Medical Coding Specialist (Contractor)

Pomelo Care

Pomelo Care

Posted on Thursday, May 11, 2023

About us

Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend.

Role Description

Your north star: Support the Pomelo clinical practice through monthly coding of our synchronous and chat-based encounters with patients

In this role, you will have the following responsibilities:

  • Review our video, audio, and chat-based encounters and interactions with patients at the end of every month/start of the new month
  • Assign CPT codes (and supporting ICD-10 codes) for each encounter based on Medicaid rules, as well as rules we have agreed upon with our partner MCOs
  • Identify coding patterns and propose ways to further streamline the coding process

Who you are

  • Available for 20 hours during the first week of every month
  • 5+ years medical coding experience with expertise in coding for obstetrics/gynecology and pediatrics, including lactation
  • Experience with Medicaid coding, ideally in multiple states
  • Experience coding for telehealth companies preferred
  • Experience with PCM coding preferred
  • Experience with coding asynchronous encounters preferred
  • Experience with the athenahealth EHR preferred
  • Meticulous attention to detail
  • Passionate about maternal and child health
  • Located in the US (required by our health plan contracts)

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 $20 to $30 per hour.