Medical Coder- Emergency Department (ED)

Insight Global; Brentwood (TN); On-site; USD 60,000 - 80,000; Full time

Job summary

Insight Global is seeking an experienced ED coder to code and abstract diagnoses and CPT/HCPCS charges from emergency department records to support timely reimbursement and quality reporting. The role requires 3+ years of ED coding, AHIMA/AAPC credential, and strong ICD-10-CM/CPT knowledge, with ability to verify documentation, resolve claim edits, and maintain patient confidentiality.

You will collaborate with providers and hospital staff, stay current with regulations, and contribute to

Qualifications

• 3+ years of ED coding experience.
• AAPC or AHIMA credential.
• Fracture coding experience.
• Thorough knowledge of ICD-10-CM and CPT coding systems, and reimbursement regulations.
• Thorough knowledge of hospital information systems, EMR systems, and encoder.
• Knowledge of standards for chart completion.

Responsibilities

• Assigns ICD-10-CM and CPT/HCPCS codes for ED encounters.
• Abstracts data for billing, regulatory agencies, and databases.
• Reviews records for documentation to support accurate facility charges.
• Communicates with providers to clarify documentation for proper code assignment.
• Reviews and resolves ED claim edits to ensure compliant billing, including medical necessity and NCCI/CCI edits.
• Assists with resolution of simple visit coding errors as needed.
• Maintains confidentiality and professionalism in interactions with staff and visitors.
• Attends regular training to improve patient and customer communications.

Skills

ED coding

Fracture coding

ICD-10-CM CPT

Reimbursement regulations

HIS systems

EMR systems

Encoder experience

Chart completion standards

Education

AAPC/AHIMA

Job description

Job Description

This role, under general direction, is responsible for coding and abstracting of diagnoses and charging for procedures from emergency department medical records for optimal and timely reimbursement and quality reporting.

Key responsibilities:

• Assigns ICD-10-CM codes, and CPT/HCPCS codes for emergency department medical record accounts, including but not limited to diagnoses, facility level evaluation & management (E/M) charges, infusion/injection charges, and additional bedside procedure charges.
• Abstracts key data elements required for billing, regulatory agencies, and other databases.
• Reviews records for clinical pertinence and documentation to support accurate facility-based charges for services performed during the encounter.
• Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels.
• Reviews and resolves claim edits related to emergency department encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits.
• Assists with resolution of simple visit coding errors related to other outpatient visits as needed.
• Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals.
• Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards.
• Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [e-mail] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

• 3+ years of ED coding experience
• AAPC or AHIMA credential
• Fracture coding experience
• Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement.
• Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder.
• Working knowledge of standards for chart completion.