Pediatric Certified Professional Coder (CPC) in Henderson, Nevada at Nevada Pediatric Specialists

Nevada Pediatric Specialists | Henderson, NV | On-site, Full-time

Pay: $25.00 – $32.00 per hour (about $52,000 – $66,500 per year), depending on experience and credentials

Reports to: Billing Manager

Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m.

About Us

Nevada Pediatric Specialists is an independent, physician-owned pediatric practice caring for children and families across Las Vegas and Henderson. We're hiring an experienced pediatric coder to join our billing team at our Henderson office. You'll help make sure our providers' work is coded accurately, documented to standard, and paid correctly.

What You'll Do

• Review provider documentation and assign accurate CPT, HCPCS Level II, and ICD-10-CM codes for pediatric office visits, well-child visits, and procedures
• Apply AMA CPT and E/M guidelines, including selecting office visit levels by medical decision making or time
• Apply AAP pediatric coding guidance (Coding for Pediatrics) and Bright Futures/EPSDT requirements to preventive care
• Code pediatric-specific services correctly, including preventive visits (99381–99395), same-day sick and well visits (modifier 25), vaccine and vaccine-administration codes (90460/90461, 90471–90474, including VFC), developmental and behavioral screenings (96110, 96127), and newborn care (99460–99463)
• Apply payer rules for commercial plans, Nevada Medicaid/Nevada Check Up, and Medicaid managed care plans
• Find documentation gaps and send clear, respectful queries to providers
• Work coding-related denials and edits, and support appeals
• Spot coding and denial trends and report them to the Billing Manager so we can fix the cause
• Take part in internal coding audits and give feedback to providers and staff
• Keep up with annual CPT, ICD-10-CM, and payer policy updates
• Protect patient information in line with HIPAA

What You Need (Required)

• Active CPC (Certified Professional Coder) credential from AAPC
• At least 1 year of pediatric coding experience (general or adult-only coding does not meet this requirement)
• Working knowledge of AAP pediatric coding guidance (Coding for Pediatrics) and AMA CPT/E/M guidelines
• Strong ICD-10-CM skills and solid knowledge of modifiers (25, 59/X{EPSU}, 33, and others)
• Ability to work on-site at our Henderson, NV office (this is not a remote or hybrid role)

Nice to Have

• Certified Pediatrics Coder (CPEDC) or another specialty credential
• 2+ years of pediatric coding experience
• Experience with eClinicalWorks (eCW) or a similar EHR/practice management system
• Experience with Nevada Medicaid and its managed care plans, including VFC billing
• Coding audit or provider education experience

Why Join Us

• Competitive pay: $25.00–$32.00/hour, set by experience and credentials
• A stable, physician-owned practice focused on pediatrics
• A collaborative billing and coding team that values accuracy, compliance, and follow-through
• Health insurance with 80% of the employee-only premium paid by the practice
• Option to add family health coverage, plus dental and vision, at group rates
• 401(k) with a 4% employer match after one year of employment
• Accrued paid time off (PTO)
• 7 paid federal holidays
• Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m.