Imaginepediatrics

Imaginepediatrics

Coding Compliance Auditor

United States (Remote)

Sponsorship not specified$75k-$90kDetected 28 days ago
AuditingEHR/EMRICD-10ResearchLeadershipCommunicationCritical Thinking

About the role

  • We put the best interests of children above all.
  • We stay curious by asking questions and leveraging new ideas to learn and scale. - Embrace Humanity.
  • When we stumble, we use the opportunity to grow and understand how we can improve. - One Team, Diverse Perspectives.

Responsibilities

  • The Coding Compliance Auditor partners cross-functionally with clinical leadership, revenue cycle, and compliance teams to ensure accurate, complete, and timely coding for a first-of-its-kind pediatric risk-bearing provider.
  • Collaborate with clinical leadership, revenue cycle, and compliance teams to resolve coding discrepancies and support accurate documentation practices.
  • Perform follow-up audits to validate remediation efforts and ensure sustained improvements in coding accuracy and compliance.
  • Interpret and apply state-specific Medicaid and payer billing requirements, maintain expertise across multiple markets and ensure alignment with regulatory and contractual guidelines
  • Interpret and apply state-specific Medicaid and payer billing requirements, maintain expertise across multiple markets and ensure alignment with regulatory and contractual guidelines; continuously research, monitor, and educate providers and coding staff on emerging payer policies, state expansions, and industry changes.
  • We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.
  • We build lasting relationships by creating shared understanding and consistently following through on our commitments.
  • We believe that small improvements lead to big impact.
  • We lead with empathy and authenticity, presuming competence and good intentions.
  • Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together.

Requirements

  • Strong understanding of HEDIS measures and E/M coding, with the ability to evaluate documentation for quality measure compliance and audit-defensible coding practices.
  • and CPMA required

Nice to have

  • 5+ years of experience in professional fee coding and auditing, specializing in E/M and outpatient coding across a variety of clinical settings.
  • Telehealth experience preferred.

Compensation

  • The role offers a base salary range of $75,000 - $90,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable).

Benefits

  • Competitive medical, dental, and vision insurance
  • Healthcare and Dependent Care FSA; Company-funded HSA
  • 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
  • We Value Diversity, Equity, Inclusion and Belonging
  • We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives.
  • Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs.

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.
  • 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.

Equal opportunity

  • equal opportunity employer.

Visa & Work Authorization

  • der, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristi
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This listing is sourced directly from Imaginepediatrics's careers page and normalized into a canonical job model.