Billing Coder III
Company: Fulgent Therapeutics
Location: Coppell
Posted on: April 1, 2026
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Job Description:
Description About Us Inform Diagnostics, a Fulgent Genetics
Company , is a nationally recognized diagnostics laboratory focused
on anatomic pathology subspecialties including gastrointestinal
pathology, dermatopathology, urologic pathology, hematopathology,
and breast pathology. Founded in 2011, our parent entity, Fulgent
Genetics, has evolved into a premier, full-service genomic testing
company built around a foundational technology platform. Through
our diverse testing menu, Fulgent is focused on transforming
patient care in oncology, anatomic pathology, infectious and rare
diseases, and reproductive health. We believe that by providing a
wide range of effective, flexible testing options in conjunction
with best-in-class service and support, we can redefine the way
medicine is managed for patients and clinicians alike. Since
integrating with our therapeutic development business, Fulgent is
also developing drug candidates for treating a broad range of
cancers using a novel nanoencapsulation and targeted therapy
platform. By merging our fields of expertise, we aim to become a
fully integrated precision medicine company. Summary of Position
Each Billing Coder III is responsible for documentation review,
coding, and data abstracting of medical service documentation to
ensure the company receives appropriate reimbursement and conforms
to applicable guidelines and regulations. Patients and their needs
are our primary focus, so developing and sustaining productive
member relationships is key to success. Key Job Elements Research
and assign pathology procedures (CPT) and diagnosis (ICD-10CM)
codes based on review of the entire medical record. Analyze and
review detailed and highly complex code edits and transactions
within Xifin/LIS. Provide support to the billing staff by resolving
complex cases and issues as assigned. Assist in new hire training
and escalation point for teammates. Coding related denials review
for resolution. Contribute to the development and maintenance of
specialized educational materials. Maintain current knowledge of
coding conventions, guidelines, and regulations governing
government and third-party billing to ensure that coding and
documentation meets regulatory guidelines and audit standards. Meet
department quality and production standards. Participate in the
testing and training of new system applications. Qualifications
Knowledge/Experience High School diploma or equivalent required. 10
years of medical coding experience OR 7 years of anatomic pathology
coding experience required. Ability to proficiently use Current
Procedural Terminology (CPT) and International Classification of
Diseases (ICD-10) codes to ensure reliable communication with all
physicians, insurance companies, and other healthcare providers.
Working knowledge of CPT, HCPCS and ICD. Certified Professional
Coder Certification - CPC through AAPC. Demonstrated ability to
abstract and assign all codes to multi-specialty pathology services
performed, including, but not limited to Hematopathology. Knowledge
of Local Coverage Determination and National Coverage Determination
(LCD/NCD). Extensive knowledge of resolving coding related denials
caused by MUE Edits, CPT codes, ICD codes, modifiers or medical
necessity requirements. Ability to work in a fast-paced, deadline
driven environment. Excellent written and oral communication.
Proficient in Microsoft Office Suite, specifically Word, Excel, and
Outlook, and general working knowledge of Internet for business use
Environment Fulgent Therapeutics LLC is an Equal Employment
Opportunity Employer. The work environment characteristics
described here are representative of those an employee encounters
while performing the essential functions of this job. Reasonable
accommodations may be made to enable qualified individuals with
disabilities to perform the essential functions. The term
“qualified individual with a disability” means an individual with a
disability who, with or without reasonable accommodation, can
perform the essential functions of the position. Please note that
Fulgent (and its affiliated companies, including Inform Diagnostics
and CSI Laboratories) does not accept unsolicited information
and/or resumes from search firms or agencies for our job postings.
Search firms or agencies without an applicable contract and/or
express approval to recruit for the role in question — that choose
to submit a resume or client information to our career page or to
any employee of Fulgent — will not be eligible for payment of any
fee(s), and any associated shared data will become the property of
Fulgent.
Keywords: Fulgent Therapeutics, Mansfield , Billing Coder III, IT / Software / Systems , Coppell, Texas