Coding Specialist
New
I
InfinxMedical Coding
United StatesFull-TimeMiddle
Salary19 - 22 USD per year
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Job Details
- Experience
- 1+ years of medical coding experience
- Required Skills
- EHRHIPAA
Requirements
- High School Diploma or GED.
- 1+ years of medical coding experience.
- 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 (e.g., 3M, TruCode, Optum EncoderPro) 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.
- Strong knowledge of HIPAA, billing compliance, CMS regulations, and fraud/abuse regulations.
- Multi-specialty coding experience (e.g., surgery, cardiology, GI, orthopedics, oncology, primary care) preferred.
- Experience with split/shared visit, incident-to, and time-based E&M coding under current CMS guidelines preferred.
- Current coding certification through AAPC (CPC, COC) or AHIMA (CCS, CCS-P, RHIA, RHIT) preferred.
Responsibilities
- 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 policy.
- Apply correct modifiers to support accurate reimbursement and pass NCCI and global edits.
- Code across ambulatory settings including clinic E&M, ambulatory surgery, observation, emergency department, infusion/injection, diagnostic imaging, and ancillary services.
- Review clinical documentation to confirm medical necessity and submit compliant, non-leading physician queries.
- 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 95% and meet daily productivity targets.
- Document coding rationale and query activity clearly in the encoder, EHR, or coding workflow tool.
- Resolve coding-related claim rejections and denials by reviewing payer responses and providing supporting documentation.
- Maintain current working knowledge of coding practices, payer policy, and regulatory changes including HIPAA and CMS regulations.
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