About the role
<div class="content-intro"><p><span style="font-family: verdana, geneva, sans-serif; font-size: 12pt;"><strong><span data-contrast="none">Who We Are</span></strong></span></p> <p><span style="font-family: verdana, geneva, sans-serif; font-size: 12pt;">Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.</span></p></div><p><strong><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">What You’ll Do</span></strong></p> <p><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">As a Medical Billing &amp; Coding Specialist, you’ll serve in a hybrid role that blends coding </span><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">precision with billing strategy to ensure timely and accurate claims submission,</span><br><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">compliance, and payment. You’ll collaborate with providers, the data team, and partner </span><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">operations to streamline workflows, support documentation improvements, and reduce </span><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">denials.</span></p> <p><strong><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">Billing &amp; Claims Execution</span></strong></p> <ul> <li><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and </span><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">modifiers.</span></li> <li><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">Track and resolve denials, rejections, and underpayments with appropriate follow-</span><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">up and resubmission.</span></li> <li><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;">Validate eligibility, authorization, and proper billing pathways for all patient </span><span style="font-si