Coding, Billing, and Medical Scribing Specialist

Coding, Billing, and Medical Scribing Specialist Equipoise Healthcare Wichita, KS Job Details Full-time $20 - $28 an hour 22 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Professional development assistance Flexible schedule Life insurance Qualifications Revenue cycle management Appeals Insurance prior authorization Insurance verification Managed care Electronic health records (EHR) management Achieving HIPAA compliance Insurance claim appeals processing Regulatory compliance in claims processing

HIPAA ICD-9 ICD-10 HCPCS

Medical insurance appeals management Medical terminology Full Job Description About Us! Equipoise Healthcare is a trusted pediatric clinic dedicated to providing compassionate, high-quality healthcare for children and families in our community. Our team believes that every child deserves attentive, evidence-based care delivered with warmth and respect. We are equally committed to operational excellence behind the scenes — because seamless billing, accurate coding, and timely prior authorizations directly support the families we serve. We are currently seeking a detail-oriented, motivated professional to join our team and play a vital role in that mission.

• We offer great benefits and a competitive salary with growth opportunities!

The Role:

(In Office Position) This is a dynamic position combining medical coding, billing and claims management, prior authorization coordination, and real-time medical scribing within a pediatric clinical environment. The ideal candidate will serve as a critical bridge between clinical documentation, revenue cycle integrity, and patient access to care — ensuring that every encounter is coded accurately, billed compliantly, authorized appropriately, and documented in real time. As well, a core function of this role is the full referral cycle/workflows. You will directly impact children and families by navigating complex insurance requirements, securing timely prior authorizations for referrals and services, and supporting providers with seamless documentation. We offer great benefits and a competitive salary with growth opportunities! Coding & Documentation

• Assign accurate ICD-10-CM, CPT, and HCPCS codes for pediatric encounters — including well-child visits, immunizations, developmental screenings, acute illness, chronic conditions, and behavioral health
• Review and query provider documentation for completeness, compliance, and coding accuracy
• Identify encounters and orders that trigger prior authorization requirements; flag for timely submission, and flagging referral-triggered auth requirements
• Stay current on coding updates, pediatric advisories, and payer-specific policies Billing & Claims
• Submit clean electronic and paper claims with accurate coding, modifiers, and authorization documentation
• Verify insurance eligibility, benefits, and prior authorization status before and after patient visits as well as referral number verification pre-submission; denial resolution for missing/invalid referrals; revenue cycle tracking of open referrals
• Investigate and resolve denials and underpayments — including those related to missing or expired prior authorizations
• Post payments, reconcile accounts receivable, and prioritize authorization-dependent claim follow-up
• Maintain strict compliance with HIPAA, payer contracts, and billing regulations Prior Authorization/Referrals
• Coordination with referring/receiving providers; dedicated referral tracking log
• Initiate, submit, and track prior authorizations for referrals, diagnostic testing, specialist visits, DME, medications, and therapeutic services
• Compile clinical documentation and medical necessity letters to support authorization requests
• Monitor authorization timelines, expiration dates, and renewal schedules to prevent care disruptions
• Communicate authorization statuses to providers, clinical teams, and families promptly
• Prepare and submit appeals for denied authorizations with supporting clinical documentation Medical Scribing
• Provide real-time documentation support during pediatric encounters (in-person and telehealth)
• Accurately capture chief complaints, histories, exams, assessments, and plans in the EHR
• Flag provider orders requiring prior authorization before execution
• Document medical necessity language during encounters to support coding and authorization accuracy
• Support timely encounter note completion to enable prompt billing and authorization workflows
• Real-time capture of referral orders with reason, urgency & auth flags; clinical rationale documentation; updated "flag orders" bullet to explicitly name referrals Team Collaboration
• Partner with front desk, clinical staff, and providers to align documentation, coding, billing, and authorization workflows
• End-to-end referral workflow ownership; updated family communication bullet to include referral status and specialist coordination
• Communicate with families about insurance coverage, authorization requirements, and cost expectations
• Support staff education on authorization processes, documentation standards, and denial prevention
• Effective communication skills for collaborating with healthcare teams and insurance representatives. Join us as a Coding, Billing, and Medical Scribing Specialist to play a vital role in delivering exceptional healthcare services through precise documentation and revenue cycle management! Requirements
• 2+ years of experience in medical coding, billing, or revenue cycle; pediatric experience preferred
• CPC or CCS certification
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding
• Hands-on experience with prior authorization submission, tracking, appeals, and payer communication
• Prior auth experience bullet updated to explicitly include referral authorization submission, tracking & appeals
• Medical scribe certification or formal training
• Experience with pediatric-specific coding, billing, and authorization workflows a plus
• Familiarity with Medicaid, CHIP, and managed care plans
• Bilingual (English/Spanish) a plus
• EHR and practice management software proficiency
• Strong understanding of HIPAA and payer compliance
• Excellent organizational, communication, and multitasking skills
• High attention to detail and accuracy Equal Opportunity Employer Equipoise Healthcare is an equal opportunity employer.

We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. We celebrate diversity and are community Healthcare Clinic committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

Pay:

$20.00 - $28.00 per hour

Benefits:

401(k) matching Dental insurance Flexible schedule Health insurance Life insurance Paid time off Professional development assistance Vision insurance

Work Location:

In person