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Coding Specialist
InfinxMedical coder assigning ambulatory diagnosis and procedure codes for Infinx’s healthcare revenue-cycle technology services. Resolving denials while meeting client accuracy and productivity targets.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM, CPT, and HCPCS coding, ensuring compliance with regulations and maintaining high accuracy in coding practices. Proficient in utilizing encoder tools and EHR systems while effectively managing multiple responsibilities in a fast-paced healthcare environment.
Highest-signal resume keywords
ICD-10-CM CodingCPT CodingHCPCS CodingCoding Certification (CPC, COC, CCS, CCS-P, RHIA, RHIT)Encoder Tool Proficiency (3M, TruCode, Optum EncoderPro)
ATS Keywords
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Hard Skills
Medical CodingModifier ApplicationClinical Documentation ReviewCharge Capture IdentificationCoding ComplianceE&M CodingCoding Audits SupportClaims ResolutionCoding Accuracy MaintenanceDocumentation Deficiency Reporting
Soft Skills
Attention to DetailEffective CommunicationOrganizational SkillsRelationship BuildingWorkload Prioritization
Tools & Technologies
Encoder ToolsEHR SystemsPMS Systems
Certifications & Qualifications
CPCCOCCCSCCS-PRHIARHIT
Industry Keywords
HIPAA ComplianceCMS RegulationsFraud/Abuse RegulationsNCCI EditsMUE EditsGlobal EditsLCD/NCD Policies
About the role
Key responsibilities & impact- Assign accurate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for ambulatory encounters
- Apply correct modifiers, including 25, 26, 27, 50, 59, XE/XP/XS/XU, LT/RT, and global period modifiers
- 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 coding accuracy at or above the client-defined threshold, typically 95%, and meet daily productivity targets
- Document coding rationale and query activity in the encoder, EHR, or coding workflow tool
- Resolve coding-related claim rejections and denials by reviewing payer responses, correcting codes or modifiers, providing documentation, and following claims through resolution
- Maintain current knowledge of coding best practices, payer policy, and regulatory changes
- Stay current with annual ICD-10-CM, CPT, and HCPCS updates, MPFS final rules, and payer policy changes
- 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
- Operate in a high-volume, metrics-oriented outsourced healthcare coding environment
Requirements
What you’ll need- 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 (application asks whether applicant currently lives in the United States)
- Willingness and ability to work out of the New Orleans, LA office on a hybrid basis is queried in the application
Benefits
Comp & perks- Access to a 401(k) Retirement Savings Plan
- Comprehensive Medical, Dental, and Vision Coverage
- Paid Time Off
- Paid Holidays
- Flexible work hours when possible
- Pet Care Coverage
- Employee Assistance Program (EAP)
- Discounted services
- Dynamic and growing organization with a genuine sense of belonging
- Diversity and inclusivity-focused workplace