Coding Specialist

Skip To Job Description Thanks for visiting our Career Page. Please review our open positions and apply to the positions that match your qualifications. Coding Specialist Remote Full Time Coding Mid Level Share About Our Company:At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.A 2025 Great Place to Work®In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.Summary Description:The Medical Coder assigns accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters including clinic visits, ambulatory surgery, observation, emergency department, and ancillary services. This role requires expert command of ICD-10-CM, CPT, HCPCS, and modifier usage as well as strict adherence to official coding guidelines and payer policy.This role operates in a high-volume, metrics-oriented outsourced environment with client-specific accuracy and productivity targets.The Coding Specialist also resolves coding-related claim rejections and denials, supports documentation improvement, and maintains current working knowledge of payer policy and regulatory change.Location: Hybrid in New Orleans, LA or RemoteResponsibilities:Assign accurate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for ambulatory encounters in accordance with official coding guidelines, AMA CPT guidance, and payer-specific policyApply correct modifiers (including 25, 26, 27, 50, 59, XE/XP/XS/XU, LT/RT, and global period modifiers) to support accurate reimbursement and pass NCCI and global editsCode across ambulatory settings including clinic E&M, ambulatory surgery, observation, emergency department, infusion/injection, diagnostic imaging, and ancillary services are assignedReview  clinical documentation to confirm medical necessity and support code selection; submit compliant, non-leading physician queries when documentation is unclear, incomplete, or contradictoryApply correct sequencing of primary and secondary diagnoses and link diagnoses appropriately to proceduresIdentify and report charge capture errors, missing charges, and documentation deficiencies to the appropriate upstream ownerMaintain coding accuracy at or above the client-defined threshold (typically 95%) and meet daily productivity targets (charts or encounters per hour, or RVU-based as defined by client)Document coding rationale and query activity clearly in the encoder, EHR, or coding workflow toolResolve coding-related claim rejections and denials by reviewing payer responses, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolutionMaintain current working knowledge of best coding practices, payer policy, and regulatory changes by accessing NCD, LCD, and coding policy resources and participating in continuing educationStay current with annual ICD-10-CM, CPT, and HCPCS code set updates, and MPFS final rules, and payer policy changesMaintain full compliance with HIPAA, CMS regulations, and fraud/abuse...