Medical Coder

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

📋 Description

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

• Allocate facility Evaluation and Management (E/M) levels based on client-specific guidelines and billing methodologies.

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

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

• Review accounts for procedural services and injections/infusions.

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

• Uphold compliance with coding policies set by payers and the organization.

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

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

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

⛳️ Requirements

• Intermediate-level experience is required.

• Familiarity with inpatient, outpatient, physician, or emergency department coding is essential.

• Proficiency in coding, ICD-10, Epic, emergency department coding, CPT codes, and HCPCS coding is necessary.

• Understanding of ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and relevant modifiers is required.

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

• Acquaintance with the ACEP tool is beneficial.

• Awareness of official coding guidelines, CMS regulations, NCCI edits, and payer-specific requirements is essential.

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

🏝️ 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 their dependents).

• Short-term and long-term disability coverage.

• Health Spending Account (HSA) availability.

• Transportation benefits provided.

• Employee Assistance Program access.

• Time Off/Leave policies including PTO, vacation, or sick leave.