Profee Coder | Edits, Rejection, & Denial Specialist

Infinx

2d • Remote

About The Position

The Profee Coder/Edits & Rejection Specialist supports the RW - Onshore department in various functions, including performing accurate professional fee coding, resolving edits and rejections, and ensuring pro-fee coding compliance. This role is critical in enabling onshore revenue cycle operations to optimize pro-fee billing and revenue capture. The Professional Fee Coder | Edits & Rejection Specialist will also code, audit, provide expertise, and identify process improvements.

Requirements

• High School diploma or equivalent
• Vocational school in healthcare or Associate's Degree preferred
• Certified CCS, CCS-P, or CPC
• 3+ years of experience in medical coding and auditing
• Expertise in managing and resolving coding denials and rejections
• In-depth knowledge of coding guidelines, regulations, and reimbursement methodologies in relevant speciality area
• Proficiency with Epic
• Ability to work independently and within a team atmosphere
• Advanced and proficient knowledge of ICD-10 CM and ICD-10
• Self-motivated and passionate about our mission and values of quality work
• Must have professional level skills in MS products such as Excel, Word, Power Point.
• Must be able to type proficiently and with an effective pace
• Proficient application of business/office standard processes and technical applications

Nice To Haves

• Vocational school in healthcare
• Associate's Degree

Responsibilities

• Accurately code professional fee services and procedures
• Review and resolve coding edits, rejections, and denials
• Stay up-to-date with coding guidelines and regulations
• Collaborate with physicians and revenue cycle teams to ensure accurate coding
• Provide training and education on coding best practices
• Assist in other duties as assigned

Benefits

• Access to a 401(k) Retirement Savings Plan
• Comprehensive Medical, Dental, and Vision Coverage
• Paid Time Off.
• Paid Holidays
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services
• flexible work hours when possible
• a genuine sense of belonging to a dynamic and growing organization

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees