ED Coder

TEKsystems•Houston, TX
•$30 - $34•Remote

About The Position

The Emergency Department Coder reviews and codes ED encounters through a centralized Epic work queue. The role primarily focuses on ICD-10-CM diagnosis coding and accurate code assignment in accordance with organizational policies, coding guidelines, regulatory standards, and departmental requirements. It also includes limited procedure coding for ED patients who undergo procedures such as surgeries or endoscopies and are discharged from the ED. The coder reviews medical necessity and CCI edits, researches and resolves coding edits, and documents findings in patient accounts when appropriate. The role uses computer-assisted coding technology and encoder tools, and requires communication with team members and leadership about coding questions, workflow concerns, and account issues. Candidates must work independently in a high-volume environment and meet defined productivity and accuracy expectations. This is a contract position based in Houston, Texas, and is described as fully remote. The posting lists pay of $30.00–$34.00 per hour.

Requirements

  • Strong ICD-10-CM diagnosis coding experience.
  • Ability to work independently while meeting production and accuracy requirements.
  • Strong productivity and quality orientation.
  • Ability to work independently in a high-volume environment.
  • Strong communication skills.
  • Comfort with being measured against defined productivity and accuracy metrics.
  • Must remain accessible through Teams or email during working hours.

Nice To Haves

  • Two or more years of ED coding experience preferred.
  • Epic experience preferred.
  • 3M/Solventum experience strongly preferred.
  • Credentials discussed as preferred or accepted include CPC, COC, CCS, CCS-P, and CCA; RHIT eligibility must be confirmed by Sentara.
  • For ED charge capture candidates: prior ED charge capture or facility coding experience, injection and infusion experience, CPT coding knowledge, experience identifying and coding ED bedside procedures, and understanding of facility-based ED charging.
  • Optum Lynx experience is a plus.
  • 3M encoder experience is helpful.

Responsibilities

  • Review and code Emergency Department encounters through an Epic work queue.
  • Assign accurate ICD-10-CM diagnosis codes for ED visits.
  • Process encounters according to established priority guidelines, including aged and high-dollar accounts.
  • Perform limited procedure coding for ED patients who undergo procedures such as surgeries or endoscopies and are discharged from the ED.
  • Review medical necessity and CCI edits encountered during coding.
  • Research and resolve coding edits, documenting findings within patient accounts when appropriate.
  • Apply facility coding guidelines and departmental standards to ensure compliance.
  • Use computer-assisted coding technology and encoder tools to support coding accuracy.
  • Communicate with team members and leadership about coding questions, workflow concerns, and account issues.
  • Remain accessible through Teams or email during working hours and meet defined productivity and accuracy metrics.

Benefits

  • Medical, dental, and vision coverage, subject to eligibility.
  • Critical illness, accident, and hospital coverage, subject to eligibility.
  • 401(k) retirement plan with pre-tax and Roth post-tax contributions, subject to eligibility.
  • Voluntary life and AD&D insurance for the employee and dependents, subject to eligibility.
  • Short- and long-term disability, subject to eligibility.
  • Health Spending Account (HSA), subject to eligibility.
  • Transportation benefits, subject to eligibility.
  • Employee Assistance Program, subject to eligibility.
  • Time off or leave, including PTO, vacation, or sick leave, subject to eligibility.
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