Medical Coder

TEKsystems; Salem (OR); On-site; USD 39,000 - 41,000; Part time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Disability coverage

Health Spending Account (HSA)

Transit benefits

Employee Assistance Program

Time Off/Leave

Job summary

TEKsystems is seeking a contract remote ED medical coder to review emergency department records, assign ICD-10-CM and CPT/HCPCS codes, and determine E/M levels per guidelines. You will ensure accurate charge capture and compliance with CMS, NCCI edits, and payer rules while collaborating with leadership and client representatives.

The role is fully remote, based out of OR and offers benefits typical of a contract position. Salary is hourly and dependent on experience.

Qualifications

• Review emergency department medical records to assign accurate ICD-10-CM codes, CPT/HCPCS codes and modifiers.
• Accurately assign facility E/M levels per guidelines and charging methodologies, including ACEP tool knowledge.
• Analyze documentation from nursing staff, physicians, and departments to ensure complete code assignment and charge capture.
• Apply official coding guidelines, CMS regulations, NCCI edits, and payer-specific requirements.
• Review accounts for procedural services and injections/infusions when applicable.
• Identify documentation deficiencies and communicate clarification needs.
• Maintain compliance with Medicare, Medicaid, commercial payer, and organizational policies.
• Participate in coding quality reviews, audits, and process improvements.
• Stay current on coding updates, reimbursement changes, and regulatory requirements.
• Collaborate with leadership, auditors, and client representatives to resolve issues.

Responsibilities

• Review and code ED records with ICD-10-CM & CPT/HCPCS codes.
• Assign accurate E/M levels per ED guidelines.
• Ensure complete charge capture across departments.
• Apply CMS rules, NCCI edits, and payer requirements.
• Flag and address documentation gaps.

Skills

ICD-10-CM coding

CPT/HCPCS coding

EM level assignment

NCCI edits

CMS regulations

clarifications communication

coding compliance

audits & QA

Tools

ACEP tool

Job description

Description

• Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.
• Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool.
• Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture.
• Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.
• Review accounts for appropriate assignment of procedural services and injections/infusions when applicable.
• Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs.
• Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding policies.
• Participate in coding quality reviews, audits, educational initiatives, and process improvement activities.
• Remain current on coding updates, reimbursement changes, and regulatory requirements affecting emergency department facility coding.
• Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues.

Additional Skills & Qualifications

• Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.
• Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool.
• Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture.
• Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.
• Review accounts for appropriate assignment of procedural services and injections/infusions when applicable.
• Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs.
• Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding policies.
• Participate in coding quality reviews, audits, educational initiatives, and process improvement activities.
• Remain current on coding updates, reimbursement changes, and regulatory requirements affecting emergency department facility coding.
• Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues.

Experience Level

Intermediate Level

#westpriority26

Job Type & Location

This is a Contract position based out of Remote, OR.

Pay and Benefits

The pay range for this position is $28.00 - $30.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.

If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Sep 18, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands‑on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.