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)
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Review and submission of claims (commercial, Medicaid MCOs MD/DC )
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Manage denials, appeals, and AR follow-up
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Verify patient eligibility and benefits
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Ensure compliance with payer policies (UHC, CareFirst, JHHP, MD/DC Medicaid, etc.)
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Work within EMR/PM system
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Apply appropriate modifiers (25, 59, 51, etc.)
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Monitor payer updates and policy changes
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Qualifications:
CPC, CCS, or equivalent certification (Required)
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Minimum 5 years medical billing/coding experience
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OB/GYN experience strongly preferred
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Knowledge of CMS-1500 claims
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Strong understanding of Medicaid and MCO billing guidelines
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Excellent communication and problem-solving skills
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Preferred Skills:
Experience with ultrasound and preventive + problem visit coding
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Familiarity with AR workflow optimization
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Knowledge of Maryland/DC payer compliance
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Competitive compensation based on experience.
Join a team committed to excellence in women’s healthcare!