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Sapling

Medical Coder/Biller - Pediatric Specialist (Part-Time)

angel run, FL

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About this opportunity

Sapling lists this Medical Coder/Biller - Pediatric Specialist (Part-Time) opportunity in angel run, Florida. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Medical Coder/Biller - Pediatric Specialist (Part-Time)

We are a healthcare technology company focused on revolutionizing primary care billing through AI innovation. We operate a pediatric clinic in Florida and are building cutting‑edge solutions to streamline medical billing processes.

Position Overview

We're seeking an experienced Medical Coder/Biller with strong pediatric billing expertise to join our team part‑time. This is a unique hybrid role where you'll provide immediate billing support for our pediatric clinic while contributing your expertise to help us develop an AI‑powered billing system for primary care practices.

Location: Florida (Remote/Hybrid options available)

Schedule: Part‑time, approximately 20 hours per week

Compensation: $25–40 per hour, depending on experience

Primary Responsibilities

Immediate Billing Operations (60–70% of role)

Process and submit claims for pediatric services with high accuracy

Code pediatric encounters using CPT, ICD‑10, and HCPCS codes

Handle well‑child visits, sick visits, and immunization billing

Work with Florida Medicaid, CHIP, and commercial insurance payers

Follow up on denied or rejected claims and resubmit as needed

Post payments and maintain accurate billing records

Ensure compliance with payer requirements and billing regulations

AI System Development Support (30–40% of role)

Document current billing workflows, logic, and decision‑making processes

Serve as subject‑matter expert for primary care billing operations

Review and validate AI‑generated coding suggestions and billing outputs

Provide feedback on system design from a biller's perspective

Help identify common billing scenarios and edge cases for system training

Test and quality‑check AI system functionality

Required Qualifications

Minimum 5 years of hands‑on pediatric medical billing/coding experience

Strong working knowledge of pediatric‑specific billing codes and guidelines

Proficiency with CPT, ICD‑10‑CM, and HCPCS Level II coding

Experience with Florida Medicaid and commercial insurance billing

Familiarity with common pediatric EMR/billing systems

Excellent attention to detail and accuracy

Strong communication skills to explain billing concepts to non‑medical team

Ability to work independently and manage time effectively

Preferred Qualifications

CPC (Certified Professional Coder) or CPB certification

Experience with immunization billing and VFC programs

Knowledge of Bright Futures guidelines

Experience with denial management and appeals

Familiarity with value‑based care or quality measures

Interest in healthcare technology and process improvement

What Makes This Role Unique

This isn't just a billing job—it's an opportunity to shape the future of medical billing technology. You'll use your expertise to solve real problems while contributing to an AI system that could help practices nationwide. If you've ever thought "there has to be a better way to do this," this is your chance to help build it.

Ideal Candidate

Can hit the ground running with pediatric billing from day one

Enjoys problem‑solving and process improvement

Can articulate the "why" behind billing decisions, not just the "what"

Is excited about the intersection of healthcare and technology

Thrives in a part‑time, flexible arrangement

Wants to contribute to something bigger than daily billing tasks

Benefits

Competitive hourly compensation ($25–40 per hour)

Flexible part‑time schedule

Remote work options

Opportunity to influence AI/tech development in healthcare

Work with a forward‑thinking team

Professional development opportunities

To Apply

Brief description of your pediatric billing experience

Your certification status (if applicable)

Why you're interested in contributing to AI‑powered billing solutions

Please submit your résumé along with the above information.

Equal Opportunity Employer: We are committed to creating a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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Who can apply

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