Inpatient Coder

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

📋 Description

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

• Determine facility Evaluation and Management (E/M) levels utilizing client-specific emergency department leveling guidelines, facility charging methodologies, and the ACEP E/M tool.

• Assess documentation from physicians, nursing staff, ancillary services, and diagnostics to ensure accurate code assignment and charge capture.

• Implement official coding guidelines, CMS regulations, NCCI edits, and specific payer requirements.

• Examine procedural services, injections, and infusions to ensure precise coding and billing practices.

• Recognize documentation discrepancies and relay needs for coding clarifications.

• Uphold compliance with Medicare, Medicaid, commercial payers, and internal policies.

• Engage in coding audits, quality assurance assessments, educational programs, and process enhancements.

• Keep updated on coding revisions, reimbursement modifications, and regulatory standards.

• Work collaboratively with coding leadership, auditors, and client stakeholders to address coding inquiries and guarantee accuracy.

⛳️ Requirements

• Proven experience in coding records from emergency department facilities.

• In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems.

• Acquainted with ACEP emergency department leveling guidelines and facility E/M coding practices.

• Familiar with CMS regulations, NCCI edits, and payer-specific requirements.

• Proficient in using Epic or similar electronic health record systems.

• Exceptional analytical, organizational, and communication abilities.

• Capability to maintain coding precision, productivity, and compliance within a dynamic healthcare environment.

• Certification as a Coding Specialist (CCS) is preferred.

• Certification as a Professional Coder (CPC) is preferred.

• Certification as an Emergency Department Coder (CEDC) is preferred but not mandatory.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan with both pre-tax and Roth post-tax contribution options.

• Life Insurance (including Voluntary Life & AD&D for employees and their dependents).

• Short and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Paid Time Off/Leave (PTO, Vacation, or Sick Leave).