Medical Coding and Billing Manager - Remote

Overview

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.

In Short

• 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 on researching state-specific coding or billing related questions
• Track and report on billing and coding team KPIs
• Identify and implement process improvements to enhance efficiency in revenue cycle operations
• Conduct regular audits to ensure accuracy of billing practices
• Work closely with Finance team on revenue reporting and reconciliation

Requirements

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

Benefits

• Join a fast-moving, well-funded, and mission-driven startup
• Impact on the patients we serve
• Opportunities for learning and growth
• Respect for employees from all backgrounds
• Value working across disciplines and data-driven decision making