Medical Coder

Responsibilities:



* Review and analyze ED medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for E/M services, procedures, and diagnoses.


* Apply Medical Decision Making (MDM) table guidelines to determine the correct E/M level for ED visits.


* Ensure coding compliance with federal, state, and payer-specific regulations.


* Collaborate with ED physicians / clinical staff / internal team to resolve coding discrepancies and documentation gaps.


* Educate providers on documentation requirements for MDM components (number of diagnoses, data review, risk assessment).


* Conduct ED-specific coding audits and provide actionable feedback to improve accuracy and compliance.


* Stay updated on CMS guidelines, AMA CPT updates, and payer-specific ED coding policies.

Qualifications:



* Certification in medical coding (CPC, COC, CCS, or equivalent).


* Minimum 3 years of experience in Emergency Department coding.


* Strong understanding of MDM table application for E/M coding.


* Thorough knowledge of ICD-10, CPT, and HCPCS coding systems.


* Strong knowledge of medical terminology, anatomy, and ED workflows.


* Exceptional attention to detail and accuracy.


* Excellent communication and interpersonal skills.

Preferred Skills:



* Ability to work independently and collaboratively within a team.


* Proficiency in coding software and EHR systems.


* Strong analytical and problem-solving skills.


* Ability to interpret payer guidelines and NCCI edits.


* Commitment to continuous learning and professional development.