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 Responsibilities
Coding & Compliance
Assign accurate ICD-10-CM, CPT, HCPCS, and modifier codes for inpatient and outpatient services in compliance with payer and regulatory guidelines
Review clinical documentation to ensure coding accuracy, completeness, and medical necessity
Independently research and interpret state, federal (CMS), and commercial payer guidelines to support coding, billing, and appeal decisions
Stay current with coding updates, payer policies, and regulatory changes
Billing & Claims Management
Prepare, review, and submit clean claims through clearinghouses and payer portals, including Availity
Manage claims across multiple EHR systems and billing platforms
Identify and correct claim errors, edits, and rejections prior to submission
Accounts Receivable (AR)
Monitor AR aging reports and follow up on unpaid, underpaid, or delayed claims
Work payer follow-ups via portals, phone, and written correspondence
Ensure timely resolution of outstanding balances and accurate posting of payments and adjustments
Denial Management & Trends
Investigate, appeal, and resolve claim denials efficiently and within payer deadlines
Track denial reasons and identify recurring issues or payer trends
Collaborate with internal teams to implement corrective actions and reduce future denials
Reporting & Communication
Provide regular reporting on AR status, denial trends, and reimbursement performance
Communicate effectively with providers, clinical staff, and leadership regarding documentation or coding issues
Maintain detailed, accurate documentation of all billing and follow-up activities

Required Qualifications
Active medical coding certification (CPC, CCS, CCS-P, or equivalent)
3+ years of experience in medical billing and certified coding for inpatient and outpatient services
Strong working knowledge of ICD-10-CM, CPT, HCPCS, and modifier usage

Demonstrated proficiency with Availity and other payer portals
Proven experience in AR management and denial resolution
Experience working with multiple EHR systems and billing platforms
Strong analytical skills with the ability to identify trends and process gaps

Preferred Qualifications

Experience with hospital-based or multi-specialty practices
Familiarity with Medicare, Medicaid, and commercial payer guidelines
Experience creating or contributing to denial trend analysis and performance improvement initiatives

Skills & Competencies
High attention to detail and accuracy
Strong problem-solving and critical-thinking skills
Excellent written and verbal communication
Ability to manage multiple priorities and deadlines
Self-directed with strong organisational skills