Medical Coding & Billing Specialist

🔥 3 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $55k - $65k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• 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 to ensure claims compliance • Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines • Identify and escalate incomplete documentation or coding gaps and issue coding queries • Educate providers on documentation improvement 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 Operations to align workflows with payer requirements and business goals • Support provider training, macro updates, and compliance education efforts • Perform other duties as assigned

🎯 Requirements

• AAPC Certified Professional Coder (CPC) certification 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 is a plus • Flexibility, adaptability, and cross-functional communication in a startup environment

🏖️ Benefits

• Annual bonus incentive • 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 • Employee equity purchase program eligibility, as applicable • Additional benefits detailed in offer