ER Medical Coder – E/M, Injections & Infusions - Remote

Cognizant; Boise (ID); Remote; USD 45,000 - 47,000; Full time

Benefits offered by this job

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

Job summary

Cognizant is seeking an ER Medical Coder – E/M, Injections & Infusions, to review clinical documentation and accurately assign ICD-10-CM codes across outpatient settings, including ED, outpatient surgery, observation, and diagnostics. This is a remote role with flexible hours, requiring collaboration with providers and coding teams to uphold accuracy, compliance, and productivity.

Ideal candidates will have at least 2 years of facility-based outpatient coding experience, ED E/M coding expertise,

Qualifications

• Certification required: CCS, RHIT, RHIA (AHIMA), CPC, or COC (AAPC).
• Minimum of 2 years of facility-based outpatient coding experience.
• Experience coding Emergency Department encounters and ED E/M coding.
• Experience with injections and infusion coding in outpatient or hospital settings.
• Knowledge of federal, state, and payer regulations related to medical coding.

Responsibilities

• Review clinical documentation and assign ICD-10-CM codes for outpatient settings (ED, observation, outpatient surgery, diagnostics).
• Use encoder applications to assign codes per company policies and regulatory guidelines.
• Query physicians to clarify diagnoses and procedures.
• Perform peer reviews to support quality and consistency initiatives.
• Prepare coding-related reports and maintain high accuracy (≥98%).
• Ensure compliance with all coding guidelines and work effectively in a remote environment.

Skills

Outpatient coding

E/M coding

ICD-10-CM

Query/documentation

Remote work

Education

CCS

RHIT

RHIA

CPC

COC

Tools

Cerner

PowerChart

3M HIM/3M Coding Systems

Job description

About the Role:

As an ER Medical Coder – E/M, Injections & Infusions , you will play a critical role in supporting our healthcare clients by reviewing clinical documentation and accurately assigning diagnosis and procedure codes across a variety of outpatient settings. You will work closely with providers and coding teams to ensure coding accuracy, regulatory compliance, and productivity standards while delivering high-quality coding services for Emergency Department, outpatient surgery, observation, and diagnostic encounters.

Work Schedule/ location:

Remote (Flexible Hours, Monday–Friday)

In this role, you will:

• Review clinical documentation and assign accurate ICD-10-CM diagnosis and procedure codes for outpatient surgery, observation, Emergency Department, and outpatient diagnostic encounters.
• Utilize electronic encoder applications to assign codes in accordance with company policies and regulatory guidelines.
• Communicate with physicians to obtain or clarify diagnoses and procedures through compliant query processes.
• Perform peer reviews of coding auditors and coders to support quality and consistency initiatives.
• Prepare and complete coding-related reports as requested.
• Maintain a minimum coding accuracy rate of 98% while achieving established productivity standards.
• Ensure compliance with federal, state, payer, and client-specific coding guidelines and regulations.
• Work effectively in a remote environment while managing multiple systems and priorities.

This is a remote position supporting one or more Cognizant healthcare clients. Candidates must be comfortable working independently, managing priorities, and collaborating with team members in a fast-paced environment.

Please note: Working arrangements are accurate as of the posting date and may evolve based on project or client needs. If changes occur, we will communicate expectations clearly.

What you need to have to be considered:

• One of the following certifications: CCS, RHIT, RHIA (AHIMA), CPC, or COC (AAPC).
• Minimum of 2 years of facility-based outpatient coding experience.
• Experience coding Emergency Department encounters, including facility Evaluation & Management (E/M) coding.
• Experience with injections and infusion coding in an outpatient or hospital setting.
• Knowledge of federal, state, and payer regulations related to medical coding and reimbursement.
• Ability to interpret medical records, reports, and chart documentation accurately.
• Strong analytical, judgment, and decision-making skills.
• Ability to work independently and as part of a collaborative team environment.
• Basic proficiency with Microsoft Word and Excel.
• Ability to navigate multiple systems simultaneously in a remote setting.
• Strong written and verbal communication skills.

These will help you stand out:

• Familiarity with electronic encoder applications and coding technology tools like Cerner, PowerChart, 3M HIM/3M Coding Systems is preferred but not required.
• Experience in performing coding peer reviews and quality audits.
• Excellent organizational skills and attention to detail.
• Ability to adapt to changing client requirements, procedures, and policies.
• Self-motivated approach with the ability to work autonomously in a fast-paced environment.

Hourly Rate and Other Compensation:

The hourly rate for this position is between $33.00 – $34.00 per hour depending on experience and other qualifications of the successful candidate. 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.

Applications will be accepted until October 18 th , 2026.

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

Disclaimer: The hourly rate, other 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.

We are excited to meet people who share our mission and can make an impact in a variety of ways. Do not hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.

Cog2026

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.