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

Gebbs Healthcare Solutions Inc; United States; Remote; USD 34,000 - 55,000; Part time

Job summary

GeBBS Healthcare Solutions is seeking a multi-specialty Pro-Fee medical coder with strong OBGYN and Urology expertise for part-time work. Minimum 10 hours per week, with potential to expand to 15–20 hours for candidates with broader specialty experience, including primary care.

Proficiency in EPIC and denials management is preferred. Ideal candidates will have at least five years of current Pro-Fee hospital coding, CPC or AHIMA credentials, and a track record of accurate coding with high quality

Qualifications

• Minimum of five years of Pro-Fee hospital coding experience.
• IP and OP coding experience (POS 21, 22, 11).
• Current CPC or AHIMA certification.
• Ability to code accurately with a quality score of 95% or greater.
• EPIC experience preferred.
• Patient Keeper experience preferred.
• California Medicaid guidelines experience preferred.
• Must pass a ProFee coding assessment.
• Comfortable with MS Office, Teams, VPN.

Responsibilities

• Medical Coding from documentation: CPT/modifiers/ICD-10 codes.
• Charge Review WQ’s: compare EPIC coding to documentation and suggest changes.
• Claim Edit WQ’s: review edits/rejections and recommend corrections.
• Follow-Up WQ’s: review denials/edits and propose coding changes.

Skills

Multi-specialty coding

OBGYN coding

Urology coding

CPT / ICD-10 coding

Consistency with current coding work

Education

Current CPC or AHIMA

Tools

EPIC

PatientKeeper

Job description

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.

1. Medical Coding from documentation: Reads the documentation and applies the appropriate CPT, modifiers, ICD-10 codes, etc.
2. 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.
3. 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.
4. 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)
• Screenings
• U/S
• lab/path
• IUD
• Scopes
• Drugs
• Immunization
• Injection
• Biopsy/Destruction/Skin Tag
• HYSTEROSALPINGOGRAM
• Conization
• Hysterectomy
• Repairs

Urology Experience Required:

• Minimum of three years’ experience
• Visits (POS 11, 21, 22)
• Nephrostomy
• Cystometrogram
• EMG
• Proctectomy
• 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.