Inpatient Medical Coder

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

📋 Description

• Assess emergency department medical records and allocate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and relevant modifiers.

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

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

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

• Review accounts related to procedural services, including injections and infusions.

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

• Ensure adherence to Medicare, Medicaid, commercial payer, and organizational coding policies.

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

• Stay updated on coding, reimbursement, and regulatory developments.

• Work collaboratively with coding leadership, auditors, and client representatives to address coding-related challenges.

⛳️ Requirements

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

• Precisely allocate facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies.

• Familiarity with the ACEP tool.

• Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to achieve complete code assignment and charge capture.

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

• Review accounts related to procedural services, including injections and infusions.

• Identify documentation deficiencies and communicate the need for coding clarifications.

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

• Participate in coding quality reviews, audits, educational programs, and process improvement efforts.

• Stay informed about coding updates, reimbursement changes, and regulatory mandates impacting emergency department facility coding.

• Collaborate with coding leadership, auditors, and client representatives.

• No specific educational credential or experience requirement mentioned.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available.

• Life Insurance options (Voluntary Life & AD&D for the employee and their dependents).

• Short and long-term disability coverage.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

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