ED Charge Capture Coder

TEKsystems•Houston, TX

1d•$30 - $34•Remote

About The Position

This fully remote contract role supports Emergency Department operations for a large, multi-hospital health system by performing facility-side coding and charge capture. It includes two related functions: ED Coding, focused primarily on diagnosis coding within Epic work queues, and ED Charge Capture, focused on CPT-based facility charging, injections and infusions, and ED bedside procedures. The role operates in a high-volume, production-driven environment using Epic, 3M/Solventum, and Optum Lynx to ensure accurate, compliant, and timely coding and charging for Emergency Department encounters. The position supports a centralized Emergency Department revenue cycle workflow across multiple hospitals, with standardized processes, documentation expectations, and performance metrics. It is 100% remote and primarily scheduled during regular business hours aligned with Eastern Time, with a strong preference for a Monday–Friday day shift such as 8:00 a.m. to 4:30 p.m. Eastern. Weekend work is not required, though some flexibility may be available to consultants who prefer weekend hours. Consultants are not expected to cover the internal operation’s full 365-day schedule. The role requires responsiveness through Teams and email and the ability to work relatively independently with minimal day-to-day management. The pay range is $30.00–$34.00 per hour. Eligible benefits for this temporary role may include medical, dental and vision coverage; critical illness, accident and hospital coverage; a 401(k) retirement plan with pre-tax and Roth contributions; life insurance; short- and long-term disability; a Health Spending Account; transportation benefits; an Employee Assistance Program; and time off or leave, including PTO, vacation or sick leave. Eligibility and availability depend on job classification, length of employment, and applicable plan or program terms.

Requirements

At least 2 years of relevant Emergency Department experience, preferably in ED diagnosis coding or ED facility charge capture, depending on the assigned function.
Demonstrated experience in Emergency Department coding or charge capture, including familiarity with ED workflows and documentation.
Strong proficiency in ICD-10-CM diagnosis coding for facility-side Emergency Department encounters.
For ED charge capture assignments, experience with CPT coding for ED services, particularly injections, infusions, and bedside procedures.
Prior ED charge capture or facility coding experience, with a strong preference for direct experience with ED facility levels and bedside procedure charging.
Understanding of facility-based Emergency Department charging principles and workflows.
Experience working with Epic work queues, including single-item coding queues and charge review queues.
Ability to work independently in a high-volume, production-driven environment and consistently meet defined productivity and accuracy metrics.
Ability to meet applicable productivity targets, such as 10 charts per hour for ED coding and 15 charts per hour for ED treat-and-release charge capture.
Ability to meet or exceed 95% coding and charging accuracy standards.
Effective written and verbal communication skills, including clear documentation in Epic and timely communication of questions or issues.
Ability to remain accessible and responsive via Teams and email during working hours.
Comfort with defined productivity and accuracy metrics and a structured performance framework.

Nice To Haves

Professional coding credentials such as CPC, COC, CCS, or CCS-P; CCA has been accepted previously and may be considered.
Prior ED charge capture experience, especially with injections and infusions.
Experience identifying and coding ED bedside procedures, including incision and drainage, laceration repair, foreign-body removal, fracture reduction, splinting, nebulizer treatments, vaccine administration, intubation, and chest tube placement.
Experience with ED facility-level review and validation, including use of Optum Lynx.
Epic experience, particularly with ED coding and charge review queues.
Optum Lynx experience for ED facility-level and injection/infusion calculations.
Familiarity with 3M or Solventum encoders and computer-assisted coding tools.
Experience using Epic Charge Navigator for bedside procedure charging.
Ability to work remotely in a self-directed manner without significant day-to-day management.
Strong attention to detail and analytical skills when reviewing medical necessity and CCI edits.
Comfort working in a large, complex health system with standardized workflows and centralized operations.

Responsibilities

Work within centralized Epic work queues to support Emergency Department encounters across multiple hospital sites.
For ED coding, process assigned encounters through an Epic single-item work queue in priority order, typically starting with the oldest and highest-dollar accounts.
Assign accurate ICD-10-CM diagnosis codes for ED encounters in accordance with facility-specific guidelines and departmental standards.
Perform limited procedure coding for ED patients who undergo operating room or endoscopy procedures but are ultimately discharged from the ED.
Review and address medical necessity and CCI edits, research encounters as needed, and document findings in Epic account activity notes when appropriate.
Use 3M/Solventum computer-assisted coding with Code Confidence to support diagnosis coding.
Meet ED coding production and quality standards, including approximately 10 charts per hour and at least 95% total code accuracy.
Remain available and responsive through Teams and email during working hours, communicating questions, issues, or productivity barriers.
Adhere to the defined scope of facility-side coding and avoid professional/provider coding, ED facility leveling, injection and infusion charging, routine ED bedside procedure charge capture, observation charge capture, and downstream claim edits handled by other teams.
For ED charge capture, work Epic charge review queues across multiple sites, including separate queues for ED treat-and-release, ED-to-inpatient, and ED-to-observation encounters.
Review ED encounters to ensure appropriate facility charges are captured accurately and completely.
Review and validate ED facility levels to ensure they are supported by documentation and applied consistently.
Review and charge ED injections and infusions using appropriate CPT coding and facility charging rules.
Identify and code ED bedside procedures, including incision and drainage, laceration repair, foreign-body removal, fracture reduction, splinting, nebulizer treatments, vaccine administration, intubation, and chest tube placement.
Distinguish simple, intermediate, and complex laceration repairs to avoid overcharging or undercharging.
Use Optum Lynx for ED facility-level determination and injection/infusion calculations.
Use Epic Charge Navigator to capture and validate ED bedside procedure charges.
Use a standalone 3M encoder and appropriate coding references to support CPT coding and charge capture.
Review inpatient and observation encounters with attention to admit-order timing and the appropriate charging period, ensuring charges align with the correct phase of care.
Meet ED charge capture production and quality standards, including approximately 15 charts per hour for treat-and-release encounters and 10 charts per hour for inpatient and observation queues, while maintaining at least 95% accuracy.
Remain accessible through Teams and email during scheduled hours and promptly communicate questions, issues, or unusual encounter scenarios.
Work independently and efficiently in a high-volume, production-driven environment while maintaining quality, accuracy, and compliance.
Support centralized Emergency Department revenue cycle operations across multiple hospitals and adapt to standardized workflows, documentation expectations, and performance metrics.

Benefits

Medical insurance
Dental insurance
Vision insurance
Critical illness coverage
Accident coverage
Hospital coverage
401(k) retirement plan with pre-tax and Roth post-tax contributions
Life insurance, including voluntary Life and AD&D for the employee and dependents
Short- and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time off or leave, including PTO, vacation or sick leave