ED Facility Coder (Gila)

Insight Global; Brentwood (TN); On-site; USD 65,000 - 85,000; Full time

Job summary

Insight Global is seeking a healthcare coder to translate emergency department records into accurate ICD-10-CM and CPT/HCPCS codes, supporting optimal reimbursement and reporting. You will review encounters for documentation, assign ED facility E/M levels, and abstract data for billing and regulatory databases.

Proficiency with EPIC, Cerner, Meditech and other coding resources is required, along with communicating with providers to clarify documentation and resolve claim edits.

Qualifications

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

Responsibilities

• Codes and abstracts diagnoses and charging for ED encounters.
• Abstracts key data elements for billing and regulatory databases.
• Reviews records for documentation to support accurate charges.
• Communicates with providers to clarify documentation for proper codes.
• Reviews and resolves claim edits related to ED encounters for compliant billing.
• Assists with simple visit coding errors for other outpatient visits as needed.
• Maintains confidentiality and demonstrates professionalism with staff and patients.
• Attends training sessions to improve patient and customer communications.

Skills

ED coding

ICD-10-CM coding

CPT/HCPCS coding

E/M level assignment

EHR experience

Education

AAPC or AHIMA credential

Tools

EPIC

Cerner

Meditech

Job description

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.

Skills and Requirements

• 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.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [e-mail].