Medical Coder

Responsibilities:


* Review and analyze ED medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for E/M services, procedures, and diagnoses.


* Apply Medical Decision Making (MDM) table guidelines to determine the correct E/M level for ED visits.


* Ensure coding compliance with federal, state, and payer-specific regulations.


* Collaborate with ED physicians / clinical staff / internal team to resolve coding discrepancies and documentation gaps.



* Appropriate modifiers in accordance with coding guidelines and payer requirements.


* undefined Educate providers on documentation requirements for MDM components (number of diagnoses, data review, risk assessment).

Conduct ED-specific coding audits and provide actionable feedback to improve accuracy and compliance.

Stay updated on CMS guidelines, AMA CPT updates, and payer-specific ED coding policies.

Good understanding of Emergency Department (ED) workflows, patient encounters, and documentation requirements.

Qualifications: Certification in medical coding (CPC, COC, CCS, or equivalent).

Minimum 3 years of experience in Emergency Department coding.

Strong understanding of MDM table application for E/M coding.

Thorough knowledge of ICD-10, CPT, and HCPCS coding systems.

Strong knowledge of medical terminology, anatomy, and ED workflows.

Exceptional attention to detail and accuracy.

Excellent communication and interpersonal skills.

Preferred Skills: Ability to work independently and collaboratively within a team.

Proficiency in coding software and EHR systems.

Strong analytical and problem-solving skills.

Ability to interpret payer guidelines and NCCI edits.

Commitment to continuous learning and professional development.