Facility-Fee Emergency Department Medical Coder
Core
Review and assign ICD-10-CM, CPT, and HCPCS codes for Emergency Department facility encounters to ensure accurate reimbursement and regulatory compliance.
Role type
Senior IC medical coder (facility fee, ED)
Builds
Accurate medical claims and charge capture for emergency department services
Domain
Healthcare billing and coding (Emergency Department)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10-CM coding, CPT/HCPCS coding, facility fee coding, Emergency Department leveling methodologies, E/M level assignment, ACEP tool knowledge, injection/infusion coding, CMS regulations, NCCI edits, payer-specific requirements, documentation analysis, audit participation, regulatory compliance updates
Preferred skills
Epic EHR experience, physician-fee coding experience
Responsibilities
Review ED medical records to assign diagnosis and procedure codes; Assign facility E/M levels per client guidelines; Analyze nursing, physician, and ancillary documentation for charge capture; Apply coding guidelines and payer requirements; Identify documentation deficiencies; Participate in quality reviews and audits; Maintain compliance with Medicare/Medicaid/commercial policies; Collaborate with leadership and auditors to resolve issues
Seniority
Mid-level, hands-on IC