Facility Coder | Edits, Rejection, & Denial Specialist

About Our Company: 
At Infinx, we are a dynamic and rapidly expanding company dedicated to providing innovative technology solutions and services tailored to our clients' needs. Our mission is to collaborate closely with healthcare providers, leveraging automation and intelligence to overcome revenue cycle challenges and enhance reimbursements for patient care. We work diligently to ensure that our clients receive their revenue on time, every time. Our clientele includes physician groups, hospitals, pharmacies, and dental groups. 
We are in search of experienced associates and partners who exude confidence and possess expertise in areas aligned with our clients' requirements. We value individuals who are passionate about assisting others, adept at finding solutions to challenges, and committed to improving patient care while maximizing revenue. Inclusivity and diversity are at the core of our values, fostering a workplace where employees feel a sense of belonging, their contributions are valued, and diverse perspectives are celebrated. We believe in the power of human connection, with inclusion as the heart of our mission. 

Location: Remote position with expected work hours from 8am to 5pm Mon-Fri.

Summary Description: 
The Facility Coder/Edits & Rejection Specialist supports the RW - Onshore department in various functions, including ensuring accurate facility coding, resolving coding edits rejections & denials while maintaining coding compliance. This role is critical in supporting onshore revenue cycle operations by enabling clean claim submission and maximizing appropriate reimbursement. This role involves coding, auditing, implementing process improvements, and staff training.

Job Responsibilities: 

• Review and resolve coding edits, denials, rejections;​
• Code facility fee services accurately; 
• Assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes for services provided; 
• Adhere to the Official CMS Coding Guidelines and Facility Coding Compliance policies and procedures; 
• Review and evaluate medical record documentation; 
• Review and resolve coding edits, denials, rejections;​
• Assist in other duties as assigned. 

Skills and Education: 

• High School diploma or equivalent
  • Vocational school in healthcare or Associate's Degree preferred
• Required CPC Certification
• 3+ years of experience in healthcare medical coding
• Knowledge of edits, rejections, and denials
• In-depth knowledge of coding guidelines, regulations, and reimbursement methodologies in relevant speciality area
• Expertise in managing and resolving coding denials and rejections strongly preferred
• Experience conducting coding audits to ensure compliance and accuracy strongly preferred
• Ability to work independently and within a team atmosphere
• Advanced and proficient knowledge of ICD-10 CM and ICD-10 
• Self-motivated and passionate about our mission and values of quality work
• Must have professional level skills in MS products such as Excel, Word, Power Point.
• Must be able to type proficiently and with an effective pace
• Proficient application of business/office standard processes and technical applications

Company Benefits and Perks: 
Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization. 

• 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. 

If you are a dedicated and experienced Facility Coder with experience in Edits, Rejections, and Denials ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.