ED Facility Coder (Gifford)

Insight Global; Brentwood (TN); On-site; USD 55,000 - 85,000; Full time

Job summary

Insight Global is seeking an experienced Medical Coder to perform ED facility coding and abstracting from emergency department records, ensuring accurate billing and timely reimbursement.

You will assign ICD-10-CM and CPT/HCPCS codes, review documentation for MDM and E/M levels, and coordinate with providers. Proficiency with EPIC/Cerner/Meditech is preferred; confidentiality and professionalism are essential.

Qualifications

• 3+ years of ED facility coding experience.
• Credential from AAPC or AHIMA.
• Experience assigning ED facility E/M levels.
• EHR experience (EPIC, Cerner, Meditech).
• Familiarity with encoders, CMS, AMA, coding clinics guidance.
• Working knowledge of chart completion standards.

Responsibilities

• Assign ICD-10-CM and CPT/HCPCS codes for ED records.
• Abstract data elements required for billing and reporting.
• Review records for documentation to support ED charges.
• Communicate with providers to clarify documentation for correct levels.
• Resolve claim edits related to ED encounters to ensure compliance.
• Maintain patient confidentiality and professionalism in all interactions.

Skills

ED coding experience

E/M coding

ICD-10-CM CPT/HCPCS coding

chart review and abstraction

Education

AAPC or AHIMA credential

Tools

EPIC

Cerner

Meditech

Job description

Required Skills & Experience

• 3+ years of recent ED (Emergency Department) facility coding experience
• AAPC or AHIMA credential
• Experience assigning ED facility E/M levels
• EPIC, Cerner, Meditech, etc. EHR experience
• Experience using E&M resources for guidance like encoders, CMS, AMA, coding clinics, etc.
• Working knowledge of standards for chart completion

Job Description

This role, under general direction, is responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting.

Key responsibilities

• Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts, including but not limited to diagnoses, facility level evaluation & management (E/M) charges, infusion/injection charges, and additional bedside procedure charges.
• Abstracts key data elements required for billing, regulatory agencies, and other databases.
• Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter.
• Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels.
• Reviews and resolves claim edits related to emergency department encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits.
• Assists with resolution of simple visit coding errors related to other outpatient visits as needed.
• Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals.
• Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards.
• Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications.