Certified Medical Coder (CPC)

About the Job:

Our OBGYN practice is seeking to enhance our billing staff with the addition of a new full-time member to our dynamic team. The right candidate should possess a desire to provide high-quality customer service with efficiency and compassion. A growth mindset is vital in this position as we all have an opportunity to learn more every day.

Job Summary:

The Medical Coder is responsible for accurately assigning diagnosis, procedure, and modifier codes for obstetrics and gynecology services to ensure compliant billing and optimal reimbursement. This role requires in-depth knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines. Specific to OBGYN is a plus. The Medical Coder works closely with providers, billing staff, and clinical teams to resolve documentation issues, reduce claim denials, and maintain compliance with federal, state, and payer regulations.

Essential Job Responsibilities :

• Review clinical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services.
• Ensure coding accuracy, completeness, and compliance with federal regulations, payer policies, and official coding guidelines.
• Apply appropriate modifiers and follow bundling/unbundling rules to support correct reimbursement.
• Code encounters in a timely manner to meet billing and reporting deadlines.
• Collaborate with providers to clarify documentation and resolve coding discrepancies.
• Identify and correct coding errors to reduce claim denials and delays in payment.
• Stay current with coding updates, regulatory changes, and payer-specific requirements.
• Assist with audits by providing documentation and coding support as needed.
• Maintain patient confidentiality and comply with HIPAA and privacy regulations.
• Work closely with billing, clinical, and administrative teams to support revenue cycle efficiency.
• To ensure continuity of essential operations during the absence of our primary biller or times of office need, the coder is expected to perform claim follow-up, answer basic billing questions, and complete other billing tasks as assigned by their supervisor.

Qualification Requirements:

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Knowledge of billing procedures of Medicare, Medicaid, and private insurers and understanding of financial billing requirements.
• Knowledge of ICD-10 and CPT coding.
• Knowledge of organization structure, workflow and operating procedures within a high-volume medical billing environment.
• Knowledge of Federal, State and payer regulations regarding medical billing compliance.
• Knowledge of mainframe-based medical billing and editing systems.
• Skill in keyboarding and knowledge of Microsoft Office programs.
• Skill in establishing and maintaining effective interpersonal relationships.
• Skill in listening to others, assessing situations and solving problems.
• Ability to display customer focus and professionalism and to exhibit team-building skills.
• Ability to communicate effectively both verbally and in writing.
• The position is eligible for remote work, however employee must live in the area as they may be required to come in person occasionally with prior notice.

Education, Certification and Experience:

• High school diploma or equivalent.
• Certified Professional Coder(CPC) required.