About this role
Responsibilities
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Review and analyze ED medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for E/M services, procedures, and diagnoses.
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Apply Medical Decision Making (MDM) table guidelines to determine the correct E/M level for ED visits.
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Ensure coding compliance with federal, state, and payer-specific regulations.
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Collaborate with ED physicians / clinical staff / internal team to resolve coding discrepancies and documentation gaps.
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Appropriate modifiers in accordance with coding guidelines and payer requirements.
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undefined 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. Good understanding of Emergency Department (ED) workflows, patient encounters, and documentation requirements.
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.