Profee Coder – Edits, Rejection, Denial Specialist

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🔥 17 hours ago

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Infinx

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

• Accurately code professional fee services and procedures • Review and resolve coding edits, rejections, and denials • Stay up-to-date with coding guidelines and regulations • Collaborate with physicians and revenue cycle teams to ensure accurate coding • Provide training and education on coding best practices • Assist in other duties as assigned

🎯 Requirements

• High School diploma or equivalent • Vocational school in healthcare or Associate's Degree preferred • Certified CCS, CCS-P, or CPC • 3+ years of experience in medical coding and auditing • Experience in surgical and E/M coding • Expertise in managing and resolving coding denials and rejections • In-depth knowledge of coding guidelines, regulations, and reimbursement methodologies in relevant speciality area • Proficiency with Epic • Ability to work independently and within a team atmosphere • Advanced and proficient knowledge of ICD-10 CM and ICD-10 • Self-motivated and passionate about our mission and values of quality work • Must have professional level skills in MS products such as Excel, Word, Power Point. • Must be able to type proficiently and with an effective pace • Proficient application of business/office standard processes and technical applications

🏖️ Benefits

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

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