Inpatient Coder

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

📋 Description

• Examine medical records from the emergency department and allocate ICD-10-CM diagnosis codes, as well as CPT/HCPCS procedure codes and relevant modifiers.

• Assign Evaluation and Management (E/M) levels based on client-specific emergency department leveling criteria, facility charging methods, and the ACEP E/M tool.

• Evaluate clinical documentation from physicians, nursing personnel, ancillary departments, and diagnostic services to ensure complete and accurate code assignment and charge capture.

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

• Review procedural services, injections, and infusions for precise coding and billing.

• Detect documentation gaps and communicate the need for coding clarifications.

• Uphold compliance with coding policies and procedures set by Medicare, Medicaid, commercial payers, and the organization.

• Engage in coding audits, quality assurance evaluations, educational programs, and process enhancement initiatives.

• Keep abreast of updates in coding, changes in reimbursement, and regulatory requirements.

• Collaborate with coding leadership, auditors, and client stakeholders to address coding-related inquiries and ensure accuracy in coding.

⛳️ 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 practices.

• Working 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) certification is preferred.

• Certified Professional Coder (CPC) certification is preferred.

• Certified Emergency Department Coder (CEDC) certification 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.

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