Hospital Coding Specialist

🔥 0 minutes ago

🇺🇸 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

• Review and analyze clinical documentation to assign accurate diagnosis, procedure, and service codes for facility and professional billing • Code inpatient, outpatient, emergency department, observation, clinic, and ambulatory surgery encounters • Assign ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and applicable modifiers in accordance with official coding guidelines • Ensure coding accuracy, completeness, and compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirements • Query providers when documentation lacks specificity necessary for accurate code assignment • Participate in coding quality reviews, audits, and education initiatives • Maintain productivity and quality standards established by the organization • Research coding regulations, payer policies, and reimbursement guidelines • Assist in denial management, appeals, charge capture reviews, and revenue cycle optimization efforts • Support onboarding and mentoring of junior coding staff when assigned • Assist in other duties as assigned.

🎯 Requirements

• High School Diploma or GED • Associate's degree in Health Information Management, Health Information Technology, Nursing, or related healthcare field preferred • Active credentials such as CPC, CCS, CIC, COC, or CRC (coding certification must be role-aligned) • RHIT or RHIA preferred • 5+ years of experience in hospital coding for professional fee and facility • Demonstrated experience coding both inpatient and outpatient hospital encounters • Experience coding multiple clinical specialties, including at least one surgical specialty • Experience with at least 2 major hospital EMR platforms (Epic, Cerner, Oracle Health, Meditech, TruBridge, CPSI Encoder) • Experience with at least 2 major coding encoders (3M Codefinder, 360 Encompass, Optum EncoderPro, TruCode Encoder, Dolbey Fusion CAC) • Specialty 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 working 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

• 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.