ED Medical Coder (Remote)

Caban Resources; United States; Remote; USD 65,000 - 95,000; Full time

Job summary

Caban Resources is seeking a skilled Medical Coder to assign E/M, ICD-CM, ICD-10-PCS, CPT, and HCPCS codes for ambulatory ER encounters. The role involves reviewing records for accuracy, addressing documentation gaps, and educating providers to ensure compliant coding practices.

The ideal candidate will hold a recognized coding certification (CCS, CPC, RHIT, RHIA, CCS-P) and may have NAMAS CEMC/CEMA credentials. Collaboration with auditors and CDI specialists is expected.

Qualifications

• Certification in one of the recognized coding credentials (CCS, CPC, RHIT, RHIA, CCS-P).
• NAMAS CEMC or CEMA certifications are a plus.
• Proficient in E/M, ICD-CM, ICD-10-PCS, CPT/HCPCS coding.

Responsibilities

• Assigns E/M codes, ICD-CM diagnoses, ICD-10-PCS, CPT, HCPCS, modifiers and quantities from medical records for ambulatory ER and related encounters.
• Reviews documentation to identify inconsistencies impacting coding accuracy and patient care.
• Identifies legibility issues and informs providers accordingly.
• Educates providers and staff to resolve documentation issues for coding compliance.
• Assigns accurate codes based on provider responses to coding queries.
• Serves as a reference for medical staff on coding questions, supporting auditors and CDI specialists with education and feedback.
• Supports coding compliance by researching guidance and seeking clarifications as needed.
• Remotely accesses patient records to assign codes as directed by coding supervisors.
• Aims to achieve coding productivity and accuracy standards.

Skills

Medical coding

ICD coding

CPT/HCPCS coding

Auditing experience

Education

CCS

CPC

RHIT

RHIA

CCS-P

CEMC

CEMA

Job description

Minimum Qualifications:

• Certification: ONE of the following recognized professional coding certifications: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist - Physician (CCS-P)
• Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists' (NAMAS) Certified Evaluation and Management Auditor (CEMA) certifications are a plus.

Core Duties:

• Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation for the professional and facility components of ambulatory emergency room. May also code ambulatory or outpatient encounters as directed.
• Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, and impacts to quality patient care.
• Identifies any problems with legibility, abbreviations, etc., and brings to the provider's attention.
• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.
• Assigns accurate codes to encounters based upon provider responses to coding queries.
• Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coding auditors, trainers, and CDI specialists in providing education and feedback to providers and staff.
• Supports coding compliance by ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.
• Upon coding supervisors' direction, utilizes computer systems to remotely access patient records and assign codes for patient encounters.
• Achieve and maintain coding productivity and accuracy standards for the position.