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

Cognizant; Helena (MT); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare solutions company is seeking an experienced ICD-10 Coding Consultant for a remote position with flexible hours. Responsibilities include coding emergency department encounters and outpatient surgery cases while ensuring compliance with regulations. Candidates should hold a CPC or COC credential and have at least two years of relevant coding experience. The hourly rate ranges from $30 to $33, along with benefits including medical insurance and 401(k).

Benefits

Medical/Dental/Vision Insurance

Paid Time Off

401(k) plan

Qualifications

• Current coding credential: CPC or COC (AAPC) in good standing.
• Minimum 2 years of facility-based outpatient coding experience.
• Emergency Room coding experience in a Level 1 Trauma Center.

Responsibilities

• Review clinical documentation and accurately assign ICD-10-CM codes.
• Ensure compliance with federal, state, and payer regulations.
• Utilize an electronic encoder application for coding assignments.

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.