Coding Specialist

🕒 May 13

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Infinx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

💰 Venture Round on 2021-11

Healthcare Insurance • SaaS • Artificial Intelligence

Infinx is a company that specializes in optimizing the healthcare revenue cycle through advanced technology solutions. It offers a comprehensive platform that automates and enhances processes such as prior authorizations, eligibility verifications, medical coding, billing, and revenue acceleration. By leveraging artificial intelligence, automation, and integrations within healthcare systems, Infinx helps healthcare providers streamline patient access and maximize reimbursements. The company works closely with healthcare providers, including hospitals, physician groups, and specialty centers, to address their revenue cycle challenges effectively. Infinx's solutions aim to reduce denials, improve claim accuracy, and enhance patient satisfaction, thereby allowing providers to focus more on delivering high-quality care.

📋 Description

• Assign accurate ICD-10-CM, PCS, CPT, and HCPCS codes from provider documentation and clinical records • Apply official guidelines, payer policies, NCCI edits, and modifier rules to improve clean-claim rates • Review charts for specificity, medical necessity, and documentation gaps; escalate to CDI/provider queries as needed • Support denial prevention and resolution by analyzing claim edits and root causes • Maintain productivity and accuracy targets and document coding rationale • Protect PHI and follow HIPAA/security best practices in a fully remote environment • Collaborate with billing, AR, compliance, and clinical teams to improve revenue cycle performance • Assist in other duties as assigned

🎯 Requirements

• Active credentials such as CPC, CCS, CIC, COC, or CRC (coding certification must be role-aligned) • 3+ years of experience in medical coding for professional fee and facility • Speciality coding experience (ER, IP, OBS, Swing) strongly preferred • Experience with coding audits, second-level reviews, and coder coaching preferred • Familiarity with denial management, payer policy research, and appeals support preferred • Strong knowledge of ICD-10-CM, PCS, CPT, HCPCS, modifiers, and E/M guidelines • Experience with encoder/grouper tools, EHR workflows, and claim edit concepts (e.g., NCCI) • Experience coding without encoder/grouper tools • Working knowledge of HIPAA, documentation standards, and audit expectations • Ability to work independently in a remote, metric-driven environment.

🏖️ Benefits

• Comprehensive Medical, Dental, and Vision Coverage. • Access to a 401(k) Retirement Savings Plan. • Paid Time Off. • Paid Holidays. • Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.