Medical Coder

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

📋 Description

• Examine 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 based on client-specific emergency department leveling guidelines and charging methodologies.

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

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

• Review accounts for procedural services and injections/infusions.

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

• Ensure adherence to payer and organizational coding policies.

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

• Keep up to date with coding, reimbursement, and regulatory changes.

• Work collaboratively with coding leadership, auditors, and client representatives to address coding concerns.

⛳️ Requirements

• Intermediate-level experience.

• Capability to review emergency department medical records.

• Familiarity with ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and relevant modifiers.

• Understanding of facility Evaluation and Management (E/M) levels and client-specific emergency department leveling guidelines.

• Knowledge of the ACEP tool.

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

• Ability to identify documentation gaps and clarify coding needs.

• Knowledge of Medicare, Medicaid, commercial payer, and organizational coding policies.

• Capacity to stay updated on coding revisions, reimbursement alterations, and regulatory mandates impacting emergency department facility coding.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance.

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

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

• Short and long-term disability insurance.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

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