Pediatric Billing & Coding Specialist needed to support accurate coding, claim submission, and follow-up for pediatric services. The role focuses on ensuring timely reimbursement by reviewing medical documentation, assigning appropriate codes, and working claims through resolution.
Responsibilities include reviewing records for accurate ICD-10, CPT, and DRG assignment, preparing and submitting clean claims through EMR/EHR systems, following up on unpaid or denied claims, collaborating with providers to address documentation gaps, and staying current on coding standards and insurance policy changes affecting pediatric billing.
Requirements & Qualifications
Qualifications
- Proven experience in medical billing and coding within a pediatric healthcare setting or similar environment
- Strong knowledge of ICD-10, ICD-9 (if applicable), CPT coding, DRG classifications, and medical terminology
- Familiarity with medical records management and medical office workflows
- Experience using EMR/EHR systems for documentation, coding, and billing processes
- Excellent attention to detail for accurate code assignment and claim submission
- Ability to interpret complex medical documentation accurately and efficiently
- Strong communication skills for collaborating with providers, insurance representatives, and patients' families
Location
Kansas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago