Hospital Coding Specialist

Job Summary
The Senior Hospital Coding Specialist is responsible for accurate and compliant coding of both facility (hospital) and professional (physician/provider) services across multiple specialties. This position reviews, abstracts, and assigns ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and modifier codes for multiple specialties, with surgery being the primary specialty. The role ensures compliance with federal regulations, payer requirements, coding guidelines, and organizational policies while supporting revenue cycle integrity and optimal reimbursement. The ideal candidate possesses advanced coding expertise in multiple specialties, including surgery, and has extensive experience utilizing major hospital electronic medical record (EMR) systems and coding encoder software.

Responsibilities

• Review and analyze clinical documentation to assign accurate diagnosis, procedure, and service codes for facility and professional billing
• Code inpatient, outpatient, emergency department, observation, clinic, and ambulatory surgery encounters
• Assign ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and applicable modifiers in accordance with official coding guidelines
• Ensure coding accuracy, completeness, and compliance with CMS, Medicare, Medicaid, commercial payer, and regulatory requirements
• Query providers when documentation lacks specificity necessary for accurate code assignment
• Participate in coding quality reviews, audits, and education initiatives
• Maintain productivity and quality standards established by the organization
• Research coding regulations, payer policies, and reimbursement guidelines
• Assist in denial management, appeals, charge capture reviews, and revenue cycle optimization efforts
• Support onboarding and mentoring of junior coding staff when assigned
• Assist in other duties as assigned

ABOUT NI2 HEALTH, an Infinx Company

At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.

Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health (www.ni2health.com) and join a team of stars. 

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.

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

APPLICANT REQUIREMENTS AND SKILLS
Applicants must submit a full CV, cover letter and updated resume to be considered.
Position is remote.
Minimum Job Requirements

• High School Diploma or GED
  • Associate's degree in Health Information Management, Health Information Technology, Nursing, or related healthcare field preferred
• Active credentials such as CPC, CCS, CIC, COC, or CRC (coding certification must be role-aligned)
  • RHIT or RHIA preferred
• 5+ years of experience in hospital coding for professional fee and facility
• Demonstrated experience coding both inpatient and outpatient hospital encounters
• Experience coding multiple clinical specialties, including at least one surgical specialty
• Experience with at least 2 major hospital EMR platforms (Epic, Cerner, Oracle Health, Meditech, TruBridge, CPSI Encoder)
• Experience with at least 2 major coding encoders (3M Codefinder, 360 Encompass, Optum EncoderPro, TruCode Encoder, Dolbey Fusion CAC)
• 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
• Strong working 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

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 Coding Specialist 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.

Originally posted on Himalayas