Medical Pediatric Biller / Coder

Job Description

Job Description

Job Title : Certified Pediatric Medical Coder / Biller

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 weve cared for since birth, and we work intentionally to minimize trauma around medical procedures.

As a team, we collaborate closely, celebrate each others wins, and approach challenges with curiosity, data driven, knowing theres 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 - its 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 :

Preferred Skills :

Compensation & Benefits :

To Apply : Please submit your resume and a brief cover letter to Career@PureJoyPediatrics.com

This is a remote position.