Inpatient Medical Coder
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Job Description
Remote medical coder assigning emergency department diagnosis, procedure, and E/M codes. Supporting TEKsystems’ business and technology services through accurate charge capture and coding compliance.
Responsibilities:
- Review emergency department medical records and assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers
- Assign facility Evaluation and Management (E/M) levels according to client-specific emergency department leveling guidelines and facility charging methodologies
- Analyze documentation to ensure complete code assignment and charge capture
- Apply official coding guidelines, CMS regulations, NCCI edits, and payer-specific requirements
- Review accounts for appropriate procedural services and injections/infusions
- Identify documentation deficiencies and communicate coding clarification needs
- Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding policies
- Participate in coding quality reviews, audits, educational initiatives, and process improvement
- Keep current on coding updates, reimbursement changes, and regulatory requirements
- Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues
Requirements:
- Experience or knowledge assigning ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers
- Ability to assign facility Evaluation and Management (E/M) levels according to client-specific emergency department guidelines and facility charging methodologies
- Knowledge of the ACEP tool
- Ability to analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services
- Knowledge of official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements
- Ability to review procedural services and injections/infusions
- Ability to identify documentation deficiencies and communicate coding clarification needs
- Knowledge of Medicare, Medicaid, commercial payer, and organizational coding policies
- Ability to participate in coding quality reviews, audits, educational initiatives, and process improvement activities
- Ability to remain current on coding updates, reimbursement changes, and regulatory requirements affecting emergency department facility coding
- Ability to collaborate with coding leadership, auditors, and client representatives
Benefits:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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