Medical Coder

Infinit-O is the trusted, customer-centric, and sustainable leader in Business Process Optimization. We empower finance and healthcare organizations to thrive in a digital-first world by combining specialized industry expertise and innovative technology for 20 years.We navigate complex industry landscapes to drive transformative outcomes, helping businesses streamline operations, enhance customer experience, and achieve sustainable growth backed by a world-class Net Promoter Score of 75. Our approach combines operational efficiency with a human-centered ethos, ensuring sustainable value creation for our clients and team members.As a Certified B Corporation, Infinit-O is committed to the highest standards of social and environmental performance, accountability, and transparency. We embed these values into every aspect of our operations—aligning business success with a positive impact on our clients, people, and communities.Our commitment to Diversity, Equity, and Inclusion (DEI) is integral to our mission. We believe that building inclusive, equitable teams is not only the right thing to do—it is also essential for driving innovation and better business outcomes. We actively promote equal opportunity through inclusive hiring practices, continuous learning programs, and regular equity assessments to ensure a fair and empowering workplace for all.Key ResponsibilitiesCoding & ComplianceAssign accurate ICD-10-CM, CPT, HCPCS, and modifier codes for inpatient and outpatient services in compliance with payer and regulatory guidelinesReview clinical documentation to ensure coding accuracy, completeness, and medical necessityIndependently research and interpret state, federal (CMS), and commercial payer guidelines to support coding, billing, and appeal decisionsStay current with coding updates, payer policies, and regulatory changesBilling & Claims ManagementPrepare, review, and submit clean claims through clearinghouses and payer portals, including AvailityManage claims across multiple EHR systems and billing platformsIdentify and correct claim errors, edits, and rejections prior to submissionAccounts Receivable (AR)Monitor AR aging reports and follow up on unpaid, underpaid, or delayed claimsWork payer follow-ups via portals, phone, and written correspondenceEnsure timely resolution of outstanding balances and accurate posting of payments and adjustmentsDenial Management & TrendsInvestigate, appeal, and resolve claim denials efficiently and within payer deadlinesTrack denial reasons and identify recurring issues or payer trendsCollaborate with internal teams to implement corrective actions and reduce future denialsReporting & CommunicationProvide regular reporting on AR status, denial trends, and reimbursement performanceCommunicate effectively with providers, clinical staff, and leadership regarding documentation or coding issuesMaintain detailed, accurate documentation of all billing and follow-up activitiesRequired QualificationsActive medical coding certification (CPC, CCS, CCS-P, or equivalent)3+ years of experience in medical billing and certified coding for inpatient and outpatient servicesStrong working knowledge of ICD-10-CM, CPT, HCPCS, and modifier usageDemonstrated proficiency with Availity and other payer portalsProven experience in AR management and denial resolutionExperience working with multiple EHR systems and billing platformsStrong analytical skills with the ability to identify trends and process gapsPreferred QualificationsExperience with hospital-based or multi-specialty practicesFamiliarity with Medicare, Medicaid, and commercial payer guidelinesExperience creating or contributing to denial trend analysis and performance improvement initiativesSkills & CompetenciesHigh attention to detail and accuracyStrong problem-solving and critical-thinking skillsExcellent written and verbal communicationAbility to manage multiple priorities and deadlinesSelf-directed with strong organisational skills

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