Certified Medical Coder (w/ Medical Billing Experience)

As a member of the Infinit-O team, you will play a crucial role in the success of finance and healthcare organizations by optimizing business processes and driving transformative outcomes. Here is what you can expect in this role:

Role Overview:

Infinit-O is a leader in Business Process Optimization, focusing on empowering finance and healthcare organizations to thrive in a digital-first world. With specialized industry expertise and innovative technology, we drive operational efficiency and sustainable growth for our clients. Our commitment to social and environmental performance, accountability, and transparency is embedded in all aspects of our operations.

Key Responsibilities:

• Coding & Compliance:
• Assign accurate ICD-10-CM, CPT, HCPCS, and modifier codes in compliance with payer and regulatory guidelines
• Review clinical documentation for accuracy and medical necessity
• Stay updated with coding updates and regulatory changes
• Billing & Claims Management:
• Prepare and submit clean claims through clearinghouses and payer portals
• Manage claims across multiple EHR systems
• Identify and correct claim errors prior to submission
• Accounts Receivable (AR):
• Monitor AR aging reports and follow up on unpaid claims
• Resolve outstanding balances and ensure accurate posting of payments
• Denial Management & Trends:
• Investigate and resolve claim denials efficiently
• Track denial reasons and collaborate with teams to reduce future denials
• Reporting & Communication:
• Provide regular reporting on AR status and denial trends
• Communicate effectively with providers and leadership
• Maintain detailed documentation of billing activities

Qualifications Required:

• Active medical coding certification (CPC, CCS, CCS-P, or equivalent)
• 3+ years of experience in medical billing and certified coding
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifier usage
• Proficiency with Availity and other payer portals
• Experience in AR management and denial resolution
• Ability to work with multiple EHR systems

In this role, preferred qualifications include experience with hospital-based or multi-specialty practices, familiarity with Medicare, Medicaid, and commercial payer guidelines, and the ability to contribute to denial trend analysis and improvement initiatives.

Skills & Competencies:

• Attention to detail and accuracy
• Problem-solving and critical-thinking skills
• Excellent written and verbal communication
• Ability to manage multiple priorities and deadlines
• Strong organizational skills

Join us at Infinit-O to make a positive impact on our clients, people, and communities through your work in medical coding and billing. As a member of the Infinit-O team, you will play a crucial role in the success of finance and healthcare organizations by optimizing business processes and driving transformative outcomes. Here is what you can expect in this role:

Role Overview:

Infinit-O is a leader in Business Process Optimization, focusing on empowering finance and healthcare organizations to thrive in a digital-first world. With specialized industry expertise and innovative technology, we drive operational efficiency and sustainable growth for our clients. Our commitment to social and environmental performance, accountability, and transparency is embedded in all aspects of our operations.

Key Responsibilities:

• Coding & Compliance:
• Assign accurate ICD-10-CM, CPT, HCPCS, and modifier codes in compliance with payer and regulatory guidelines
• Review clinical documentation for accuracy and medical necessity
• Stay updated with coding updates and regulatory changes
• Billing & Claims Management:
• Prepare and submit clean claims through clearinghouses and payer portals
• Manage claims across multiple EHR systems
• Identify and correct claim errors prior to submission
• Accounts Receivable (AR):
• Monitor AR aging reports and follow up on unpaid claims
• Resolve outstanding balances and ensure accurate posting of payments
• Denial Management & Trends:
• Investigate and resolve claim denials efficiently
• Track denial reasons and collaborate with teams to reduce future denials
• Reporting & Communication:
• Provide regular reporting on AR status and denial trends
• Communicate effectively with providers and leadership
• Maintain detailed documentation of billing activities

Qualifications Required:

• Active medical coding certification (CPC, CCS, CCS-P, or equivalent)
• 3+ years of experience in medical billing and certified coding
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifier usage
• Proficiency with Availity and other payer portals
• Experience in AR management and denial resolution
• Ability to work with multiple EHR systems

In this role, preferred qualifications include experience with hospital-based or multi-specialty practices, familiarity with Medicare, Medicaid, and commercial payer guidelines, and the ability to contribute to de