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Certified Medical Coding Specialist – Emergency Department
Elliot HospitalCoding Specialist for Emergency Department at Southern NH Health responsible for accurate coding of medical records. Collaborating with providers and clinical staff to optimize reimbursement and compliance.
About the role
Key responsibilities & impact- Review and analyze Emergency Department clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for professional and facility components
- Assign appropriate ED Evaluation & Management (E/M) levels using current medical decision-making and/or time-based guidelines
- Code ED procedures, including injections, infusions, laceration repairs, splinting, and other emergency services
- Apply modifiers, units, NCCI edits, and payer-specific billing rules to ensure compliant charge capture
- Validate documentation completeness and initiate provider queries when clarification is required
- Serve as a subject matter expert in ED-specific coding and reimbursement methodologies
- Collaborate with providers, clinical teams, CDI, and revenue cycle partners to resolve coding and documentation issues
- Abstract and enter coded data into Epic and other coding/billing systems within established turnaround times
- Monitor trends in documentation quality, coding accuracy, and denials; communicate findings to leadership
- Maintain productivity and quality benchmarks within ED single-path workflows
- Stay current on regulatory updates, coding guideline changes, and payer requirements
Requirements
What you’ll need- High School diploma or equivalent
- Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC)
- Minimum of two (2) years of Emergency Department coding experience in an acute care hospital setting
- Strong working knowledge of ICD-10-CM, CPT, and HCPCS coding systems
- Understanding of ED reimbursement methodologies, including APCs, RVUs, and payer edits
- Proficiency with Epic and encoder/coding software
- Strong analytical, organizational, and communication skills
- Ability to work independently while meeting productivity and accuracy standards
- Commitment to confidentiality, HIPAA compliance, and ethical coding practices
- Associate degree in Health Information Management or related field (preferred)
- Additional HIM certifications (RHIT, RHIA) (preferred)
Benefits
Comp & perks- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Medical, dental, and vision coverage
- Life insurance
- Short- and long-term disability
- Flexible Spending Accounts (FSA)
- Competitive pay
- Tuition Reimbursement
- Nursing Student Loan Paydown Program
- 403(b) Retirement Savings Plan
- Education & paid training courses for continued career progression & so much more!
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingCPT codingHCPCS codingED Evaluation & Management (E/M) codingmodifier applicationNCCI editscharge capturecoding accuracydocumentation validationcoding methodologies
Soft Skills
analytical skillsorganizational skillscommunication skillsindependenceattention to detailproblem-solvingcollaborationleadershiptime managementconfidentiality
Certifications
Certified Coding Specialist (CCS)Certified Outpatient Coder (COC)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)