POSITION SUMMARY:

Physicians’ Primary Care is seeking a detail-oriented and knowledgeable Pediatric Medical Coder to join our team. This is a full-time, office-based position responsible for accurately assigning diagnostic and procedural codes for pediatric services. The ideal candidate will have a strong understanding of pediatric coding guidelines and payer-specific regulations to support appropriate reimbursement and compliance.

MINIMUM QUALIFICATIONS:

• Certified Professional Coder (CPC) required.
• Certified Pediatric Coder (CPEDC) preferred. If not currently certified, must obtain within 6 months of employment.
• Minimum of 2 years’ experience in medical coding, preferably in a pediatric or primary care environment.
• Strong knowledge of Evaluation and Management (E&M) coding and documentation requirements.
• Excellent analytical skills and attention to detail.
• Proficient with coding software, EHR systems, and Microsoft Office applications.
• Ability to work independently while maintaining team collaboration and communication.

• Assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and services performed in a pediatric office setting.
• Review provider documentation to ensure coding accurately reflects services rendered and supports optimal reimbursement.
• Stay current with industry coding updates, payer guidelines, and regulatory changes, with an emphasis on pediatric-specific policies.
• Collaborate with clinical staff and providers to clarify documentation when necessary.
• Participate in internal coding audits and assist with compliance reporting and data analysis.
• Work closely with the billing and reimbursement team to resolve claim denials or rejections related to coding issues.
• Support training initiatives and provide feedback on documentation improvement opportunities.