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DRG Coder


  • Job Type: Full-Time
  • Function: Life Sciences R&D/Engineering
  • Industry: Healthcare
  • Post Date: 07/10/2024
  • Website:
  • Company Address: 20380 Town Center Ln, Suite 165, Cupertino, California 95014, US
  • Salary Range: $50,000 - $150,000

About Infinx

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.

Job Description

At Infinx, we are a dynamic and rapidly expanding company dedicated to providing innovative technology solutions and services tailored to our clients' needs. Our mission is to collaborate closely with healthcare providers, leveraging automation and intelligence to overcome revenue cycle challenges and enhance reimbursements for patient care. We work diligently to ensure that our clients receive their revenue on time, every time. Our clientele includes physician groups, hospitals, pharmacies, and dental groups.
We are in search of experienced associates and partners who exude confidence and possess expertise in areas aligned with our clients' requirements. We value individuals who are passionate about assisting others, adept at finding solutions to challenges, and committed to improving patient care while maximizing revenue. Inclusivity and diversity are at the core of our values, fostering a workplace where employees feel a sense of belonging, their contributions are valued, and diverse perspectives are celebrated. We believe in the power of human connection, with inclusion as the heart of our mission.

Working Hours: Flexible schedule for an 8-hour day, 5 days per week from 7 to 7
Location: Remote

Summary Description:
Under direction from the Coding Manager, this Certified Professional Coder position will be responsible for improving charge capture accuracy through workflow assessments, coding reviews, process improvement, education, collaboration, and reporting. An inpatient certification is preferred but not required- the position will require working directly with coding leadership team to review incoming hospital diagnostic charges, supporting clinical documentation, and ultimately charge capture accuracy. The role will monitor and analyze coding performance at the section and business unit levels- and ensure coding is on par with Medicare norms and standards. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention.
Daily Responsibilities:

  •  Comply with all legal requirements regarding coding procedures and practices
  •  Conduct audits and coding reviews to ensure all documentation is precise and accurate
  •  Assign and sequence all CPT, ICD and DX codes for services rendered
  •  Collaborate with billing department to ensure all bills are satisfied in a timely manner
  •  Communicate with insurance companies about coding errors and disputes
  •  Review coding data for analysis and research associated with billing appeals and denials
  •  Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures
  •  Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidity and complications.
  •  Ability to assign the appropriate DRG, discharge disposition code and principal DX codes
  •  Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation.
  •  Possesses a clear understanding of the physician revenue cycle.
  •  Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes.
  •  Analyzes and communicates denial trends to Clients and operational leaders.
Skills and Education:
  • Work under limited supervision with ability to understand and meet deadlines as workload necessitates.
  • Requires advanced knowledge in coding, auditing, and documentation guidelines. CIC, CPC-I or CCS and CPMA or CEMA is required.
  • Part of the Revenue Integrity Department and provides support to departments within the Revenue Cycle.
  • Ensure applicable laws and regulations of working with confidential information are adhered to.
  • Meet department productivity standards.
  • Consistently reports to work on time and prepared to perform duties of position
  • Demonstrate flexible and efficient time management and ability to prioritize workload.
  • · Medical Billing/Coding Diploma or Certificate Required
  • 3-5 years’ experience as a coder and 2 years of experience in auditing/chart reviews preferred.
  • Excellent typing and 10-key speed and accuracy
  • Excellent mathematical skills
  • Proficient knowledge of medical terminology, ICD-9 and CPT coding.
  • Excellent communication skills (written and verbal) and strong organizational skills.
  • Strong organizational skills; attention to detail and good group presentation skills.
  • High school diploma and bachelor’s degree
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 DRG Coder 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.