Moore 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!