Medical Coder Emergency Department

WMH Alzheimer’s Support Group; Honesdale (Wayne County); Hybrid; USD 65,000 - 85,000; Full time

Job summary

WMH Alzheimer’s Support Group is seeking an Emergency Department Coder to accurately review, interpret, and code ED encounters in accordance with ICD-10-CM, CPT, HCPCS, E/M guidelines, ensuring proper reimbursement and compliance.

The role collaborates with providers and the Health Information Management team to resolve documentation issues, supports accurate charge entry, and requires a high school diploma; professional certification preferred, hospital coding experience required, ED coding

Qualifications

• High school diploma or equivalent required.
• National medical coding certification preferred.
• Hospital coding experience required; ED coding experience preferred.
• Knowledge of Medicare/Medicaid/payer coding requirements.
• Proficiency in ICD-10-CM, CPT, and HCPCS with E/M coding.
• Experience with EHR and coding systems preferred (3M).
• Strong attention to detail and accuracy.

Responsibilities

• Review ED encounters and translate into accurate diagnoses and procedures.
• Ensure compliant coding for reimbursement and quality reporting.
• Maintain accurate charge entry and collaborate with care teams.

Skills

Attention to detail

Strong communication

Independent work

High-volume workload

Medical terminology

Education

High school diploma or equivalent

Tools

ICD-10-CM

CPT

HCPCS

E/M coding

3M coding encoder

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.

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.

• 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.

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