As a Level II OB/GYN Professional Fee Coder, you will play a vital role in ensuring accurate, compliant coding of clinician services across obstetric, gynecologic, and reproductive health encounters. You’ll collaborate with coding leadership, OB/GYN providers, and the broader Enterprise Coding Team — all while enjoying the flexibility of a telecommuting position. Review clinical documentation for OB/GYN encounters including prenatal visits, postpartum care, colposcopy, hysteroscopy, LEEP, ultrasound, minor gynecologic procedures, and office E&M encounters. Assign accurate CPT, ICD 10 CM, and HCPCS codes for: Global obstetric packages Obstetric ultrasounds and fetal monitoring Gynecologic office procedures Family planning and reproductive health services Preventive women’s health visits Problem focused OB/GYN E&M encounters Global obstetric packages Obstetric ultrasounds and fetal monitoring Gynecologic office procedures Family planning and reproductive health services Preventive women’s health visits Problem focused OB/GYN E&M encounters Validate correct billing of OB packages including prenatal visits, and postpartum care. Maintain processes and controls for OB/GYN coding and billing within assigned work queues. Ensure all coding complies with CMS, payer specific rules, ACOG guidance, and specialty compliance standards. Collaborate with leads and supervisors regarding specialty specific questions and workflow priorities. Develop and share written procedures to improve OB/GYN coding workflows and support team training.

This role involves managing the daily operational activities that support U.S. dental school accounts, focusing on driving sales and profitability objectives in alignment with the strategic plan of dental schools. Ensure successful onboarding of dental school customers alongside the Implementation team. Assist the Sr. Operations Manager with pricing management and contract linkage. Collaborate with Sr. Operations Manager on opportunities regarding dental school kits and patient packs. Utilize internal systems to analyze sales growth and provide actionable recommendations. Prepare data analyses and reports for monthly business reviews. Participate in business reviews to ensure sales plans are current. Support the implementation of third-party platforms to streamline buying processes. Act as liaison to the Credit team for school receivables and pricing discrepancies. Manage and support operations for dental school accounts in collaboration with sales teams. Participate in special projects as directed by Sr. Operations Manager.

The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website. Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems Maintains documentation and reporting regarding payer enrollments in process Retains records related to completed CMS applications Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation Maintains provider demographics in all applicable enrollment systems Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment Performs special projects and other duties as assigned

This role involves managing the daily operational activities that support U.S. dental school accounts. Drive sales and profitability objectives in alignment with the strategic plan of dental schools Ensure operational excellence while maintaining a high level of customer satisfaction Work closely with the Sr. Operations Manager on onboarding processes, contract management, and pricing strategies Contribute to the financial performance and overall health of partner's dental school accounts Accountabilities Ensure successful onboarding of dental school customers alongside the Implementation team Assist the Sr. Operations Manager with pricing management and contract linkage Collaborate with Sr. Operations Manager on opportunities regarding dental school kits and patient packs Utilize internal systems to analyze sales growth and provide actionable recommendations Prepare data analyses and reports for monthly business reviews Participate in business reviews to ensure sales plans are current Support the implementation of third-party platforms to streamline buying processes Act as liaison to the Credit team for school receivables and pricing discrepancies Manage and support operations for dental school accounts in collaboration with sales teams Participate in special projects as directed by Sr. Operations Manager