Medical Coder Emergency Department (ED)

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.