Facility-Fee Emergency Department Medical Coder

Sutherland

. Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers .

Posted 11/10/2026full-timeRemote • New Jersey • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10-CM coding, CPT/HCPCS coding, and facility fee coding specific to Emergency Department services. Maintains compliance with coding regulations and collaborates effectively with coding leadership and auditors to ensure accurate charge capture and documentation.

Highest-signal resume keywords

ICD-10-CM CodingCPT/HCPCS CodingEmergency Department Leveling MethodologiesAAPC or AHIMA Coding CertificationInjection and Infusion Coding Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Facility Fee CodingOutpatient Reimbursement RegulationsCoding Quality ReviewsDocumentation AnalysisCharge Capture

Soft Skills

Independent WorkEffective Communication

Tools & Technologies

EpicACEP Tool

Certifications & Qualifications

AAPC Coding CertificationAHIMA Coding Certification

Industry Keywords

CMS RegulationsNational Correct Coding Initiative (NCCI)Medicare ComplianceMedicaid ComplianceCommercial Payer Policies

About the role

Key responsibilities & impact

Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers
Assign facility Evaluation and Management (E/M) levels according to client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool
Analyze nursing, physician, ancillary, diagnostic, and charging documentation for complete code assignment and charge capture
Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements
Review accounts for procedural services and injections/infusions
Identify documentation deficiencies and communicate coding clarification needs through appropriate channels
Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding policies
Participate in coding quality reviews, audits, educational initiatives, and process improvement activities
Remain current on coding updates, reimbursement changes, and regulatory requirements
Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues

Requirements

What you’ll need

At least 2+ years of relevant facility-fee outpatient coding experience, specifically in Emergency Department services
Injection and Infusion experience required
Active AAPC or AHIMA coding certification required
Proven ability to work independently and efficiently in a remote environment
Epic experience strongly preferred
Other facility-fee and physician-fee medical coding experience a plus
Strong knowledge of facility fee coding, emergency department leveling methodologies, and outpatient reimbursement regulations