Pediatric Coder & Denials Specialist (Remote)

Children's Clinic PC; Portland (OR); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Children's Clinic PC is seeking a Certified Professional Coder to ensure accurate, timely, and compliant coding and charge capture for all claims, guided by ICD-10, CPT, and HCPCS rules. The role supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, and resolving coding-related denials, while providing monthly education to assigned providers.

Remote work is available per policy; Oregon residency is required for consideration for

Qualifications

• High school diploma or equivalent plus graduation from a medical coding program.
• Minimum of three years of progressive coding experience; pediatric experience preferred.
• Certifications: CCA and CCS.
• Knowledge of ICD-10-CM/PCS, CPT, HCPCS guidelines and modifiers.
• Proficient with Epic Charge Review and Microsoft Office applications.

Responsibilities

• Review and resolve charge sessions in Epic Charge Review for accuracy and compliance.
• Audit auto-released professional claims for coding accuracy and payer-specific compliance.
• Investigate and resolve coding-related denials and payer edits, focusing on Oregon Medicaid and commercial plans.
• Provide education to providers on documentation and coding accuracy; develop training materials.

Skills

Medical coding

ICD-10-CM/PCS

CPT/HCPCS

Epic Charge Review

MS Office

Education

High school diploma or equivalent

Medical Coding Program

Tools

Epic Charge Review

Job description

Children's Clinic PC is seeking a Certified Professional Coder to ensure accurate, timely, and compliant coding and charge capture for all claims, guided by ICD-10, CPT, and HCPCS rules. The role supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, and resolving coding-related denials, while providing monthly education to assigned providers.

Remote work is available per policy; Oregon residency is required for consideration for