Medical Coding and Billing Specialist

Imagine Pediatrics

Medical Coding & Billing Specialist at Imagine Pediatrics ensuring accurate claims submission and documentation for pediatric healthcare providers. Collaborating with cross-functional teams to optimize billing processes.

Posted 7/14/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding and billing, including proficiency in CPT, HCPCS, and ICD-10 coding systems. Strong ability to track claims, resolve denials, and ensure compliance with payer requirements while educating providers on documentation improvement.

Highest-signal resume keywords

AAPC Certified Professional Coder (CPC)3–5 Years' Experience In Physician Billing And CodingProficiency With Athena EMRDeep Understanding Of CPT, HCPCS, ICD-10Experience With Telehealth Billing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingHCPCS CodingICD-10 CodingClaims SubmissionDenial ManagementEligibility ValidationDocumentation ReviewCoding QueriesQuality ReportingPreventive Care Coding

Soft Skills

CommunicationCollaborationProblem-SolvingEducation

Tools & Technologies

Athena EMRMicrosoft Excel

Certifications & Qualifications

AAPC Certified Professional Coder (CPC)

Industry Keywords

PediatricsTelehealthValue-Based CareCapitation ModelsHEDISMedicaidCommercial Payers

About the role

Key responsibilities & impact

Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
Track and resolve denials, rejections, and underpayments with appropriate follow-up and resubmission.
Validate eligibility, authorization, and proper billing pathways for all patient encounters.
Ensure accurate use of telehealth, SDOH, and preventive care codes.
Coordinate with credentialing, partner success, and payer reps 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; issue coding queries as needed.
Educate providers under the guidance of the Coding Manager to drive documentation improvement.

Requirements

What you’ll need

AAPC Certified Professional Coder (CPC) required
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

Benefits

Comp & perks

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