Walk-in | Urjent Hiring For ED facility Coders/QA

ECLAT Health Solutions

Hyderabad

On-site

INR 350,000 - 550,000

Full time

9 days ago

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Job summary

Eclat Health Solutions is seeking an ED facility medical coder to review emergency department documentation and assign ICD-10-CM, CPT, and HCPCS codes for facility billing, in line with guidelines and payer requirements.

The role involves staying current with coding updates, collaborating with physicians and revenue cycle colleagues, and ensuring accurate documentation to support compliant coding and timely reimbursement.

Qualifications

  • Experience in Emergency Department/Facility coding preferred.
  • Certification such as CPC, CCS, or COC is desirable.
  • Strong knowledge of ICD-10-CM, CPT and HCPCS Level II is required.

Responsibilities

  • Review ED records for completeness and coding accuracy.
  • Assign ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes.
  • Determine appropriate ED facility levels based on documentation and policies.
  • Validate physician documentation and request clarifications when needed.
  • Ensure compliance with CMS, Medicare/Medicaid and payer regulations.
  • Perform coding audits and quality reviews to maintain accuracy.
  • Resolve coding-related billing edits and denials.
  • Maintain productivity and quality metrics as defined by the organization.
  • Stay current with coding updates and payer policies.
  • Collaborate with physicians, clinical staff and revenue cycle teams.

Skills

ICD-10-CM
CPT
HCPCS Level II
Anatomy and physiology
Medical terminology
EHR systems familiarity

Education

High school diploma or equivalent
Associate's or Bachelor's degree preferred

Tools

EHR software
Encoding software

Job description

Greetings from Eclat Health Solutions

We're Hiring for Ed facility Coders/QA
Job Summary

The ED Facility Medical Coder is responsible for reviewing emergency department documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and facility-level coding based on medical records. The coder ensures compliance with coding guidelines, payer requirements, and regulatory standards while supporting accurate billing and reimbursement.

Key Responsibilities
  • Review emergency department medical records for completeness and coding accuracy.
  • Assign ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes according to official coding guidelines.
  • Determine appropriate Emergency Department facility levels based on documentation and organizational policies.
  • Validate physician documentation and identify opportunities for clarification when necessary.
  • Ensure compliance with CMS, Medicare, Medicaid, and commercial payer regulations.
  • Perform coding audits and quality reviews to maintain coding accuracy standards.
  • Resolve coding-related billing edits and denials.
  • Maintain productivity and quality metrics as defined by the organization.
  • Stay current with coding updates, regulatory changes, and payer policies.
  • Collaborate with physicians, clinical staff, CDI teams, and revenue cycle departments.
Required Qualifications
  • High school diploma or equivalent; associate's or bachelor's degree preferred.
  • Certification such as:
    • CPC (Certified Professional Coder)
    • CCS (Certified Coding Specialist)
    • COC (Certified Outpatient Coder)
  • Experience in Emergency Department/Facility coding preferred.
  • Strong knowledge of:
    • ICD-10-CM
    • CPT
    • HCPCS Level II
    • Medical terminology
    • Anatomy and physiology
  • Familiarity with EHR systems and encoding software.
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