An ED Facility Medical Coder is responsible for reviewing Emergency Department documentation and accurately assigning medical codes for facility billing, compliance, reimbursement, and reporting purposes.

Key Roles & Responsibilities

1. Medical Coding & Charge Capture

- Review Emergency Department patient records, physician notes, nursing documentation, diagnostics, procedures, and treatment details.
- Assign accurate ICD-10-CM, CPT, HCPCS, and facility E/M codes based on official coding guidelines.
- Ensure appropriate charge capture for ED services, procedures, medications, and supplies.

2. Documentation Review

- Analyze medical records for completeness, accuracy, and code assignment.
- Identify missing, incomplete, or inconsistent documentation.
- Query providers when clarification is required to support accurate coding.

3. Emergency Department Facility Coding

- Determine appropriate ED facility levels based on hospital-specific criteria and resource utilization.
- Code emergency procedures such as:
- Laceration repairs
- Fracture care
- Infusions and injections
- Observation services
- Wound care
- ECGs and other ancillary services

4. Compliance & Quality Assurance

- Ensure coding practices comply with:
- ICD-10-CM Official Guidelines
- CPT/HCPCS regulations
- CMS requirements
- Hospital policies and compliance standards

- Maintain coding accuracy and productivity targets.

5. Denial Prevention & Resolution

- Review coding-related claim denials.
- Identify root causes and recommend corrective actions.
- Recode and resubmit claims when necessary to optimize reimbursement.

6. Auditing & Quality Improvement

- Participate in internal and external coding audits.
- Implement audit feedback to improve coding accuracy.




- Monitor coding trends and identify opportunities for process improvement.

7. Collaboration & Communication

- Work closely with:
- Physicians
- ED nursing staff
- Clinical Documentation Improvement (CDI) teams
- Revenue Cycle and Billing departments

- Provide coding guidance and education regarding documentation requirements.

8. Productivity Management

- Meet daily coding productivity standards.
- Prioritize accounts based on discharge dates, payer requirements, and turnaround time goals.
- Maintain coding queues and ensure timely claim submission.

9. Regulatory Updates & Continuous Learning

- Stay current with annual coding updates and healthcare regulations.
- Attend coding education sessions and training programs.
- Maintain coding certifications and continuing education requirements.

Required Skills

- Solid knowledge of ICD-10-CM, CPT, HCPCS Level II coding systems.
- Experience with Emergency Department Facility Coding.
- Understanding of medical terminology, anatomy, physiology, and pharmacology.
- Knowledge of healthcare reimbursement methodologies and billing regulations.
- Proficiency with EHR/EMR systems and encoder software.
- Excellent analytical, organizational, and communication skills.

Preferred Certifications

- CPC (Certified Professional Coder)
- CCS (Certified Coding Specialist)
- CCA (Certified Coding Associate)
- COC (Certified Outpatient Coder)
- CRC (Certified Risk Adjustment Coder) optional

Sample KPI Metrics

- Coding Accuracy: 95%
- Productivity: As per organizational benchmarks
- DNFB (Discharged Not Final Billed) reduction
- Turnaround Time (TAT) compliance
- Denial rate reduction
- Audit score compliance

Interested candidates can share their updated resumes on [email protected] or call on (phone hidden).

📌 Sr. Executive /Executive - ED Facility Medical Coder (Noida)
🏢 CorroHealth
📍 Noida