Emergency Department Facility Coding Specialist

About Us

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable in achieving goals.

We build long-term careers by investing in our team members and seek to create an environment that supports professional development and personal growth.

Job Summary

The Coding Team Member will provide CPT, HCPCS, and ICD-10-CM coding across 1-4 specialties. This role may involve Professional Fee, Facility, or HCC coding. Specialty areas may include emergency department and other clinical settings.

Essential Duties

• Work from home and perform coding independently.
• Provide coding services to support client needs.
• Calculate ProFee and/or Facility E/M levels using the company’s algorithm.
• Identify critical care cases based on patient acuity.
• Code surgical procedures typical of an ER setting to capture appropriate revenue.
• Apply ICD-10-CM diagnosis codes to the highest level of specificity.
• Accurately assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
• Interpret coding guidelines for accurate code assignment.
• Understand the documentation needed for code assignment and reimbursement impact.
• Follow AHIMA Standards of Ethical Coding and company ethics/compliance policies.
• Comply with internal policies and procedures.
• Participate in company-provided training and education.
• Maintain privacy and security of confidential information and PHI.
• Perform other duties as assigned.