Facility Medical Coder

TEKsystems•Atlanta, GA

1d•$22 - $28•Remote

About The Position

Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool. Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture. Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements. Review accounts for appropriate assignment of procedural services and injections/infusions when applicable. Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs. Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding policies. Participate in coding quality reviews, audits, educational initiatives, and process improvement activities. Remain current on coding updates, reimbursement changes, and regulatory requirements affecting emergency department facility coding. Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues.

Requirements

Knowledge of the ACEP tool.
Knowledge of official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.
Knowledge of Medicare, Medicaid, commercial payer, and organizational coding policies.

Responsibilities

Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.
Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool.
Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture.
Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.
Review accounts for appropriate assignment of procedural services and injections/infusions when applicable.
Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs.
Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding policies.
Participate in coding quality reviews, audits, educational initiatives, and process improvement activities.
Remain current on coding updates, reimbursement changes, and regulatory requirements affecting emergency department facility coding.
Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues.