Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar Health
Washington, DC1 day ago
- $65,062–$117,291
Moore OBGYN
- Forestville, MD
- 30+ days ago
- Full-time
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Skills
- Accounts Receivableunmatched
- Accounts Receivable Managementunmatched
- Billingunmatched
- Communication Skillsunmatched
- Content Management Systems (CMS)unmatched
- Current Procedural Terminology (CPT)unmatched
- Denials Managementunmatched
- Dental Insuranceunmatched
- Detail Orientedunmatched
- Electronic Medical Recordsunmatched
- Health Insuranceunmatched
- Healthcareunmatched
- Healthcare Common Procedure Coding System (HCPCS)unmatched
- ICD-10unmatched
- Maintain Complianceunmatched
- Managed Careunmatched
- Medicaidunmatched
- Medical Billingunmatched
- Medical Codingunmatched
- Problem Solving Skillsunmatched
- Ultrasoundunmatched
- Vision Planunmatched
Description
Benefits:
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:
Join a team committed to excellence in women’s healthcare!
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
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
- 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
- Experience with ultrasound and preventive + problem visit coding
- Familiarity with AR workflow optimization
- Knowledge of Maryland/DC payer compliance
Join a team committed to excellence in women’s healthcare!
Numbers & Facts
| Location | Forestville, MD |
| Job Type | Full-time |
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