Certified Medical Billing /Coding Specialist

Job Description

Job Description

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

Qualifications:

• 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

Preferred Skills:

• Experience with ultrasound and preventive + problem visit coding

• Familiarity with AR workflow optimization

• Knowledge of Maryland/DC payer compliance

Competitive compensation based on experience.

Join a team committed to excellence in women’s healthcare!