Medical Coding Specialist

AAPC; The Woodlands (TX); On-site; USD 60,000 - 75,000; Full time

Job summary

Emerus is seeking a skilled Medical Coder to review medical records, assign ICD-10-CM and CPT-4 codes, and capture charges for services across Emergency Facilities, Inpatient, Observation and Ancillary records.

The role requires 3+ years of coding experience with ICD-10-CM, HCPCS, and CPT codes, and proficiency in EMR systems. Strong knowledge of HIPAA guidelines and English communication is essential for accurate, compliant coding.

Qualifications

• High School Diploma or GED is required.

Responsibilities

• Review clinical documentation and diagnostic results to extract data and apply ICD-10-CM and CPT-4, including IV infusion and injection codes.
• Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing.
• Abstract and code diagnoses and procedures from health records using appropriate classification systems.

Skills

MS Office

Medical coding

EMR systems

HIPAA knowledge

English fluency

Education

High School Diploma or GED

CPC/CPC-H/CIC/COS/CCS or RHIA/RHIT

Tools

Stockell InsightCS

EPIC Community Connect

Cerner

PICIS EMR

Job description

About Us

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

Position Overview

The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services.

Essential Job Functions

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes
• Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing
• Abstract and code diagnoses and procedures from health records by using appropriate classification systems

Other Job Functions

• Attend staff meetings or other company sponsored or mandated meetings as required
• Perform additional duties as assigned
• Ability to work off hours and overtime

Basic Qualifications

• High School Diploma or GED, required
• CPC, CPC-H, CIC, COS or CCS, or other coding certification, preferred, OR RHIA or RHIT certification with 3+ years of experience, required
• 3+ years experience coding using ICD-10-CM, HCPCS and CPT codes, required
• Experience coding emergency or hospital ancillary services, preferred
• Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and procedures, preferred
• Proficiency using Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
• Proficiency with patient accounting systems, preferred
• Experience using Stockell InsightCS patient accounting system, EPIC Community Connect, Cerner and/or PICIS EMR, preferred
• Experience and knowledge calculating and applying IV Infusion and Injection codes, preferred
• Knowledge of all Health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations, required
• ICD 10 Training/Education
• Position requires fluency in English; written and oral communication