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Profee Coder | Edits, Rejection, & Denial Specialist

Role overview

Qualifications

  • High School diploma or equivalent
  • Certified CCS, CCS-P, or CPC
  • 3+ years of experience in medical coding and auditing
  • Expertise in managing and resolving coding denials and rejections

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

Key facts

Other skills

  • Microsoft Excel
  • Microsoft Word
  • Microsoft PowerPoint
  • Communication
  • Teamwork
  • Problem Solving

About the company

Infinx logo

Infinx

Digital Health & Health Tech

Infinx Healthcare provides innovative and scalable prior authorization and revenue cycle management solutions for healthcare providers, hospitals, imaging centers, and laboratories. Combining intelligent, cloud-based software driven by artificial intelligence and automation, with exception handling by our certified prior authorization and billing specialists, Infinx helps clients preserve and capture more revenue, enabling them to shift focus from burdensome administrative details to billable patient care.

Company details

IndustryDigital Health & Health Tech
Company size1001 - 5000

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Job description

About Our Company:
At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.
We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.

A 2025 Great Place to Work®

In 2025, Infinx was certified as a Great Place to Work® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.


Location: Remote

Summary Description: 
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.

Job 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
Skills and Education: 
  • 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
  • Experience in surgical and E/M coding
  • 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
Company Benefits and Perks: 
Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization. 
  • 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
If you are a dedicated and experienced ProFeeCoder with experience in Edits, Rejections, and Denials ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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