Certified Medical Billing /Coding Specialist Forestville

Certified Medical Billing /Coding Specialist

Full Time • Forestville
Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
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!




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