Emergency Room Coder - Remote

Cognizant; Dover (DE); 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

The Emergency Department Coder is a remote role for Cognizant, reviewing clinical documentation to assign diagnosis and procedure codes for emergency department encounters, outpatient surgery, observation, and diagnostic encounters. This includes facility and provider (pro-fee) coding, E/M levels, ED procedures, injections and infusions, and EKGs, in a fast-paced remote environment.

Queries to physicians ensure documentation clarity while maintaining a minimum 98% accuracy, using Epic and

Qualifications

• Active CCS, CPC, or equivalent coding credential.
• Emergency department coding experience.
• Experience with ED procedures, injections and infusions, and EKGs.
• Experience coding facility and provider (pro-fee) on same encounter.
• Strong knowledge of ICD-10-CM, CPT, HCPCS.

Responsibilities

• Review clinical documentation to assign accurate ED, outpatient surgery, observation, and diagnostic encounter codes.
• Assign facility and provider (pro-fee) ED codes and charges, including E/M levels.
• Code ED procedures (CPT), injections/infusions, and EKGs.
• Query physicians to clarify documentation as needed.
• Use Epic and encoder apps per client policy and guidelines.
• Maintain ≥98% coding accuracy while meeting productivity standards.
• Coordinate with team on policies and time off.

Skills

ED coding

Facility & Pro-fee coding

CPT coding

ICD-10-CM

HCPCS

Epic experience

Education

CCS (AHIMA)

CPC (AAPC)

Tools

Epic

Electronic encoder apps

Job description

Emergency Department Coder (Facility & Pro-Fee | Injection & Infusion) – Remote

Location: Remote (work from home)

Experience: Emergency department coding, including facility and provider (pro-fee) coding and injection and infusion code assignment

Job Summary

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.

Closing

If you are an experienced emergency department coder who takes pride in accuracy and quality, we would love to hear from you! Apply now to join our team and make a difference in the quality of healthcare data.

Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.