Medical Pediatric Biller/Coder
Full Time • Hybrid - US
Job Title: Certified Pediatric Medical Coder/Biller
Location: Portland, OR (remote)
Job Type: Part-Time with Oregon Residency
Location: Portland, OR (remote)
Job Type: Part-Time with Oregon Residency
Pure Joy Pediatrics - Our Culture
At Pure Joy Pediatrics, we believe that excellent medicine can be delivered in an environment that feels more like home than a hospital. Our cozy, spa-like space is designed to help families exhale the moment they walk in - from the little ladybug ride-on toys that lead patients to their rooms, to the calming presence of our therapy dog, Maja, who greets each child with gentle affection.
We live by our core values of transparency, innovation, growth mindset, and restoring joy in the lives of the families we serve. Our care philosophy is deeply personal - we take the time to know our patients, many of whom we’ve cared for since birth, and we work intentionally to minimize trauma around medical procedures.
As a team, we collaborate closely, celebrate each other’s wins, and approach challenges with curiosity, data driven, knowing there’s often more than one way to solve a problem. We value efficiency and resourcefulness, recognizing that every tool, every minute, and every idea can be optimized to help us grow the services we offer.
Pure Joy Pediatrics is more than a medical practice - it’s a mission. We proudly participate in community initiatives like the annual fundraiser for congenital diaphragmatic hernia (CDH) research, and we see every patient interaction as an opportunity to spread compassion, trust, and joy.
Position Summary:
We are seeking a detail-oriented, experienced Certified Pediatric Medical Coder and Biller to join our team. The ideal candidate will be well-versed in medical billing practices with a strong focus on pediatric coding, insurance claim submission, and reimbursement processes. This role plays a critical part in ensuring the financial health of our pediatric clinic by accurately billing for services and following up on unpaid claims.
Key Responsibilities:
- Review, prepare, and submit accurate insurance claims for pediatric services (including office visits, immunizations, well-child checks, developmental screenings, etc.).
- Ensure compliance with current coding standards (ICD-10, CPT, and HCPCS) specific to pediatric care.
- Follow up on unpaid or denied claims; resolve billing discrepancies and resubmit claims as needed.
- Verify patient insurance eligibility and benefits prior to services.
- Post payments and reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
- Maintain accurate billing records and patient account information.
- Respond to patient inquiries regarding billing and insurance coverage with professionalism and clarity.
- Work collaboratively with clinical and administrative staff to ensure billing accuracy.
- Stay current on payer policies, coding updates, and billing regulations affecting pediatric healthcare.
- Provide detailed reports on payers reimbursements, aging reports, and maintain accurate AR.
Qualifications:
- Certification: Certified Professional Biller (CPB), Certified Professional Coder (CPC), or Certified Medical Reimbursement Specialist (CMRS) optional.
- Experience: Minimum of 5 years of medical billing experience, with at least 3 year in a pediatric setting preferred.
- Knowledge: Strong understanding of pediatric-specific coding (e.g., vaccine administration, developmental screenings, etc.).
- Coding & Clean Claim Submission
- Proficient with electronic medical records (EMRs) and billing software.
- Familiarity with major insurance carriers, Medicaid, and Credentialling.
- Excellent analytical, communication, and problem-solving skills.
- High attention to detail and accuracy.
Preferred Skills:
- Billing Experience with patient billing collections and payment plans.
- Knowledge of PII and HIPAA regulations and medical office confidentiality standards.
- Medical Credentialing.
- Coding & Clean Claims Submission.
- Accounts Receivable (AR)
- Payment posting & Accounts reconciliation.
- Denial Management.
- PCPCH Program
Compensation & Benefits:
- This position is a part-time position with option of working for multiple clinics.
- Ideal for local Oregonians / work-from-home
- Competitive salary based on experience and credentials.
To Apply: Please submit your resume and a brief cover letter to Career@PureJoyPediatrics.com
Flexible work from home options available.
About Us
Why Pure Joy Pediatrics?
After 16 years of clinical practice, I realize how important it is to preserve the physician/patient relationship. I believe in building practice and system that would bolster rather than detract from this special experience. Supporting parents in their journey of parenthood is at the heart of what we love to do at Pure Joy Pediatrics. This process has been exhilarating and life affirming. The kudos and reviews from families has really propelled the project forward by leaps and bounds.
Patient care is a must but it is only a part of what we do. Encouraging and supporting parents as they develop their own parenting style and garner confidence is at the heart of what Pure Joy Pediatrics offers parents. When parents feel empowered in their roles as advocates, caretakers and nurturers of their children, the children naturally benefit. Better yet, they thrive. That ultimately is our goal.
Pure Joy Pediatrics was conceptualized as a place where parents and patients are at ease throughout their experience. Making appointments easily through online scheduling, communication with the provider, accessing care, medical records and navigating the patient experience should be void of the normal hassles and stress that seem commonplace these days. The name itself was chosen as a vision for what the patient encounter should be for patients, families and the provider. One of our goals at Pure Joy is to restore joy in every patient encounter for everyone involved.
Pure Joy Pediatrics is a family-forward company. This means family come first. Some families are small and some are large but our mission is to promote the wellness of the entire family by supporting this in our community of patients. Of course, the mission of Pure Joy is to promote health and wellness of children and their families and we want the same for our providers and staff. The notion is to promote happy and healthy lives for everyone involved in the patient experience. We all have one opportunity at this lifetime, so let’s make the most of it.
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