Inpatient Coder

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

📋 Description

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

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

• Review documentation from physicians, nursing staff, ancillary departments, and diagnostic services to ensure accurate code assignment and charge capture.

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

• Examine procedural services, injections, and infusions for correct coding and billing practices.

• Identify gaps in documentation and communicate the need for coding clarifications through established processes.

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

• Engage in coding audits, quality assurance reviews, educational initiatives, and process enhancement activities.

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

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

⛳️ Requirements

• Proven experience in coding emergency department facility records.

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

• Familiarity with ACEP emergency department leveling guidelines and facility E/M coding methodologies.

• Practical understanding of CMS regulations, NCCI edits, and payer requirements.

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

• Strong analytical, organizational, and communication abilities.

• Capability to maintain coding accuracy, productivity, and compliance in a dynamic healthcare setting.

• Certified Coding Specialist (CCS) is preferred.

• Certified Professional Coder (CPC) is preferred.

• Certified 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 options for pre-tax and Roth post-tax contributions.

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

• Short-term and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

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