Medical Coding Specialist (Temp)

About us

Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system.

Role Description

Your north star: Support the Pomelo clinical practice by ensuring accurate coding of patient encounters.

In this role, you will have the following 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

Who you are

• 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.

• Experience coding for telehealth companies preferred

• Experience with coding asynchronous encounters preferred

• Experience with billing preferred

• Independent, critical thinker with meticulous attention to detail

• Passionate about maternal and child health

Why you should join our team

By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it.

We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first.

At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. A reasonable estimate of the current salary range is $28 to $32 per hour.

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Potential Fraud Warning

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Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending in @pomelocare.com.

If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at [email protected] to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.