Sr. Executive /Executive - ED Facility Medical Coder

CorroHealth, Inc.; Dadri; On-site; INR 420,000 - 660,000; Full time

Job summary

CorroHealth, Inc. seeks an experienced ED Facility Medical Coder to review Emergency Department documentation and assign ICD-10-CM, CPT, HCPCS, and facility E/M codes for billing, compliance, and reporting.

You will ensure accurate charge capture, analyze records for completeness, and query providers when clarification is needed to support precise coding. Stay updated on coding guidelines and participate in audits and education to improve performance.

Qualifications

• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II coding systems.
• Experience with Emergency Department Facility Coding.
• Understanding of medical terminology, anatomy, physiology, and pharmacology.
• Knowledge of reimbursement methodologies and billing regulations.
• Proficiency with EHR/EMR systems and encoder software.
• Excellent analytical, organizational, and communication skills.

Responsibilities

• Review Emergency Department documentation and assign accurate codes.
• Ensure appropriate charge capture for ED services, procedures, and supplies.
• Query providers when clarification is required to support accurate coding.
• Determine ED facility levels based on hospital criteria and resource use.
• Review denials and participate in root-cause analyses for improvement.

Skills

ICD-10-CM coding

CPT coding

HCPCS Level II

EHR/EMR proficiency

Encoder software

Analytical skills

Organizational skills

Communication skills

Job description

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

Key Roles & Responsibilities

1. Medical Coding & Charge Capture

• Review Emergency Department patient records, physician notes, nursing documentation, diagnostics, procedures, and treatment details.
• Assign accurate ICD-10-CM, CPT, HCPCS, and facility E/M codes based on official coding guidelines.
• Ensure appropriate charge capture for ED services, procedures, medications, and supplies.

2. Documentation Review

• Analyze medical records for completeness, accuracy, and code assignment.
• Identify missing, incomplete, or inconsistent documentation.
• Query providers when clarification is required to support accurate coding.

3. Emergency Department Facility Coding

• Determine appropriate ED facility levels based on hospital-specific criteria and resource utilization.
• Code emergency procedures such as:
  • Laceration repairs
  • Fracture care
  • Infusions and injections
  • Observation services
  • Wound care
  • ECGs and other ancillary services

4. Compliance & Quality Assurance

• Ensure coding practices comply with:
  • ICD-10-CM Official Guidelines
  • CPT/HCPCS regulations
  • CMS requirements
  • Hospital policies and compliance standards
• Maintain coding accuracy and productivity targets.

5. Denial Prevention & Resolution

• Review coding-related claim denials.
• Identify root causes and recommend corrective actions.
• Recode and resubmit claims when necessary to optimize reimbursement.

6. Auditing & Quality Improvement

• Participate in internal and external coding audits.
• Implement audit feedback to improve coding accuracy.
• Monitor coding trends and identify opportunities for process improvement.

7. Collaboration & Communication

• Work closely with:
  • Physicians
  • ED nursing staff
  • Clinical Documentation Improvement (CDI) teams
  • Revenue Cycle and Billing departments
• Provide coding guidance and education regarding documentation requirements.

8. Productivity Management

• Meet daily coding productivity standards.
• Prioritize accounts based on discharge dates, payer requirements, and turnaround time goals.
• Maintain coding queues and ensure timely claim submission.

9. Regulatory Updates & Continuous Learning

• Stay current with annual coding updates and healthcare regulations.
• Attend coding education sessions and training programs.
• Maintain coding certifications and continuing education requirements.

Required Skills

• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II coding systems.
• Experience with Emergency Department Facility Coding.
• Understanding of medical terminology, anatomy, physiology, and pharmacology.
• Knowledge of healthcare reimbursement methodologies and billing regulations.
• Proficiency with EHR/EMR systems and encoder software.
• Excellent analytical, organizational, and communication skills.

Preferred Certifications

• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• CCA (Certified Coding Associate)
• COC (Certified Outpatient Coder)
• CRC (Certified Risk Adjustment Coder) optional

Sample KPI Metrics

• Coding Accuracy: 95%
• Productivity: As per organizational benchmarks
• DNFB (Discharged Not Final Billed) reduction
• Turnaround Time (TAT) compliance
• Denial rate reduction
• Audit score compliance