Note: The job is a remote job and is open to candidates in USA. Diana Health is a network of modern women’s health practices focused on reimagining the maternity and women’s healthcare experience. They are seeking a skilled Medical Biller / Coder to join their Revenue Cycle team, responsible for ensuring accurate coding of medical procedures and diagnoses while supporting compliance and optimizing reimbursements.
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
Skills
• 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
• 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
• Completion of a formal coding program (AHIMA, CCS, or AAPC preferred)
• 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
Benefits
• Competitive compensation
• Medical, dental & vision plans, with an HSA/FSA option
• 401(k) with employer match
• Paid time off
• Paid parental leave
Company Overview
• Diana Health offers personalized women's healthcare services in maternity, gynecology, menopause, mental health, and wellness. It was founded in 2019, and is headquartered in New York, New York, USA, with a workforce of 501-1000 employees. Its website is http://www.heydianahealth.com.