ED Facility Medical Coder

CorroHealth; Dadri; On-site; INR 500,000 - 900,000; Full time

Job summary

CorroHealth is seeking an ED Facility Medical Coder to review Emergency Department records and assign ICD-10-CM, CPT/HCPCS codes for facility billing, compliance, and reporting.

The role requires strong knowledge of coding guidelines, ability to query clinicians, and collaboration with billing and CDI teams to improve reimbursement accuracy.

Qualifications

• Experience with ED coding and facility documentation.
• Knowledge of ICD-10-CM, CPT/HCPCS, and E/M coding.
• Ability to query providers for clarification when needed.
• Familiarity with CMS, HIPAA, and payer guidelines.
• Strong analytical and attention-to-detail skills.

Responsibilities

• Review ED records and assign accurate ICD-10-CM and CPT/HCPCS codes.
• Determine appropriate ED E/M levels according to guidelines.
• Review documentation for completeness and medical necessity.
• Query clinicians to resolve coding ambiguities.
• Support denials resolution and revenue cycle processes.
• Maintain coding quality and productivity benchmarks.

Skills

ED coding guidelines

ICD-10-CM coding

CPT/HCPCS coding

E/M coding

EMR/EHR systems

Attention to detail

Communication skills

Education

CPC/ CCS/ CCA/ CIC certification

Tools

Encoder software

EMR/EHR familiarity

Job description

Roles & Responsibilities

An ED Facility Medical Coder is responsible for reviewing Emergency Department (ED) documentation and accurately assigning medical codes for facility billing, reimbursement, compliance, and reporting purposes.

Key Responsibilities

1. Medical Coding & Charge Capture

• Review Emergency Department medical records, physician notes, nursing documentation, diagnostic reports, and treatment records.
• Assign accurate ICD-10-CM, CPT/HCPCS, and facility-specific codes based on documented services.
• Determine appropriate ED Evaluation & Management (E/M) facility levels according to organizational guidelines.
• Ensure accurate coding of diagnoses, procedures, treatments, medications, and ancillary services.

2. Documentation Review

• Analyze clinical documentation for completeness, specificity, and medical necessity.
• Identify missing, incomplete, or conflicting documentation.
• Query providers and clinical staff when clarification is required for accurate code assignment.

3. Compliance & Quality Assurance

• Maintain compliance with CMS, Medicare, Medicaid, HIPAA, and payer-specific regulations.
• Follow AHIMA, AAPC, and official coding guidelines.
• Ensure coding accuracy to minimize compliance risks and audit findings.
• Participate in internal and external coding audits.

4. Revenue Cycle Support

• Support accurate and timely claim submission.
• Identify coding-related denials and assist in denial resolution.
• Work closely with billing, revenue cycle, CDI, and clinical teams to improve reimbursement accuracy.
• Monitor coding edits and ensure appropriate claim corrections.

5. Productivity & Performance

• Meet established productivity and quality benchmarks.
• Maintain turnaround times for coding Emergency Department encounters.
• Track and report coding trends, errors, and opportunities for improvement.

6. Medical Record Analysis

• Review:
  • ED physician documentation
  • Nursing assessments
  • Triage notes
  • Laboratory results
  • Radiology reports
  • Medication administration records
  • Procedures performed in the

7. Continuous Learning

• Stay current with annual ICD-10-CM, CPT, and HCPCS updates.
• Attend coding education sessions and training programs.
• Keep certifications active and maintain continuing education requirements.

Required Skills

• Strong knowledge of Emergency Department coding guidelines.
• Expertise in ICD-10-CM, CPT, HCPCS, and E/M coding.
• Understanding of medical terminology, anatomy, physiology, and pharmacology.
• Familiarity with EMR/EHR systems and encoder software.
• Strong analytical, communication, and attention-to-detail skills.
• Ability to work independently while maintaining high coding accuracy.

Preferred Qualifications

• CPC, CCS, CCA, CIC, or equivalent coding certification.
• Experience in Emergency Department/Facility Coding.
• Knowledge of UB-04 billing and facility reimbursement methodologies.
• Familiarity with coding audits, denial management, and compliance standards.