ED Facility & Profee

Eclat-Health-Solutions-4; Hyderabad; On-site; INR 500,000 - 800,000; Full time

Job summary

Eclat-Health-Solutions-4 is looking for a Single-Path ED Coder responsible for the accurate and compliant coding of Emergency Department encounters. This role includes assigning diagnoses, procedures, and E/M levels following guidelines.

The ideal candidate will have 2–3 years of coding experience, certifications like CPC or CCS, and strong knowledge of ICD-10-CM and CPT/HCPCS. Proficient knowledge of EHR systems is also needed to ensure coding correctness.

Qualifications

• Minimum 2–3 years of ED professional and facility coding experience.
• Strong knowledge of coding methodologies for accurate documentation.

Responsibilities

• Review provider documentation and assign appropriate codes.
• Ensure coding accuracy and compliance with regulations.
• Participate in audits and implement corrective actions when needed.

Skills

ICD-10-CM

CPT/HCPCS

ED facility and Profee E/M leveling

Critical care and procedural coding

Education

Certification: CPC, CCS, CCS-P, or equivalent

Tools

EHR systems (e.g., Epic, Cerner, Meditech)

Job description

The Single-Path ED Coder is responsible for accurate and compliant coding of both facility and professional (profee) services for Emergency Department encounters under the single-path coding methodology. This role ensures that all ED visits are coded comprehensively in one workflow, assigning diagnoses, procedures, and evaluation & management (E/M) levels following regulatory and payer guidelines.

Coding & Documentation Review

• Review ED provider documentation, nursing notes, diagnostics, medications, treatments, and interventions for coding completeness.
• Assign facility and profee ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and E/M codes using single-path workflows.
• Apply coding guidelines from CMS, AMA, AHA, AAPC, and facility policies.

Compliance & Quality

• Ensure coding accuracy, completeness, and timely submission to support optimal reimbursement and reduce denials.
• Follow all federal and state regulations including NCCI edits, CCI bundling rules, and payer‑specific policies.
• Participate in audits and implement corrective actions as advised by the QA team.

ED‑Specific Expertise

• Understand ED workflows, high‑acuity documentation, trauma coding, and critical care coding.
• Identify missing or unclear documentation and initiate physician queries when needed.
• Code for both ED Facility and Profee.

Productivity & Turnaround

• Meet or exceed organizational productivity standards for ED single‑path coding.
• Maintain required turnaround time (TAT) for coding completion.

Required Qualifications

• Certification: CPC, CCS, CCS-P, or equivalent (mandatory).
• Minimum 2–3 years of ED professional and facility coding experience.
• Strong knowledge of:
  • ICD‑10‑CM
  • CPT/HCPCS
  • ED facility and Profee E/M leveling
  • Critical care and procedural coding
• Working knowledge of EHR systems (e.g., Epic, Cerner, Meditech).