Key Responsibilities
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Review and analyze patient medical records, physician notes, and clinical documentation.
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Assign accurate ICD-10-CM, CPT, and HCPCS codes based on established coding guidelines.
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Ensure coding accuracy and compliance with payer, client, and regulatory requirements.
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Meet established productivity and quality benchmarks.
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Identify documentation gaps and initiate provider queries when necessary.
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Support denial analysis and provide coding-related clarification to revenue cycle teams.
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Stay updated on coding regulations, payer policies, and industry changes.
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Participate in internal audits and quality assurance initiatives.
Qualifications
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Active CPC, CCS, or equivalent coding certification preferred.
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Graduate of a Medical Allied course (e.g., Nursing, Medical Technology, Pharmacy, Physical Therapy) is an advantage.
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At least 1–3 years of Emergency Department (ED) medical coding experience (level dependent).
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Strong understanding of Revenue Cycle Management processes.
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Familiarity with EMR/EHR systems and coding platforms.
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Strong analytical skills with high attention to detail.
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Ability to work in a fast-paced, performance-driven environment.
Preferred Experience
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Experience supporting US healthcare accounts (payer or provider).
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Exposure to inpatient, outpatient, emergency department, or specialty coding.
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Background in denial management or audit support is a plus.