Pediatric Medical Billing & Coding Specialist (Hybrid)

Imagine Pediatrics; Clifton (TX); Hybrid; USD 55,000 - 65,000; Full time

Benefits offered by this job

Competitive medical, dental, andvision

Healthcare and Dependent Care FSA; HSA

401(k) with 4% match

Employer-paid short and long-term-dis

Life insurance at 1x annual salary

20 days PTO + 10 Company Holidays & 2

Paid new parent leave

Additional benefits detailed in offer

Job summary

Imagine Pediatrics seeks a Medical Billing & Coding Specialist in a hybrid role combining coding precision with billing strategy to ensure timely claims submission and compliance. You will collaborate with providers, data teams, and payer reps to streamline workflows and reduce denials.

You bring CPC certification, 3–5 years of physician billing and coding (pediatrics preferred), and strong knowledge of CPT/HCPCS/ICD-10, HEDIS, and Medicaid/commercial payers.

Qualifications

• CPC certification 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.

Responsibilities

• 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.
• Perform other duties as assigned.

Skills

Healthcare billing & coding

Telehealth billing

Excel proficiency

Education

CPC Certification (AAPC)

Tools

Athena EMR

Microsoft Excel

CPT/HCPCS/ICD-10 guidance

Job description

Imagine Pediatrics seeks a Medical Billing & Coding Specialist in a hybrid role combining coding precision with billing strategy to ensure timely claims submission and compliance. You will collaborate with providers, data teams, and payer reps to streamline workflows and reduce denials.

You bring CPC certification, 3–5 years of physician billing and coding (pediatrics preferred), and strong knowledge of CPT/HCPCS/ICD-10, HEDIS, and Medicaid/commercial payers.