Medical Coder Emergency Department

Wayne Memorial Hospital Honesdale, Pa; Honesdale (Wayne County); Remote; USD 60,000 - 75,000; Full time

Job summary

Wayne Memorial Hospital Honesdale, PA is seeking an Emergency Department Coder to review, interpret, and code ED encounters in line with ICD-10-CM, CPT, HCPCS and E/M guidelines. This role translates medical documentation into precise codes to support reimbursement, quality reporting, and compliance.

The coder will work closely with providers, clinical staff, Patient Financial Services, and the Health Information Management team to identify documentation and coding issues and promote accurate

Qualifications

• High school diploma or equivalent required.
• Nationally recognized medical coding certification preferred.
• Hospital coding experience required; ED coding experience preferred.
• Knowledge of Medicare, Medicaid, commercial payer, and managed-care coding requirements.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems with thorough knowledge of official coding guidelines.
• Proficiency in emergency department E/M coding for both professional and technical.
• Proficiency in injection and infusion coding.
• Understanding of NCCI edits, MUEs, modifiers, bundling and medical necessity concepts.
• Experience with electronic health records and coding/encoder systems preferred; 3M preferred.
• Experience with multiple payer requirements and ED reimbursement methodologies.
• Extensive knowledge of anatomy, physiology, pathology, medical terminology and standard nomenclature.
• Strong attention to detail and ability to identify inconsistencies or missing documentation.
• Ability to work independently while maintaining productivity and accuracy.
• Ability to prioritize a high-volume workload while maintaining coding quality.
• Excellent written and verbal communication skills.

Responsibilities

• Review, interpret, and code ED encounters per ICD-10-CM, CPT, HCPCS and E/M guidelines.
• Translate clinical documentation into accurate diagnosis and procedure codes to support reimbursement and regulatory compliance.
• Ensure accurate charge entry and support quality reporting and medical necessity.
• Collaborate with providers, clinical staff, Patient Financial Services, and Health Information Management to improve coding accuracy.

Skills

ICD-10-CM

CPT

HCPCS

E/M coding

Medicare/Medicaid knowledge

Medical terminology

Education

High School Diploma

Medical coding certification (preferred)

Hospital coding experience (required)

Tools

3M coding encoder (preferred)

Job description

• The Emergency Department Coder is responsible for accurately reviewing, interpreting, and coding emergency department encounters in accordance with current ICD-10-CM, CPT, HCPCS, E/M, payer, and regulatory guidelines. This position translates clinical documentation into accurate diagnosis and procedure codes to support appropriate reimbursement, quality reporting, medical necessity, and compliance. This position also requires accurate charge entry.

Job Description

Full-time (Remote opportunity)

• The Emergency Department Coder is responsible for accurately reviewing, interpreting, and coding emergency department encounters in accordance with current ICD-10-CM, CPT, HCPCS, E/M, payer, and regulatory guidelines. This position translates clinical documentation into accurate diagnosis and procedure codes to support appropriate reimbursement, quality reporting, medical necessity, and compliance. This position also requires accurate charge entry.

The Emergency Department Coder works closely with providers, clinical staff, Patient Financial Services, and the Health Information Management team to identify documentation and coding issues and promote accurate and compliant coding practices.

Job Requirements

• High school diploma or equivalent required.
• Completion of a nationally recognized medical coding certification preferred.
• Previous hospital coding experience required; emergency department coding experience preferred.
• Knowledge of Medicare, Medicaid, commercial payer, and managed-care coding requirements.
• Proficiency in ICD-10-CM, CPT, and HCPCS coding systems with thorough knowledge of official coding guidelines.
• Proficiency in emergency department E/M coding for both professional and technical.
• Proficiency in injection and infusion coding.
• Understanding of NCCI edits, MUEs, modifiers, bundling and medical necessity concepts.
• Experience with electronic health records and coding/encoder systems preferred, 3M preferred.
• Experience with multiple payer requirements and emergency department reimbursement methodologies.
• Extensive knowledge of anatomy, physiology, pathology, medical terminology and standard nomenclature.
• Strong attention to detail and ability to identify inconsistencies or missing documentation.
• Ability to work independently while maintaining established productivity and accuracy standards.
• Ability to prioritize a high-volume workload while maintaining coding quality.
• Excellent written and verbal communication skills.