Facility-Fee Emergency Department Medical Coder

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Review medical records from the emergency department to accurately assign ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and relevant modifiers.

• Assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and charging methodologies, including familiarity with the ACEP tool.

• Analyze nursing, physician, ancillary, diagnostic, and charging documentation to ensure complete code assignment and charge capture.

• Implement official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and requirements specific to payers.

• Review accounts pertaining to procedural services as well as injections and infusions.

• Identify any documentation deficiencies and communicate the need for coding clarification through the appropriate channels.

• Ensure compliance with Medicare, Medicaid, commercial payer, and organizational coding policies.

• Engage in coding quality reviews, audits, educational initiatives, and activities aimed at process improvement.

• Stay updated on changes in coding, reimbursement, and regulatory requirements.

• Collaborate with coding leadership, auditors, and client representatives to address coding-related issues.

⛳️ Requirements

• Minimum of 2+ years of relevant outpatient coding experience, particularly in Emergency Department services.

• Experience with injections and infusions is mandatory.

• Active AAPC or AHIMA coding certification is required.

• Demonstrated ability to work independently and effectively in a remote setting.

• Epic experience is highly preferred.

• Additional experience in other facility-fee and physician-fee medical coding is advantageous.

• Strong understanding of facility fee coding, methodologies for emergency department leveling, and outpatient reimbursement regulations.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and growth.

• Flexible work arrangements to promote work-life balance.