Medical Coder Emergency Department (ED)

We areseeking a highly skilled and certified Medical Coder to specialize in Emergency Department (ED) encounters. The ideal candidate will be an expert in coding ED services, ensuring accuracy and compliance with all relevant guidelines to facilitate timely and correct billing. This role is crucial for maintaining the integrity of our clients revenue cycle and requires a meticulous attention to detail and strong collaborative skills.

Key Responsibilities:

• Review and analyze medical documentation for emergency department encounters to extract and interpret relevant information, including diagnoses, procedures, and services.
• Assign appropriate codes from the ICD-10-CM, CPT, and HCPCS systems to accurately represent the services provided.
• Adhere strictly to all official coding guidelines, local coverage determinations, and other regulatory requirements to ensure compliance.
• Collaborate effectively with healthcare providers, physicians, and other staff to clarify documentation and obtain additional information as needed for accurate coding.
• Review medical records for completeness, accuracy, and consistency, working with the clinical team to ensure proper documentation of all diagnoses and services.
• Maintain a high level of both accuracy and productivity in all coding assignments to support timely billing and claims processing.
• Stay up-to-date with changes in coding guidelines and regulations by attending relevant training and educational sessions.
• Participate in both internal and external coding audits to assess accuracy, identify areas for improvement, and implement corrective actions.
• Perform quality checks on coded data and claims to ensure compliance with all standards and regulatory requirements.

Job Requirements:

• A Certified Professional Coder (CPC) or an equivalent medical coding certification (CCS-P, CRC) is required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, and other relevant coding systems and guidelines.
• Familiarity with emergency department procedures, terminology, and common diagnoses.
• Proficiency in using coding software and Electronic Health Record (EHR) systems.
• Exceptional attention to detail and analytical skills.
• A strong understanding of medical terminology, anatomy, and physiology.
• Knowledge of reimbursement methodologies, including Medicare and Medicaid guidelines.
• Ability to interpret and analyze complex medical records and documentation.
• Strong communication skills to collaborate effectively with various stakeholders.