, and relevant Medicare/Medicaid policies for professional services.

• High school diploma or equivalent is required; an associate’s or bachelor’s degree is preferred.

• Proficient in Microsoft Office applications, including Excel, Word, and Outlook.

• Capability to multitask, prioritize workload, and meet deadlines in a fast-paced setting.

• Strong communication and interpersonal abilities.

• Comprehensive understanding of HIPAA regulations and healthcare privacy laws.

• Exceptional attention to detail and organizational capabilities.

• Ability to work independently while also contributing to a collaborative team environment.

• Proven problem-solving skills with a proactive, solution-oriented mindset.

• Preferred experience coding professional services across various specialties and service lines.

• Preferred experience using encoder tools and queue-based workflow systems.

• Prior involvement in coding audits, denial prevention initiatives, or documentation improvement projects is preferred.

🏝️ Benefits

• Health insurance

• Dental insurance

• Vision insurance

• Employee assistance plan

• Paid family leave

• Short-term disability insurance

• Life insurance

• 401(k) plan with employer match

• Flexible spending accounts

• Employee discount program

• Employee referral program