Medical Biller/Coder (OB/GYN coder)

About the Company

Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s healthcare experience. We combine a tech-enabled, wellness-focused care program with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team.

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

Requirements

• High School Diploma or GED
• 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
• Proficiency in ICD-10, CPT, medical terminology, anatomy, and health record content
• Knowledge of Medicare, Medicaid, and managed care plans
• Understanding of HIPAA and Medicare Fraud and Abuse regulations
• Proficiency in Microsoft Office and healthcare billing platforms

Preferred Qualifications

• Certified Professional Coder (CPC) certification
• Certified Coding Specialist (CCS) certification

Benefits

• Competitive compensation
• Medical, dental & vision plans with HSA/FSA option
• 401(k) with employer match
• Paid time off
• Paid parental leave