Remote Director, Medical Coding & Billing

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Pomelo Care

πŸ’΅ $150k-$180k
πŸ“Remote - United States

Job highlights

Summary

Join Pomelo Care as a Medical Coding and Billing Manager to oversee the medical coding and billing function, ensuring accurate coding and billing for encounters reflecting all services provided.

Requirements

  • 7+ years revenue cycle experience required
  • 5+ years medical coding experience preferred
  • Certified Professional Coder (CPC) certification or equivalent coding certification preferred
  • In-depth knowledge of CPT and ICD-10 coding guidelines and Medicaid coding rules
  • Meticulous attention to detail
  • Passionate about maternal and child health

Responsibilities

  • Lead a team of medical coding and billing managers and specialists
  • Streamline all internal processes and infrastructure for encounter coding and billing as we rapidly scale
  • Collaborate with coding and billing team managers to build out trainings to support improved documentation for clinicians
  • Stay up to date with coding regulations, guidelines, and changes in Medicaid rules, ensuring compliance with coding requirements
  • Collaborate with our partnerships and customer success teams, as well as our health plan partners, on researching state-specific coding or billing related questions prior to health plan launches
  • Track and report on billing and coding team KPIs, including team productivity, clean claims rate, outstanding A/R, denial rates, etc
  • Identify and implement process improvements to enhance efficiency and effectiveness in revenue cycle operations and maximize value generation for the business
  • Conduct regular audits to ensure accuracy of billing practices and no revenue or reporting leakage
  • Work closely with Finance team on revenue reporting and reconciliation

Preferred Qualifications

  • Experience coding for telehealth companies (including asynchronous encounters)
  • Experience with the athenahealth EHR
  • Expertise in coding for obstetrics/gynecology and pediatrics

Benefits

Competitive salary range ($150,000-$180,000)

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