Qualifications
Education & Experience:
• 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.
Licensure/Certification:
• 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.
Key Skills
• 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.