Medical Coding & Billing Specialist

Imagine Pediatrics

. Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers .

Posted 10/26/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical coding and billing processes, including proficiency in CPT, HCPCS, and ICD-10 coding. Strong ability to collaborate with cross-functional teams to ensure compliance and improve documentation practices.

Highest-signal resume keywords

AAPC Certified Professional Coder (CPC)3–5 Years' Experience In Physician Billing And CodingProficiency With Athena EMRDeep Understanding Of CPT, HCPCS, ICD-10, And HEDISExperience With Telehealth Billing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingHCPCS CodingICD-10 CodingHEDIS ReportingBilling ComplianceDocumentation ImprovementClaims SubmissionDenial ManagementEligibility ValidationQuality Measures

Soft Skills

FlexibilityAdaptabilityCross-Functional Communication

Tools & Technologies

Athena EMRMicrosoft Excel

Certifications & Qualifications

AAPC Certified Professional Coder (CPC)

Industry Keywords

PediatricsTelehealthValue-Based CareCapitation ModelsMedicaid PayersCommercial Payers

About the role

Key responsibilities & impact

Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers
Track and resolve denials, rejections, and underpayments through follow-up and resubmission
Validate eligibility, authorization, and billing pathways for patient encounters
Ensure accurate use of telehealth, SDOH, and preventive care codes
Coordinate with credentialing, partner success, and payer representatives to ensure claims compliance
Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines
Identify and escalate incomplete documentation or coding gaps and issue coding queries
Educate providers on documentation improvement under the Coding Manager's guidance
Support implementation and testing of documentation macros and encounter note templates
Maintain and contribute to the internal billing rules matrix
Collaborate with Data & Analytics on claim trends, documentation compliance, and A/R performance
Partner with Revenue Cycle and Clinical Operations to align workflows with payer requirements and business goals
Support provider training, macro updates, and compliance education efforts
Perform other duties as assigned

Requirements

What you’ll need

AAPC Certified Professional Coder (CPC) certification required; credentials verified prior to an offer of employment
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 is a plus
Flexibility, adaptability, and cross-functional communication in a startup environment

Benefits

Comp & perks

Annual bonus incentive
Competitive medical, dental, and vision insurance
Healthcare and Dependent Care FSA
Company-funded HSA
401(k) with 4% match, vested 100% from day one
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
Employee equity purchase program eligibility, as applicable
Additional benefits detailed in offer