Infinx is a healthcare-focused company that provides technology solutions to help providers improve revenue cycle performance, automation, and reimbursement outcomes. The organization works with physician groups, hospitals, pharmacies, and dental groups.
This role is a Medical Coder / Coding Specialist position responsible for assigning accurate diagnosis and procedure codes for inpatient, outpatient, and ambulatory encounters. The work includes clinic visits, ambulatory surgery, observation, emergency department, and ancillary services.
The position operates in a high-volume, metrics-driven outsourced environment and also includes resolving coding-related claim rejections and denials, supporting documentation improvement, and staying current with payer and regulatory changes.
Location: Hybrid in New Orleans, LA
Key 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 appropriate modifiers, including 25, 26, 27, 50, 59, XE/XP/XS/XU, LT/RT, and global period modifiers
- Code across ambulatory settings such as 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
- Sequence primary and secondary diagnoses correctly and link diagnoses appropriately to procedures
- Identify charge capture errors, missing charges, and documentation deficiencies
- Maintain coding accuracy and productivity targets established by the client
- Document coding rationale and query activity in the encoder, EHR, or coding workflow tool
- Resolve coding-related claim rejections and denials through review, correction, and follow-up to resolution
- Stay current on coding best practices, payer policy, regulatory changes, and annual code set updates
- Maintain compliance with HIPAA, CMS regulations, and fraud/abuse regulations
Required and Preferred Qualifications
- High School Diploma or GED
- 3-5 years of ambulatory, inpatient, or outpatient coding experience in a hospital outpatient department, ASC, clinic, or healthcare outsourcing environment
- 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 such as 3M, TruCode, or Optum EncoderPro, and with EHR/PMS systems
- Strong understanding of clinical documentation and the ability to draft compliant, non-leading physician queries
- Excellent attention to detail and the ability to maintain accuracy under productivity pressure
- Ability to build effective working relationships with team members, supervisors, managers, clients, and providers
- Strong prioritization and organizational skills
- Knowledge of HIPAA, billing compliance, CMS regulations, and fraud/abuse regulations
Benefits and Perks
- 401(k) Retirement Savings Plan
- Medical, dental, and vision coverage
- Paid time off
- Paid holidays
- Pet care coverage
- Employee Assistance Program (EAP)
- Discounted services
- Flexible work hours when possible
Location
New Orleans, Louisiana, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 weeks ago