Emergency Room Medical Coder - Level 1 Trauma Center (Remote)

Cognizant; Des Moines (IA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health services provider is seeking an experienced Emergency Room Medical Coder with expertise in outpatient coding. This remote position offers flexible hours and requires knowledge of federal regulations. Candidates should have a CPC or COC certification and at least 2 years of experience. The role involves reviewing clinical documentation, ensuring compliance, and achieving high coding accuracy. Competitive hourly rates between $30.00 – $33.00 are offered.

Benefits

Medical/Dental/Vision/Life Insurance

Paid holidays and Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Qualifications

• Minimum 2 years of facility-based outpatient coding experience.
• Must pass a coding assessment with a score of 80% or higher.
• Ability to interpret medical records and apply coding guidelines.

Responsibilities

• Review clinical documentation and assign ICD-10-CM diagnosis codes.
• Ensure compliance with regulations and internal policies.
• Communicate with physicians to clarify documentation.

Skills

CPC or COC certification

Emergency Room coding experience

Facility Evaluation & Management coding knowledge

Proficiency in MS Office

Strong communication skills

Education

CPC or COC certification in good standing

Tools

PowerChart

Encoder applications (e.g., 3M, Optum)

Job description

Job Title: Emergency Room Medical Coder - Level 1 Trauma Center (Remote)

Company: Cognizant Technology Solutions

Location: Remote (Flexible Hours, Monday–Friday)

About the Role

Cognizant Technology Solutions is seeking an experienced ICD-10 Coding Consultant – Outpatient to join our team and support one or more of our healthcare clients. This is a remote position offering flexible hours during weekdays.

Key Responsibilities

• Review clinical documentation and accurately assign ICD-10-CM diagnosis and CPT/HCPCS procedure codes for:

• Emergency Department encounters (including facility E/M coding)

• Outpatient surgery, observation, and diagnostic services

• Ensure compliance with federal, state, and payer regulations and internal policies

• Communicate with physicians to clarify documentation through compliant query processes

• Utilize an electronic encoder application for coding assignments

• Perform peer reviews of coding work to maintain quality standards

• Complete reports and maintain coding accuracy of 98% or higher

• Meet productivity standards:

• ED (with facility E/M): 64–92 encounters/day

• ED (without facility E/M): 96–120 encounters/day

• Ancillary Testing: 160–240 encounters/day

• Ambulatory/Outpatient/Interventional: 32–48 encounters/day

• Inpatient: 24 encounters/day

Required Qualifications

• Current coding credential : CPC or COC (AAPC) in good standing.

• PowerChart , developed by Cerner (now part of Oracle Health), is a comprehensive Electronic Health Record (EHR)

• Minimum 2 years of facility-based outpatient coding experience

• Emergency Room coding experience in a Level 1 Trauma Center

• Strong knowledge of:

• Facility Evaluation & Management (E/M) coding

• Injection and infusion coding in a hospital setting

• Familiarity with federal, state, and payer regulations

• Ability to interpret medical records and apply coding guidelines accurately

• Proficiency in MS Office (Word, Excel, Outlook)

• Ability to work independently and meet deadlines in a fast-paced environment

• Must pass a coding assessment with a score of 80% or higher

Preferred Skills

• Experience with encoder applications (e.g., 3M, Optum)

• Strong organizational skills and attention to detail

• Excellent written and verbal communication skills

• Adaptability to changing processes and client requirements

Salary and Other Compensation :

The hourly rate for this position is between $30.00 – 33.00 per hour, depending on experience and other qualifications of the successful candidate.

Applications will be accepted until October 10 th .

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 : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

• 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

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.