Full-Time

Coding Specialist

Updated on 9/3/2026

Infinx

Infinx

Compensation Overview

$19 - $22/hr

Remote in USA

Remote

Category
Medical, Clinical & Veterinary (1)
Required Skills
Electronic Health Records (EHR)
HIPAA
Requirements
  • A high school diploma or GED is required.
  • At least 1 year of medical coding experience is required.
  • Expert command of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and modifier rules is required.
  • Familiarity with National Correct Coding Initiative (NCCI) edits, Medically Unlikely Edits (MUE), global edits, and Local Coverage Determination (LCD) and National Coverage Determination (NCD) policies is required.
  • Proficiency with encoder tools such as 3M, TruCode, or Optum EncoderPro, or comparable tools, and with electronic health record (EHR) and practice management system (PMS) systems is required.
  • Strong understanding of clinical documentation and the ability to draft compliant, non-leading physician queries is required.
  • The ability to maintain coding accuracy under productivity pressure is required.
  • The ability to establish and maintain effective working relationships with team members, supervisors, managers, clients, and providers is required.
  • The ability to prioritize workload and manage multiple responsibilities in a highly organized, efficient, and effective manner is required.
  • Knowledge of Health Insurance Portability and Accountability Act (HIPAA), billing compliance, Centers for Medicare & Medicaid Services (CMS) regulations, and fraud and abuse regulations, including the False Claims Act, is required.
Responsibilities
  • Assign accurate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes for ambulatory encounters in accordance with official coding guidelines, American Medical Association 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 ambulatory settings including clinic evaluation and management, ambulatory surgery, observation, emergency department, infusion and injection, diagnostic imaging, and ancillary services.
  • Review clinical documentation to confirm medical necessity and support code selection, and 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, typically 95%, and meet daily productivity targets measured by charts or encounters per hour or by client-defined relative value units.
  • 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 resolution.
  • Maintain current working knowledge of coding practices, payer policy, and regulatory changes by accessing NCD, LCD, and coding policy resources and participating in continuing education.
  • Stay current with annual ICD-10-CM, CPT, and HCPCS code-set updates, Medicare Physician Fee Schedule (MPFS) final rules, and payer policy changes.
  • Maintain full compliance with HIPAA, CMS regulations, and fraud and abuse regulations, including the False Claims Act.
  • Shift assignments across ambulatory specialty areas based on client needs and individual strengths within the scope of the role.
Desired Qualifications
  • Multi-specialty coding experience, such as surgery, cardiology, gastroenterology, orthopedics, oncology, or primary care, is preferred.
  • Experience with split/shared visits, incident-to services, and time-based evaluation and management coding under current CMS guidelines is preferred.
  • Prior experience supporting coding audits, authoring formal appeals, or responding to external payer audits is preferred.
  • A current coding certification through AAPC, such as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC), or AHIMA, such as Certified Coding Specialist (CCS), Certified Coding Specialist—Physician-based (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), is preferred.
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