Multi-Specialty Pro-fee Medical Coder (OBGYN and Urology)

GeBBS Healthcare Solutions, Inc.; East Haven (CT); On-site; USD 26,000 - 42,000; Part time

Job summary

GeBBS Healthcare Solutions, Inc. is seeking a part-time Multi-Specialty Pro-Fee Medical Coder with strong OBGYN and Urology expertise. The role requires a minimum of five years’ coding experience, active OBGYN and Urology coding work, and flexibility for up to 20 hours per week when needed.

Experience with EPIC and PatientKeeper is preferred; knowledge of billing edits and denials is advantageous. Primary care coding is a plus for additional hours.

Qualifications

• Minimum five years of current ProFee hospital coding experience.
• IP and OP (POS 21, 22, 11) experience.
• Current CPC or equivalent through the AAPC or AHIMA.
• Ability to code accurately and maintain a quality score of 95% or greater.
• EPIC experience preferred; PatientKeeper experience preferred.
• Experience with Medicaid California guidelines strongly preferred.
• Applicants must pass a ProFee coding assessment.
• Comfortable using MS Office, Teams, and VPN.

Responsibilities

• Medical Coding from documentation: apply CPT, modifiers, ICD-10 codes.
• Charge Review WQ’s: review EPIC codes against docs and advise edits.
• Claim Edit WQ’s: review rejections/edits and recommend changes.
• Follow-Up WQ’s: address post-bill denials/edits with departments.

Skills

Multi-specialty coding

Coding experience 5+ years

OBGYN coding

Urology coding

Primary Care coding

EPIC experience

PatientKeeper experience

Medicaid California guidelines

CPC certification

AAPC/AHIMA certified

POS 21/22/11 IP/OP

Office tools (MS Office/Teams/VPN)

Tools

EPIC

PatientKeeper

Job description

Multi-Specialty Pro-fee Medical Coder (OBGYN and Urology)

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance.

At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare.

GeBBS is looking for Multi-Specialty Pro-Fee Medical Coder (OBGYN & Urology) coder for part time 10 minimum hours per week (more may be given (15-20 potentially) if you have experience in other specialties - but must have primary care experience if you want more hours ) . This position requires strong multi-specialty coding expertise . Candidates must have a minimum of five years of coding experience , with consistent and current coding work in the following specialties . We are specifically looking for coders who are actively and regularly these specialties, not individuals who may have coded them in the past but have not worked in that specialty recently.

The applicant must have experience in both OBGYN and Urology coding . If they are interested in working more than 10 hours per week, they will also need Primary Care coding experience .

OBGYN/Wellness Visits for one provider = 5 hours a week

Urology visits and procedures = 5 hours a week

Primary Care visits = 5-10 hours a week (if they want more than 10 hours)

EPIC and PatientKeeper experience is preferred. They do need to be familiar with billing and coding edits and denials even if it isn’t in EPIC.

• Medical Coding from documentation: Reads the documentation and applies the appropriate CPT, modifiers, ICD-10 codes, etc.
• Charge Review WQ’s : this entails reviewing the providers submitted coding in EPIC against the documentation and working any EPIC edits and then recommending coding changes back to the departments to make the corrections.
• Claim Edit WQ’s : this entails reviewing the providers submitted coding in EPIC against the documentation and working Clearing House rejections/edits and then recommending coding changes back to the departments to make the corrections.
• Follow-Up WQ’s : this entails reviewing the providers submitted coding in EPIC against post bill denials/edits and then recommending coding changes back to the departments to make the corrections.

Requirements:

• Minimum offiveyears' experience with current ProFee hospital coding
• IP and OP (POS 21, 22, 11) experience
• Current CPC or equivalent through the AAPC or AHIMA
• Ability to code accurately and maintain a quality score of 95% or greater
• EPIC experience preferred
• Patient Keeper experience preferred
• Experience with Medicaid of California guidelines strongly preferred
• Applicants must pass a ProFee coding assessment(s)
• Comfortable working with technology to accomplish position responsibilities (MS Office, Teams, VPN)

OB/GYN Experience Required:

• Minimum of three years’ experience
• Visits/Preventative/e-visit/Well Women’s Visits (POS 11, 21, 22)
• Repairs

Urology Experience Required:

• Minimum of three years’ experience
• Visits (POS 11, 21, 22)
• Urethrorrhaphy
• Repairs
• Biopsies

GeBBS Healthcare Solutions is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, or any other status protected by applicable federal, state, or local law. We embrace and encourage the unique perspectives and contributions of all employees, including those who identify as LGBTQIA+. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. We strive to create a diverse and inclusive work environment and are an equal opportunity employer.