Medical Coding Specialist (Temp)
About The Position
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
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.
- Independent, critical thinker with meticulous attention to detail
- Passionate about maternal and child health
Nice To Haves
- Experience coding for telehealth companies preferred
- Experience with coding asynchronous encounters preferred
- Experience with billing preferred
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
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
