Medical Coding Specialist

At Infinx, the team partners with healthcare providers to improve revenue cycle performance through automation and intelligence. This role supports physician groups, hospitals, pharmacies, and dental groups in a high-volume outsourced environment.

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. The position requires strong knowledge of ICD-10-CM, CPT, HCPCS, modifier usage, official coding guidelines, and payer policy.

The Coding Specialist also resolves coding-related claim rejections and denials, supports documentation improvement, and stays current on payer policy and regulatory changes.

Location: Remote or hybrid in New Orleans, LA.

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, 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 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 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 to the appropriate upstream owner
• Maintain coding accuracy at or above the client-defined threshold 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, applying corrected codes or modifiers, providing supporting documentation, and following claims through to resolution
• Maintain current working knowledge of best coding practices, payer policy, and regulatory changes
• Stay current with annual ICD-10-CM, CPT, and HCPCS code set updates, MPFS final rules, and payer policy changes
• Maintain full compliance with HIPAA, CMS regulations, and fraud/abuse regulations, including the False Claims Act
• Assignments may shift across ambulatory specialty areas based on client needs and individual strengths