Coding Specialist

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Infinx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Venture Round on 2021-11

Healthcare • Consulting • Logistics

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 diagnosis codes and CPT/HCPCS procedure codes for ambulatory encounters • Apply correct modifiers to support accurate reimbursement and pass NCCI and global edits • Code clinic E&M, ambulatory surgery, observation, emergency department, infusion/injection, diagnostic imaging, and ancillary services • Review clinical documentation to confirm medical necessity and support code selection • Submit compliant, non-leading physician queries when documentation is unclear, incomplete, or contradictory • Apply correct sequencing of primary and secondary diagnoses and link diagnoses appropriately to procedures • Identify and report charge capture errors, missing charges, and documentation deficiencies • Maintain client-defined coding accuracy thresholds and meet daily productivity targets • Document coding rationale and query activity in encoder, EHR, or coding workflow tools • Resolve coding-related claim rejections and denials through review, corrected codes or modifiers, supporting documentation, and claims follow-up • Maintain current knowledge of coding best practices, payer policy, and regulatory changes • Stay current with annual ICD-10-CM, CPT, HCPCS, MPFS, and payer policy updates • Maintain compliance with HIPAA, CMS regulations, and fraud/abuse regulations including the False Claims Act • Shift assignments across ambulatory specialty areas based on client needs and individual strengths

🎯 Requirements

• High School Diploma or GED • 1+ years of medical coding experience • Multi-specialty coding experience preferred • Experience with split/shared visit, incident-to, and time-based E&M coding under current CMS guidelines preferred • Prior experience supporting coding audits, formal appeals authoring, or external payer audit response preferred • Current coding certification through AAPC (CPC, COC) or AHIMA (CCS, CCS-P, RHIA, RHIT) preferred • Expert command of ICD-10-CM, CPT, HCPCS, and modifier rules • Familiarity with NCCI edits, MUE edits, global edits, and LCD/NCD policies • Proficiency with encoder tools (3M, TruCode, Optum EncoderPro, or comparable) and EHR, PMS systems • Strong understanding of clinical documentation and ability to draft compliant, non-leading physician queries • Excellent attention to detail and ability to maintain accuracy under productivity pressure • Ability to establish and maintain effective working relationships with team members, supervisors, managers, clients, and providers • Ability to prioritize workload and manage multiple responsibilities in a highly organized, efficient, and effective manner • Knowledge of HIPAA, billing compliance, CMS regulations, and fraud/abuse regulations • Must currently live in the United States, as indicated by the application question

🏖️ 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 • Flexible work hours when possible • Genuine sense of belonging to a dynamic and growing organization

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