CPC Certified Coding Specialist

Job Summary

To support a growing pediatric practice, the remote CPC Certified Coding Specialist will blend coding precision with billing strategy to ensure timely claims submission, compliance, and payment while collaborating with providers and operational teams.

Key responsibilities

• Submit clean, timely claims with accurate coding and modifiers while tracking and resolving denials and underpayments
• Review provider documentation to assign accurate codes and educate providers to improve documentation practices
• Collaborate with cross-functional teams to maintain billing rules, track claim trends, and align workflows with payer requirements

Required qualifications

• AAPC Certified Professional Coder (CPC) certification required
• 3-5 years of experience in physician billing and coding, preferably in pediatrics
• Proficiency with Athena EMR and Microsoft Excel
• Deep understanding of CPT, HCPCS, ICD-10, HEDIS, and Medicaid/commercial payers
• Experience with telehealth billing and value-based care models is a plus