🎁 Before you apply, rehearse this interview. Create your free WorkMundi account and get an Interview Training on HelpsYouSpeak — no cost, no card. I want my training →
Note: The job is a remote job and is open to candidates in USA. Diana Health is a network of modern womens health practices focused on reimagining the maternity and womens healthcare experience. They are seeking a skilled Medical Biller / Coder to join their Revenue Cycle team, responsible for ensuring accurate coding of medical procedures and diagnoses while supporting compliance and optimizing reimbursements. Responsibilities Review clinical documentation and diagnostic results to ensure accurate CPT and ICD-10 coding Validate medical necessity and ensure coding aligns with CMS and payer-specific guidelines Process charge captures and review billing system edits to prevent claim denials Collaborate with providers and billing teams to clarify documentation or coding inconsistencies Identify coding trends, resolve payer denials, and provide recommendations for improvement Assist with provider education on documentation and coding compliance Maintain production standards and report daily coding productivity and quality metrics Skills High School Diploma or GED required Completion of a formal coding program (AHIMA, CCS, or AAPC preferred) Minimum of 3 years' applied coding experience OR 5 years of OB/GYN coding experience in a physician billing or revenue cycle setting; Emphasize on OB/GYN coding! Proficiency in ICD-10, CPT, medical terminology, anatomy, and health record content In-depth knowledge of Medicare, Medicaid, and managed care plans (HMO, PPO, POS, Indemnity) Understanding of HIPAA, Medicare Fraud and Abuse regulations, and EHR/Billing systems Strong analytical and organizational skills with attention to detail Proficiency in Microsoft Office (Word, Excel, Outlook) and healthcare billing platforms Excellent verbal and written communication skills Customer-focused approach and ability to work effectively with clinical staff and patients Completion of a formal coding program (AHIMA, CCS, or AAPC preferred) Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred Non-certified coders with strong experience may be required to obtain certification within an agreed timeframe Benefits Competitive compensation Medical, dental & vision plans, with an HSA/FSA option 401(k) with employer match Paid time off Paid parental leave Company Overview Diana Health offers personalized women's healthcare services in maternity, gynecology, menopause, mental health, and wellness. It was founded in 2019, and is headquartered in New York, New York, USA, with a workforce of 501-1000 employees. Its website is http://www.heydianahealth.com. Apply To this Job Company : Diana Health Salary : Work from home .