Pediatric CPC-P Coder | Coding & Revenue Enablement

Pediatrica Health Group Inc.; Miami (FL); On-site; USD 39,000 - 52,000; Full time

Job summary

Pediatrica Health Group Inc. is seeking a skilled pediatric coder to review clinical documentation and assign ICD-10, CPT, and HCPCS codes for pediatric diagnoses and procedures. You will ensure coding compliance with federal regulations, payer policies, and organizational standards.

The role requires CPC-P certification, at least two years of pediatric coding experience, and proficiency in coding software, EMR systems, and MS Office. Strong attention to detail and confidentiality are essential.

Qualifications

• High school diploma or equivalent.
• Certification as a Certified Pediatric Coder (CPC-P) required.
• Minimum of two years of medical coding experience, preferably in a pediatric healthcare setting.
• In-depth knowledge of pediatric-specific coding, medical terminology, and insurance guidelines.
• Proficient in using coding software, EMR systems, and Microsoft Office applications.
• Excellent attention to detail and organizational skills.
• Strong verbal and written communication skills.
• Commitment to maintaining patient confidentiality and adhering to HIPAA regulations.

Responsibilities

• Review clinical documentation and assign appropriate ICD-10, CPT, and HCPCS codes for pediatric diagnoses and procedures.
• Ensure coding compliance with federal regulations, payer policies, and organizational standards.
• Query providers when necessary for additional information or clarification to ensure accurate coding.
• Assist in the education of providers and staff regarding coding updates, documentation improvement, and regulatory requirements.
• Audit coded data for accuracy and provide feedback to clinical staff as needed.
• Submit clean claims for reimbursement in a timely manner and assist with denial management processes related to coding issues.
• Stay current with changes in coding guidelines, payer requirements, and pediatric coding best practices.
• Support revenue cycle management by ensuring optimal coding accuracy and maximizing reimbursement.

Skills

Pediatric coding knowledge

HIPAA/compliance

Communication skills

Time management

Education

High school diploma or equivalent

Tools

EMR software

Microsoft Office

Job description

Pediatrica Health Group Inc. is seeking a skilled pediatric coder to review clinical documentation and assign ICD-10, CPT, and HCPCS codes for pediatric diagnoses and procedures. You will ensure coding compliance with federal regulations, payer policies, and organizational standards.

The role requires CPC-P certification, at least two years of pediatric coding experience, and proficiency in coding software, EMR systems, and MS Office. Strong attention to detail and confidentiality are essential.