Inpatient Medical Coder
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Job Description
Remote medical coder assigning emergency department diagnoses, procedures, modifiers, and facility E/M levels. Supporting TEKsystems’ clients through accurate, compliant medical coding.
Responsibilities:
- Review emergency department medical records
- Assign ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, applicable modifiers, and facility E/M levels
- Analyze clinical documentation to ensure complete code assignment and charge capture
- Apply official coding guidelines, CMS regulations, NCCI edits, and payer-specific requirements
- Review procedural services and injections/infusions
- Identify documentation deficiencies and communicate coding clarification needs
- Maintain compliance with Medicare, Medicaid, commercial payer, and organizational policies
- Participate in quality reviews, audits, education, and process improvement
- Monitor coding updates, reimbursement changes, and regulatory requirements
- Collaborate with coding leadership, auditors, and client representatives
Requirements:
- Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers
- Accurately assign facility Evaluation and Management (E/M) levels according to client-specific emergency department leveling guidelines and facility charging methodologies
- Knowledge of the ACEP tool
- Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services for complete code assignment and charge capture
- Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements
- Review accounts for appropriate assignment of 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 activities
- Remain current on coding updates, reimbursement changes, and regulatory requirements affecting emergency department facility coding
- Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues
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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