[Hiring] Certified Medical Coding Specialist, HB – Emergency Department @SolutionHealth

Role Description

The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing and analyzing Emergency Department medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes for both professional and facility services. This role supports compliant, timely, and optimized reimbursement through a single-path ED coding workflow while ensuring adherence to official coding guidelines, regulatory requirements, and payer-specific rules. The position collaborates closely with Emergency Department providers, clinical staff, CDI, and revenue cycle partners.

• 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

Qualifications

• 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

Requirements

• Associate degree in Health Information Management or related field (Preferred)
• Additional HIM certifications (RHIT, RHIA) (Preferred)

Benefits

• 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!