Coding Specialist

Infinx

1d•Remote

About The Position

Ni2 Health is actively recruiting for a Coding Specialist specializing in Facility Inpatient and ER Medical Coding to join our Revenue Cycle Team to support end-to-end RCM workflows through chart review, clinical documentation interpretation, code validation, edits/denials prevention, and quality audits while collaborating with providers, billing teams, and compliance. The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization. The Coding Specialist will: Assign accurate ICD-10-CM, PCS, CPT, and HCPCS codes from provider documentation and clinical records Apply official guidelines, payer policies, NCCI edits, and modifier rules to improve clean-claim rates Review charts for specificity, medical necessity, and documentation gaps; escalate to CDI/provider queries as needed Support denial prevention and resolution by analyzing claim edits and root causes Maintain productivity and accuracy targets and document coding rationale Protect PHI and follow HIPAA/security best practices in a fully remote environment Collaborate with billing, AR, compliance, and clinical teams to improve revenue cycle performance Assist in other duties as assigned

Requirements

Active credentials such as CPC, CCS, CIC, COC, or CRC (coding certification must be role-aligned)
3+ years of experience in medical coding for professional fee and facility
Strong knowledge of ICD-10-CM, PCS, CPT, HCPCS, modifiers, and E/M guidelines
Experience with encoder/grouper tools, EHR workflows, and claim edit concepts (e.g., NCCI)
Experience coding without encoder/grouper tools
Working knowledge of HIPAA, documentation standards, and audit expectations
Ability to work independently in a remote, metric-driven environment

Nice To Haves

Speciality coding experience (ER, IP, OBS, Swing) strongly preferred
Experience with coding audits, second-level reviews, and coder coaching preferred
Familiarity with denial management, payer policy research, and appeals support preferred

Responsibilities

Assign accurate ICD-10-CM, PCS, CPT, and HCPCS codes from provider documentation and clinical records
Apply official guidelines, payer policies, NCCI edits, and modifier rules to improve clean-claim rates
Review charts for specificity, medical necessity, and documentation gaps; escalate to CDI/provider queries as needed
Support denial prevention and resolution by analyzing claim edits and root causes
Maintain productivity and accuracy targets and document coding rationale
Protect PHI and follow HIPAA/security best practices in a fully remote environment
Collaborate with billing, AR, compliance, and clinical teams to improve revenue cycle performance
Assist in other duties as assigned