The Emergency Department Coder is responsible for accurately reviewing, interpreting, and coding emergency department encounters in accordance with current ICD-10-CM, CPT, HCPCS, E/M, payer, and regulatory guidelines.
This role translates clinical documentation into accurate diagnosis and procedure codes to support appropriate reimbursement, quality reporting, medical necessity, and compliance. The position also requires accurate charge entry.
The coder works closely with providers, clinical staff, Patient Financial Services, and the Health Information Management team to identify documentation and coding issues and promote accurate and compliant coding practices.
Required Qualifications
- High school diploma or equivalent
- Previous hospital coding experience
- Proficiency in ICD-10-CM, CPT, and HCPCS coding systems
- Thorough knowledge of official coding guidelines
- Proficiency in emergency department E/M coding for both professional and technical services
- Proficiency in injection and infusion coding
- Understanding of NCCI edits, MUEs, modifiers, bundling, and medical necessity concepts
- Knowledge of Medicare, Medicaid, commercial payer, and managed-care coding requirements
- Strong attention to detail and ability to identify inconsistencies or missing documentation
- Ability to work independently while maintaining productivity and accuracy standards
- Ability to prioritize a high-volume workload while maintaining coding quality
- Excellent written and verbal communication skills
Preferred Qualifications
- Nationally recognized medical coding certification
- Emergency department coding experience
- Experience with electronic health records and coding/encoder systems, preferably 3M
- Experience with multiple payer requirements and emergency department reimbursement methodologies
- Extensive knowledge of anatomy, physiology, pathology, medical terminology, and standard nomenclature
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago