We are seeking a certified Medical Coding & Revenue Cycle Specialist with pediatric experience to manage coding, billing coordination, and insurance credentialing. This role ensures accurate CPT, ICD-10, and HCPCS coding, compliance with payer guidelines, and smooth communication between providers, billing companies, and insurance plans.
The ideal candidate has strong revenue cycle knowledge, experience handling claims and denials, credentialing expertise, and the ability to clearly communicate financial information to parents/guardians. CPC, CCS, or equivalent certification is required. Bilingual English/Spanish is mandatory.
HMO Coverage for eligible locations
Permanent work from home
Immediate hiring
Steady freelance job
- Medical Coding & Documentation
- Review and code all pediatric patient encounters using CPT, ICD-10, and HCPCS
- Ensure compliance with payer guidelines and documentation standards
- Communicate with providers regarding documentation clarification when necessary
- Serve as liaison between the client and external billing company
- Monitor claims, resolve denials and rejections, and assist with appeals
- Review EOBs and coordinate corrections as needed
- Manage credentialing and recredentialing with insurance plans
- Maintain provider enrollment records
- Coordinate with credentialing agencies to ensure active payer participation
- Respond to parent/guardian inquiries regarding balances, copays, deductibles, and coinsurance
- Explain insurance benefits and patient financial responsibility
- Assist with follow-up on outstanding balances
- Respond to emails and assist with office administrative tasks
- Field billing-related phone calls
- Collaborate with clinical and front office staff
- Certified Professional Coder (CPC), CCS, or equivalent certification required
Pediatric coding experience preferred - Extensive experience with insurance credentialing
- Knowledge of revenue cycle management and claim lifecycle
- Familiarity with eClinicalWorks EMR preferred
- Strong understanding of copays, deductibles, coinsurance, and insurance processes
- Bilingual English/Spanish required
Side Note: Since this is a permanent work-from-home position and the arrangement is that of an “Independent Contractor,” the selected candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.
Reminder
Apply directly to the link provided; you will be redirected to BruntWork’s Career Site. You must apply using the said link to complete the initial requirements, which includes pre-screening assessment questions, technical check of your computer, and voice recording.
APPLICATIONS WITH COMPLETE REQUIREMENTS WILL BE PRIORITIZED.