Job Description

Responsibilities:Review and analyze ED medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for E/M services, procedures, and diagnoses. Apply Medical Decision Making (MDM) table guidelines to determine the correct E/M level for ED visits. Ensure coding compliance with federal, state, and payer-specific regulations. Collaborate with ED physicians / clinical staff / internal team to resolve coding discrepancies and documentation gaps. Educate providers on documentation requirements for MDM components (number of diagnoses, data review, risk assessment). Conduct ED-specific coding audits and provide actionable feedback to improve accuracy and compliance. Stay updated on CMS guidelines, AMA CPT updates, and payer-specific ED coding policies.

Qualifications:Certification in medical coding (CPC, COC, CCS, or equivalent). Minimum 3 years of experience in Emergency Department coding. Strong understanding of MDM table application for E/M coding. Thorough knowledge of ICD-10, CPT, and HCPCS coding systems. Strong knowledge of medical terminology, anatomy, and ED workflows. Exceptional attention to detail and accuracy. Excellent communication and interpersonal skills.

Preferred Skills:Ability to work independently and collaboratively within a team. Proficiency in coding software and EHR systems. Strong analytical and problem-solving skills. Ability to interpret payer guidelines and NCCI edits. * Commitment to continuous learning and professional development.