Emergency Department Coder (Injection & Infusion) – Remote

Cognizant; New York (NY); Remote; USD 63,000 - 71,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays plus PTO

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Job summary

Cognizant is seeking an Emergency Department Coder (Facility & Pro-Fee) to review clinical documentation and assign diagnoses and procedures for ED encounters, outpatient surgery, observation, and diagnostics. This remote role requires expertise in ED coding, injections, infusions, E/M levels, and reliance on Epic and encoder tools to ensure compliant charges.

You will work independently within a team, query physicians as needed, maintain 98% accuracy, and meet productivity standards while

Qualifications

• Active CCS, CPC, or equivalent coding credential
• Experience coding emergency department encounters
• Experience assigning ED procedure codes, injections and infusions, EKGs
• Experience combining facility and provider (pro-fee) coding on one ED encounter
• Strong understanding of ICD-10-CM, CPT, HCPCS and regulatory guidelines
• Proven ability to maintain 98% coding accuracy
• Epic experience highly preferred

Responsibilities

• Review clinical documentation to assign diagnoses and procedures for ED, outpatient surgery, observation, and diagnostics
• Assign ED facility and provider (pro-fee) codes and charges, including E/M levels
• Code ED procedures including surgical CPT codes, injections/infusions, and EKGs
• Query physicians to clarify diagnoses/procedures
• Use Epic and encoder tools per policy and regulatory guidelines
• Maintain 98% accuracy while meeting productivity standards
• Coordinate with manager and team on time off and new procedures
• Perform other duties as assigned

Skills

Emergency department coding

Facility and provider (pro-fee) coding

ED infusion/injection coding

E/M leveling

ICD-10-CM, CPT, HCPCS knowledge

Communication with physicians

Minimum 98% accuracy

Education

CCS (AHIMA) or CPC (AAPC) or equivalent

Tools

Epic experience

Electronic encoder applications

Job description

Emergency Department Coder (Facility & Pro-Fee | Injection & Infusion) – RemoteLocation: Remote (work from home)Experience: Emergency department coding, including facility and provider (pro-fee) coding and injection and infusion code assignment

The Emergency Department Coder is a key role supporting one or more Cognizant clients, responsible for reviewing clinical documentation and accurately assigning diagnosis and procedure codes for emergency department encounters, as well as outpatient surgery, observation, and outpatient diagnostic encounters. This role assigns facility and provider (pro-fee) codes and charges for the same encounter, including E/M levels, ED procedures, injections and infusions, and EKGs, works independently and as part of a team, and queries physicians to clarify documentation, while meeting accuracy and productivity standards in a fast-paced remote environment.

Key Responsibilities

• Review clinical documentation to accurately assign diagnosis and procedure codes for emergency department, outpatient surgery, observation, and outpatient diagnostic encounters.
• Assign facility and provider (pro-fee) emergency department codes and charges for the same encounter, including E/M levels for both.
• Code procedures performed in the emergency department, including surgical CPT codes, injections and infusions (applying infusion hierarchy and documentation requirements), and EKGs.
• Communicate with physicians and clinical staff to obtain or clarify diagnoses and/or procedures through the coding query process.
• Assign accurate codes using the client's Epic system and electronic encoder applications in accordance with company policy and regulatory guidelines.
• Maintain a minimum coding accuracy rate of 98% while meeting established productivity and performance standards.
• Work in multiple systems at the same time.
• Coordinate with your manager and team on scheduled time off, breaks, and new procedures and policies provided by the client.
• Perform other duties as assigned.

Qualifications

• Coding credential: CCS (AHIMA), CPC (AAPC), or equivalent coding certification.
• Experience coding emergency department encounters, plus outpatient surgery, observation, and outpatient diagnostic encounters.
• Experience assigning ED procedure codes, including surgical CPT codes, injections and infusions, and EKGs.
• Experience assigning facility and provider (pro-fee) codes on the same emergency department encounter.
• Strong understanding of ICD-10-CM, CPT, HCPCS, and applicable regulatory guidelines.
• Experience using electronic encoder applications and healthcare coding systems. Epic experience is highly preferred.
• Proven ability to meet productivity goals while maintaining a minimum accuracy rate of 98%.
• Ability to interpret complex clinical documentation and communicate effectively with physicians regarding coding queries.
• Knowledge of federal, state, and payer regulations; knowledge of revenue cycle management and reimbursement is a plus.
• Strong oral and written communication skills, with the ability to work independently and as a team member across multiple projects.
• Proficiency in MS Office (Word, Excel, Outlook) and basic computer skills.
• Reliable internet connectivity and a dedicated workspace that supports productivity and confidentiality requirements.

Requirements

• Active CCS, CPC, or equivalent coding credential
• Emergency department coding experience
• Injection and infusion code assignment experience, plus ED procedure coding (surgical CPT codes and EKGs)
• Facility and provider (pro-fee) coding experience, including E/M leveling for both, on the same encounter
• Epic experience highly preferred
• Ability to maintain a minimum 98% coding accuracy rate
• Certification: (AAPC or AHIMA)
• Pass the coding assessment with a score of 80% or higher

Compensation

The annual salary for this position is between $63,000 – $71,000, depending on experience and other qualifications of the successful candidate.

Applications will be accepted until November 2, 2026.

This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.

Benefits

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer: Compensation and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Things to know before you apply

Work authorization: Cognizant will only consider applicants for this position who are legally authorized to work in Canada without requiring employer sponsorship, now or at any time in the future.

Accommodations: If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [e-mail] with your request and contact information.

AI in hiring: We use artificial intelligence (AI) tools to help us screen and assess applications more efficiently. Our team performs additional human review and ultimately decides who moves forward in our hiring process.

Open position: Unless otherwise stated, this job posting is for an open position on our team.

Language proficiency: We ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you'll deliver services to and collaborate with stakeholders outside the province who may not speak French.

Inclusion: Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.

About Cognizant

Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.