Medical Coding Specialist

Summary

Join our team at Pomelo Care, a multi-disciplinary team transforming outcomes for pregnant people and babies through evidence-based pregnancy and newborn care. As a Clinical Coder, you will support the clinical practice by ensuring accurate coding of patient encounters.

Requirements

• Certified Professional Coder (CPC) certification or equivalent coding certification
• 5+ years medical coding experience with expertise in outpatient coding for obstetrics/gynecology (including lactation), pediatrics, therapy and nutritional counseling
• 5+ years coding in an EHR with recent experience in Athena preferred
• In-depth knowledge of CPT and ICD-10 coding guidelines and Medicaid coding rules

Responsibilities

• Review video, audio, and chat-based encounters and interactions with patients, ensuring completeness and accuracy of clinical documentation
• Accurately apply appropriate CPT and ICD-10 codes for each encounter, adhering to federal and state rules and agreed-upon coding guidelines with our partner MCOs
• Query clinical team to obtain additional, clarifying documentation to improve the accuracy and completeness of the encounter data
• Continuously analyze coding patterns to identify opportunities for streamlining and improving the coding process, proposing recommendations for increased efficiency and accuracy
• Stay up to date with coding regulations, guidelines, and changes in Medicaid rules, ensuring compliance with coding and billing requirements

Benefits

Competitive hourly rate ($25 to $30 per hour)