Certified Medical Coding Specialist, HB – Emergency Department

SolutionHealth•Remote - NH, NH

7d•Remote

About The Position

The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing and analyzing Emergency Department medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes for both professional and facility services. This role supports compliant, timely, and optimized reimbursement through a single-path ED coding workflow while ensuring adherence to official coding guidelines, regulatory requirements, and payer-specific rules. The position collaborates closely with Emergency Department providers, clinical staff, CDI, and revenue cycle partners.

Requirements

High School diploma or equivalent
Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC)
Minimum of two (2) years of Emergency Department coding experience in an acute care hospital setting
Strong working knowledge of ICD-10-CM, CPT, and HCPCS coding systems
Understanding of ED reimbursement methodologies, including APCs, RVUs, and payer edits
Proficiency with Epic and encoder/coding software
Strong analytical, organizational, and communication skills
Ability to work independently while meeting productivity and accuracy standards
Commitment to confidentiality, HIPAA compliance, and ethical coding practices

Nice To Haves

Associate degree in Health Information Management or related field
Additional HIM certifications (RHIT, RHIA)

Responsibilities

Review and analyze Emergency Department clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for professional and facility components
Assign appropriate ED Evaluation & Management (E/M) levels using current medical decision-making and/or time-based guidelines
Code ED procedures, including injections, infusions, laceration repairs, splinting, and other emergency services
Apply modifiers, units, NCCI edits, and payer-specific billing rules to ensure compliant charge capture
Validate documentation completeness and initiate provider queries when clarification is required
Serve as a subject matter expert in ED-specific coding and reimbursement methodologies
Collaborate with providers, clinical teams, CDI, and revenue cycle partners to resolve coding and documentation issues
Abstract and enter coded data into Epic and other coding/billing systems within established turnaround times
Monitor trends in documentation quality, coding accuracy, and denials; communicate findings to leadership
Maintain productivity and quality benchmarks within ED single-path workflows
Stay current on regulatory updates, coding guideline changes, and payer requirements

Benefits

Health, dental, prescription, and vision coverage for full-time & part-time employees
Medical, dental, and vision coverage
Life insurance
Short- and long-term disability
Flexible Spending Accounts (FSA)
Competitive pay
Tuition Reimbursement
Nursing Student Loan Paydown Program
403(b) Retirement Savings Plan
Education & paid training courses for continued career progression