A healthcare organization in Forestville, Maryland, is seeking an experienced Certified Medical Billing & Coding Specialist to join their team. The ideal candidate should have strong OB/GYN coding knowledge and payer compliance expertise, with a minimum of 5 years medical billing/coding experience. The role involves accurate coding, claims management, and ensuring compliance with payer policies. Competitive compensation will be provided based on experience.
Qualifications
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.
Responsibilities
Accurate CPT, ICD-10, and HCPCS coding with an OB/GYN focus.
Review and submission of claims for commercial, Medicaid MCOs MD/DC.
Manage denials, appeals, and accounts receivable follow-up.
Verify patient eligibility and benefits.
Ensure compliance with payer policies.
Work within EMR/PM system.
Apply appropriate modifiers and monitor payer updates.
Skills
OB/GYN coding knowledge
Payer compliance expertise
Account receivable management
Excellent communication skills
Problem-solving skills
Education
CPC, CCS, or equivalent certification
Job description
A healthcare organization in Forestville, Maryland, is seeking an experienced Certified Medical Billing & Coding Specialist to join their team. The ideal candidate should have strong OB/GYN coding knowledge and payer compliance expertise, with a minimum of 5 years medical billing/coding experience. The role involves accurate coding, claims management, and ensuring compliance with payer policies. Competitive compensation will be provided based on experience.