Diana Health is a modern women’s health network working in partnership with hospitals to reimagine maternity and women’s healthcare. The organization combines tech-enabled, wellness-focused care with strong operational support to improve patient and provider experiences.
The Medical Biller/Coder will join the Revenue Cycle team and focus on accurate coding of medical procedures and diagnoses across inpatient, outpatient, ambulatory, and specialty care. This role supports compliance, reimbursement optimization, and documentation accuracy in alignment with federal and state regulations.
Key responsibilities include reviewing clinical documentation and diagnostic results, validating medical necessity, processing charge captures, preventing claim denials, collaborating with providers and billing teams, identifying coding trends, assisting with provider education, and maintaining coding productivity and quality metrics.
Qualifications
- High School Diploma or GED required
- Completion of a formal coding program preferred (AHIMA, CCS, or AAPC)
- Minimum of 3 years of applied coding experience, or 5 years of OB/GYN coding experience in a physician billing or revenue cycle setting
- Strong emphasis on OB/GYN coding experience
- Proficiency in ICD-10, CPT, medical terminology, anatomy, and health record content
- CPC or CCS certification preferred
- Non-certified coders may be required to obtain certification within an agreed timeframe
Skills
- In-depth knowledge of Medicare, Medicaid, and managed care plans
- Understanding of HIPAA, Medicare Fraud and Abuse regulations, and EHR/billing systems
- Strong analytical, organizational, and problem-solving skills
- Proficiency in Microsoft Office and healthcare billing platforms
- Excellent verbal and written communication skills
- Ability to work effectively with clinical staff and patients
Benefits
- Competitive compensation
- Medical, dental, and vision plans
- HSA/FSA option
- 401(k) with employer match
- Paid time off
- Paid parental leave
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago