Certified Medical Coder - Obgyn - Remote

Certified Medical Coder- OBGYN - REMOTE

Maternal-Fetal Medicine Associates (MFMA) is one of the nation's leading practices for high-risk pregnancy care, ultrasound imaging, prenatal diagnosis, and more. Our expert physicians combine extensive experience and research with the latest technology for high-risk pregnancies that affect patients' successful outcomes. We specialize in the following areas: Gynecology, Obstetrics, and Perinatology. Join a team where your skills and ideas will make a difference in the health of our patients and the communities where we live. This role is 100% remote; however, candidates who reside in New York, New Jersey, or Connecticut are preferred. Candidates must be available to work Monday to Friday between 9:00am and 5:00pm EST.

Summary of Position

Under general supervision, assigns diagnosis and procedural codes to medical procedures to ensure compliant coding/billing of the facility and office-based services for OB/GYN. Monitors and reviews all medical records to ensure medical coding accuracy, including proper completion and documentation of physician signatures and appropriate coding of all diagnoses and procedures. Thorough understanding of CMS/Medicare regulations and technical knowledge of the International Classification of Disease (ICD-10) and Current Procedural Terminology (CPT-4) classification systems. Provides billing department with accurate, completed coded reports for processing, notifying sites of missing information, and following up accordingly. May provide administrative and data entry support as required. The Medical Coder will report to the Billing Manager.

Essential Functions

Reviews OB/GYN patient medical records and abstracts medical data to accurately capture all diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems.

Evaluate medical documentation and determine accurate E/M levels for office and hospital records.

Ensures that CPT and ICD-10 codes are aligned so that there will be no question as to the relationship between diagnosis and treatment, and the claim will be reimbursed.

Ensures that professional services are captured and coded in compliance with federal regulations and insurance requirements.

Assesses encounter documentation using Center for Medicare and Medicaid Services (CMS) documentation standards. Based on the provider's documentation, identify possible documentation changes that would more accurately account for services provided if implemented. Presents findings to provider and works to resolve the issue.

Correctly enters coding information into an eClinical Works electronic medical record system.

Serves as a resource on E/M coding issues to the OB/GYN department.

Assists with developing processes and procedures structured to optimize reimbursement, limit liability, and enhance data integrity.

Keeps up to date on billing/coding rules, including the annual update of CPT-4 and ICD-10 codes.

Maintains CEUS needed for certification.

Performs all job functions in compliance with applicable federal, state, local and company policies and procedures.

Maintains productivity standards set forth in Departmental Policies and procedures.

Minimum Requirements

Education: High school graduate or equivalent. 1-4-year degree in healthcare or related field preferred. Certification in medical coding through AAPC or AHIMA is a must (CCSP, CPC, or COBGC)

Preferred Qualifications:

1-3 years’ experience coding OB/GYN office services, OB/GYN Surgeries, In-patient Professional Physician, Radiology or Medicine.

Skills and Experience:

• Experienced coding in-office and in-hospital professional physician OB/GYN services.
• Experienced in E/M leveling and coding for both office/hospital professional coding.
• Thorough knowledge of medical terminology, ICD-10-CM, and CPT4 coding is necessary.
• Understanding of both the medical and business side of healthcare operations.
• Highly organized, self-motivated, detail-oriented, and energetic team player.
• Ability to multi-task in a fast-paced environment.
• Excellent verbal and written communication skills. Must be detail oriented.
• Strong computer skills, including MS Office, Internet, and E-mail.
• Excellent problem-solving ability and good interpersonal skills. Epic experience helpful

MFMA is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of MFMA will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and or expression, or other dimensions of diversity.

Job Type: Full-time

Pay: $25.00 - $28.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Remote

Experience:

• physician OBGYN or Maternal Fetal Medicine coding: 3 years (Preferred)
• in-patient coding: 3 years (Preferred)
• radiology: 3 years (Preferred)
• Medical coding: 2 years (Preferred)

License/Certification:

• CCSP, CPC, or COBGC certification? (Required)

Location:

• New York State (Required)

Work Location: Remote