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Medical Biller/ Coder (OB/GYN coder)

Role overview

Qualifications

  • High School Diploma or GED
  • Formal coding education (AHIMA, CCS, or AAPC preferred) and CPC/CCS preferred; non-certified coders may obtain certification within an agreed timeframe
  • Minimum 3 years of applied coding experience or 5 years of OB/GYN coding experience in a physician billing or revenue cycle setting (emphasis on OB/GYN coding)
  • Proficiency in ICD-10, CPT, medical terminology, anatomy, and health record content

Responsibilities

  • 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

Key facts

Other skills

  • Analytical Skills
  • Resourcefulness
  • Teamwork
  • Organizational Skills
  • Detail Oriented
  • Verbal Communication Skills
  • Growth Mindedness
  • Empathy

About the company

Diana Health (We're Hiring!) logo

Diana Health (We're Hiring!)

Medical Practices & Clinics

Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the way maternity and women’s healthcare is delivered. Our personalized, wellness-focused care program puts women at the center of decision-making and empowers them with the information and support they need to achieve their health and wellness goals. We are going beyond the traditional approach to healthcare through smart technology collaborative teams and a thoughtfully designed experience that is beneficial for both women and clinicians. We aim to empower, inspire, and support the women we serve to live happier, healthier, and more fulfilling lives.

Company details

Company typeSME
IndustryMedical Practices & Clinics
Company size11 - 50

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Job description

About Diana Health

Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s healthcare experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team. We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives. 

With strong collaborative care teams; passionate administrators and a significant investment in operational support, Diana Health employees are well-supported to bring their very best to the work they love. Come join us!

Role Description

Diana Health is seeking a skilled and detail-oriented Medical Biller / Coder to join our Revenue Cycle team. In this role, you’ll ensure the accurate coding of medical procedures and diagnoses across our diverse range of services including inpatient, outpatient, ambulatory, and specialty care. You’ll play a key role in supporting compliance, optimizing reimbursements, and ensuring all documentation aligns with federal and state regulations.

What You’ll Do
• 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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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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