31 Jul
|
CorroHealth
|
Noida
Roles & Responsibilities An ED Facility Medical Coder is responsible for reviewing Emergency Department (ED) documentation and accurately assigning medical codes for facility billing, reimbursement, compliance, and reporting purposes.
Key Responsibilities:
1. Medical Coding & Charge Capture
- Review Emergency Department medical records, physician notes, nursing documentation, diagnostic reports, and treatment records.
- Assign accurate ICD-10-CM, CPT/HCPCS, and facility-specific codes based on documented services.
- Determine appropriate ED Evaluation & Management (E/M) facility levels according to organizational guidelines.
- Ensure accurate coding of diagnoses, procedures, treatments, medications, and ancillary services.
1. Documentation Review
- Analyze clinical documentation for completeness, specificity, and medical necessity.
- Identify missing, incomplete, or conflicting documentation.
- Query providers and clinical staff when clarification is required for accurate code assignment.
1. Compliance & Quality Assurance
- Maintain compliance with CMS, Medicare, Medicaid, HIPAA, and payer-specific regulations.
- Follow AHIMA, AAPC, and official coding guidelines.
- Ensure coding accuracy to minimize compliance risks and audit findings.
- Participate in internal and external coding audits.
1. Revenue Cycle Support
- Support accurate and timely claim submission.
- Identify coding-related denials and assist in denial resolution.
- Work closely with billing, revenue cycle, CDI, and clinical teams to improve reimbursement accuracy.
- Monitor coding edits and ensure appropriate claim corrections.
1. Productivity & Performance
- Meet established productivity and quality benchmarks.
- Maintain turnaround times for coding Emergency Department encounters.
- Track and report coding trends, errors, and opportunities for improvement.
1. Medical Record Analysis
- Review:
- ED physician documentation
- Nursing assessments
- Triage notes
- Laboratory results
- Radiology reports
- Medication administration records
- Procedures performed in the
1. Continuous Learning
- Stay current with annual ICD-10-CM, CPT, and HCPCS updates.
- Attend coding education sessions and training programs.
- Keep certifications active and maintain continuing education requirements.
Required Skills
- Robust knowledge of Emergency Department coding guidelines.
- Expertise in ICD-10-CM, CPT, HCPCS, and E/M coding.
- Understanding of medical terminology, anatomy, physiology, and pharmacology.
- Familiarity with EMR/EHR systems and encoder software.
- Strong analytical, communication, and attention-to-detail skills.
- Ability to work independently while maintaining high coding accuracy.
Preferred Qualifications
- CPC, CCS, CCA, CIC, or equivalent coding certification.
- Experience in Emergency Department/Facility Coding.
- Knowledge of UB-04 billing and facility reimbursement methodologies.
- Familiarity with coding audits, denial management, and compliance standards.
Interested candidates can call HR Harshita - (phone hidden), HR Ranu - (phone hidden)
📌 ED Facility Medical Coder (Noida)
🏢 CorroHealth
📍 Noida