Imaginepediatrics
Medical Coding & Billing Specialist
United States (Remote)
Sponsorship not specified$55k-$65kDetected 8 days ago
ExcelEHR/EMRICD-10CommunicationAdaptability
About the role
- Role Scope This job description outlines core duties but is not all-inclusive.
- Flexibility, adaptability, and cross-functional communication will be key to success.
- Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities.
Responsibilities
- compliance, and payment. You'll collaborate with providers, the data team, and partner operations to streamline workflows, support documentation improvements, and reduce denials.
- Validate eligibility, authorization, and proper billing pathways for all patient encounters.
- Coordinate with credentialing, partner success, and payer reps to ensure claims compliance.
- Perform other duties as assigned
- Educate providers under the guidance of the Coding Manager to drive documentation improvement.
- You'll collaborate with providers, the data team, and partner operations to streamline workflows, support documentation improvements, and reduce denials.
- Support implementation and testing of new documentation macros and encounter note templates.
- Maintain and contribute to the internal billing rules matrix (payer, state, provider type, modifiers).
- Collaborate with the Data & Analytics team to track claim trends, documentation compliance, and A/R performance.
- Partner with Revenue Cycle and Clinical Ops to align workflows with payer requirements and business goals.
Compensation
- The role offers a salary range of $55,000-65,000, in addition to an annual bonus incentive, competitive company benefits package, and eligibility to participate in an employee equity purchase program (as applicable).
Benefits
- Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs.
- We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care.
- We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
- Support provider training, macro updates, and compliance education efforts.
- First and foremost, you're passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve.
- As a Medical Billing & Coding Specialist, you'll serve in a hybrid role that blends coding precision with billing strategy to ensure timely and accurate claims submission,
Company info
- Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams
- we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.
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