Coding Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Medical Coder assigning accurate ambulatory diagnosis and procedure codes for Infinx’s healthcare revenue-cycle technology services. Resolving denials and supporting documentation compliance.
Responsibilities:
- 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
Similar Jobs
Hospital Inpatient Coder III
Hospital inpatient coder assigning accurate ICD codes for Emory Healthcare encounters. Supporting DRG accuracy, billing, reporting, compliance, and clinical data quality.
Inpatient Coding Specialist II
Inpatient coding specialist assigning ICD-10 codes and DRGs for Stanford Health Care. Reviewing records, abstracting data, and supporting compliant hospital revenue-cycle processing.
Coding Specialist, Physician Coding
Physician coding specialist reviewing documentation and assigning ICD-10 and CPT-4 codes. Supporting compliant billing and reimbursement for Baptist Health physician services.
Billing and Follow-up Representative – Hospital Medical Billing Follow-up, Blue Cross Payor
Remote medical billing representative pursuing Blue Cross claims and resolving payment issues for Trinity Health’s hospital revenue cycle. Documenting claims, correcting rejections, and maximizing reimbursement.
Coder Specialist – Inpatient
Inpatient coding specialist assigning complex diagnosis and procedure codes for Advocate Health’s nonprofit hospital system. Supporting DRG accuracy, audits, CDI collaboration, and coding compliance.
Physician Practice Coder
Physician Practice Coder reviewing physician records, CPT/ICD-10 coding, and charge capture for a healthcare system. Analyzing claim denials and improving coding accuracy and billing compliance.
Pro Fee Coding Specialist
Pro Fee Coding Specialist reviewing medical records and correcting diagnosis and procedure codes for Saint Francis Health System. Resolving coding denials and guiding providers on compliant documentation and billing.
Pro Fee Coding Specialist
Part-time Pro Fee Coding Specialist reviewing medical records and correcting diagnosis and procedure codes. Supporting accurate billing, denial resolution, and provider compliance for Saint Francis healthcare services.
Coder – Inpatient
Inpatient coder reviewing medical records, abstracting data, and assigning ICD diagnosis and procedure codes. Supporting accurate hospital coding, reporting, and accounts receivable management.
Associate Fraud and Abuse Investigator, Certified Professional Coder (CPC)
Remote Associate Fraud and Abuse Investigator/CPC auditing healthcare claims and coding for Sentara Health Plan. Investigating suspected fraud, waste, and abuse across health plan products.
HCC / Risk Adjustment Medical Coders
Remote HCC/Risk Adjustment Medical Coder reviewing medical records for accurate, compliant risk adjustment coding. Ensuring ICD-10-CM, CMS-HCC, HIPAA, and audit requirements are met.
Inpatient Corporate Coder
Remote inpatient coder abstracting clinical records and ensuring coding accuracy for Tenet’s hospitals and care facilities. Supporting audits, reviews, credential maintenance, and coder training.
Risk Adjustment Coding Specialist
Risk adjustment coding specialist supporting population health at Saint Alphonsus Health System. Conducting coding education, medical record audits, and quality measure improvement remotely.
Coding Specialist, Physician Billing
Physician Coder assigning ICD-10-CM and CPT-4 codes for Baptist Health’s physician billing operations. Supporting compliant reimbursement across specialties and outpatient services.
Senior Coder, Physician Billing Office
Senior Coder applying ICD-10 and CPT codes for Baptist Health’s physician billing operations. Ensuring accurate, compliant coding across specialties, procedures, and surgeries.
PFS Medical Billing Specialist I
Medical billing specialist submitting compliant insurance claims for Mosaic Life Care, a Missouri healthcare system. Resolving billing errors and supporting revenue-cycle operations remotely.
Medical Billing Supervisor
Medical billing supervisor managing remote team workflows, claims submission, and denial mitigation for a healthcare billing company. Ensuring Medicare Part A billing accuracy and policy compliance.
Medical Coder
Medical Coder applying ICD-10, CPT, and HCPCS codes for a Philippines-based medical services company. Reviewing records, supporting clean claims, and coaching billers remotely.
Coder II – Outpatient ED
Medical coder handling outpatient ED and facility records for Advocate Health, a nonprofit integrated health system. Applying CPT/HCPCS and ICD-10 coding standards remotely across approved states.
Emergency Department Facility Coding Specialist
Emergency department coding specialist applying CPT, HCPCS, and ICD-10 codes. Supporting CorroHealth’s healthcare reimbursement solutions through accurate facility and professional-fee coding.