Pediatric Evaluation & Management Coder

Company Description  RevXRCM Services LLC is a US healthcare Revenue Cycle Management (RCM) company dedicated to helping medical practices improve cash flow, reduce denials, and accelerate reimbursements. The organization partners with small to mid-sized practices to deliver end-to-end RCM solutions with a strong emphasis on accuracy, compliance, and performance. Services include medical billing, AR management, denial management, charge entry, payment posting, eligibility verification, coding support, audits, and provider credentialing.

RevXRCM operates with HIPAA-compliant processes, transparent KPIs, and cost-effective offshore delivery, aligning operations to US time zones. The company’s mission is to help providers get paid faster while staying compliant and focused on patient care.

Role Description  This is a full-time remote role for a Pediatric Evaluation & Management (E&M) Coder. The Pediatric E&M Coder will review clinical documentation and assign accurate E&M codes for pediatric encounters in alignment with current coding guidelines and payer rules. The role involves validating medical necessity, ensuring appropriate modifier usage, and collaborating with billing and AR teams to reduce denials and optimize reimbursements.

The coder will perform routine chart audits, identify documentation gaps, and provide feedback to providers and internal stakeholders to improve coding quality and compliance. Daily responsibilities also include working within RCM systems, maintaining up-to-date knowledge of pediatric E&M coding changes, and supporting internal reporting and performance improvement initiatives.
Qualifications
Strong knowledge of pediatric Evaluation & Management coding, CPT, ICD-10-CM, and modifier usage, with the ability to interpret clinical documentation accurately.

Experience with medical billing and RCM workflows, including charge entry, denial management, and AR follow-up within pediatric or family medicine settings.
Understanding of payer policies, medical necessity, compliance standards, and HIPAA regulations relevant to pediatric outpatient services.
Proficiency with practice management and coding software, electronic health records (EHR), and basic data entry and documentation tools.
Excellent attention to detail, analytical skills, and the ability to work independently in a remote environment while meeting productivity and quality targets.
Effective written and verbal communication skills for interacting with providers, billing teams, and other internal stakeholders.
Certification such as CPC, COC, or CCS-P (or equivalent pediatric coding credentials) preferred; relevant coding coursework or training strongly beneficial.
Prior experience in pediatric coding or ambulatory E&M coding is an advantage; familiarity with US healthcare reimbursement and insurance processes is beneficial.