Certified Medical Coding Specialist – Emergency Department
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Job Description
Coding Specialist for Emergency Department at Southern NH Health responsible for accurate coding of medical records. Collaborating with providers and clinical staff to optimize reimbursement and compliance.
Responsibilities:
- Review and analyze Emergency Department clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for professional and facility components
- Assign appropriate ED Evaluation & Management (E/M) levels using current medical decision-making and/or time-based guidelines
- Code ED procedures, including injections, infusions, laceration repairs, splinting, and other emergency services
- Apply modifiers, units, NCCI edits, and payer-specific billing rules to ensure compliant charge capture
- Validate documentation completeness and initiate provider queries when clarification is required
- Serve as a subject matter expert in ED-specific coding and reimbursement methodologies
- Collaborate with providers, clinical teams, CDI, and revenue cycle partners to resolve coding and documentation issues
- Abstract and enter coded data into Epic and other coding/billing systems within established turnaround times
- Monitor trends in documentation quality, coding accuracy, and denials; communicate findings to leadership
- Maintain productivity and quality benchmarks within ED single-path workflows
- Stay current on regulatory updates, coding guideline changes, and payer requirements
Requirements:
- High School diploma or equivalent
- Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC)
- Minimum of two (2) years of Emergency Department coding experience in an acute care hospital setting
- Strong working knowledge of ICD-10-CM, CPT, and HCPCS coding systems
- Understanding of ED reimbursement methodologies, including APCs, RVUs, and payer edits
- Proficiency with Epic and encoder/coding software
- Strong analytical, organizational, and communication skills
- Ability to work independently while meeting productivity and accuracy standards
- Commitment to confidentiality, HIPAA compliance, and ethical coding practices
- Associate degree in Health Information Management or related field (preferred)
- Additional HIM certifications (RHIT, RHIA) (preferred)
Benefits:
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Medical, dental, and vision coverage
- Life insurance
- Short- and long-term disability
- Flexible Spending Accounts (FSA)
- Competitive pay
- Tuition Reimbursement
- Nursing Student Loan Paydown Program
- 403(b) Retirement Savings Plan
- Education & paid training courses for continued career progression & so much more!
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