Sapling

Compensation

Full Description

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/hour, depending on experience Primary ResponsibilitiesImmediate 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 You're someone who: • 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/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 Please submit your resume along with: • Brief description of your pediatric billing experience • Your certification status (if applicable) • Why you're interested in contributing to AI-powered billing solutions 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. Job Types: Part-time, Contract Pay: $25.00 - $40.00 per hour Expected hours: 20 per week Work Location: Remote