Coding & Billing Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $55k - $65k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 0%

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Imagine Pediatrics

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

🧘 Wellness

👥 B2C

Healthcare • Wellness • B2C

Imagine Pediatrics is a healthcare provider focused on delivering specialized pediatric care. The company is dedicated to improving children's health through personalized medical attention, preventive care, and effective treatment options. With a team of experienced professionals, Imagine Pediatrics aims to create a supportive and welcoming environment for children and their families, emphasizing the importance of a healthy start for all individuals.

📋 Description

• Serve in a hybrid role blending coding precision with billing strategy • Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers • Track and resolve denials, rejections, and underpayments through follow-up and resubmission • Validate eligibility, authorization, and billing pathways for patient encounters • Ensure accurate use of telehealth, SDOH, and preventive care codes • Coordinate with credentialing, partner success, and payer representatives on claims compliance • Perform other duties as assigned • Review provider documentation and assign accurate codes under ICD-10-CM, CPT, and HEDIS/quality reporting guidelines • Identify and escalate incomplete documentation or coding gaps; issue coding queries • Educate providers under the Coding Manager's guidance • Support implementation and testing of documentation macros and encounter note templates • Maintain and contribute to the internal billing rules matrix • Collaborate with Data & Analytics on claim trends, documentation compliance, and A/R performance • Partner with Revenue Cycle and Clinical Ops to align workflows with payer requirements and business goals • Support provider training, macro updates, and compliance education efforts • Support new markets, payer models, or initiatives as the role evolves

🎯 Requirements

• AAPC Certified Professional Coder (CPC) required; credentials verified prior to an offer of employment • 3–5 years' experience in physician billing and coding (pediatrics preferred) • Proficiency with Athena EMR and Microsoft Excel • Deep understanding of CPT, HCPCS, ICD-10, HEDIS, and Medicaid/commercial payers • Experience with telehealth billing, value-based care, capitation models, and quality measures a plus • Passion and commitment to reimagining pediatric health care • Willingness to pivot quickly on priorities in a startup environment

🏖️ Benefits

• Annual bonus incentive • Competitive company benefits package • Employee equity purchase program eligibility (as applicable) • Competitive medical, dental, and vision insurance • Healthcare and Dependent Care FSA • Company-funded HSA • 401(k) with 4% match, vested 100% from day one • Employer-paid short and long-term disability • Life insurance at 1x annual salary • 20 days PTO • 10 Company Holidays • 2 Floating Holidays • Paid new parent leave • Additional benefits to be detailed in offer