设施费急诊科医疗编码员
Facility-Fee Emergency Department Medical Coder
关于Sutherland
人工智能。自动化。云工程。高级分析。对商业领袖而言，这些是成功的关键因素。对我们而言，它们是我们核心的专业技能。
我们与全球知名品牌合作。我们通过领先的科技和卓越的业务流程，为他们带来独特的价值主张。
我们在人工智能和其他关键技术领域下，创造了200多项独特的发明，并获得了多项专利。借助我们先进的产品和平台，我们推动数字化转型，优化关键业务运营，重塑体验，开创新解决方案，所有服务均通过无缝的“按服务计费”模式提供。
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Sutherland
释放数字表现力。实现可衡量的结果。
设施费急诊科医疗编码员负责准确审查、提取和分配急诊科（ED）设施就诊的ICD-10-CM、CPT、HCPCS、特定设施收费方法以及适用的修饰符。该职位确保编码准确性、法规合规性、适当的报销以及对客户特定的编码指南、付款人要求和行业标准的遵守。
编码员将审查临床记录、急诊科记录、医生记录、护理记录、辅助报告和收费信息，以准确捕捉急诊科就诊期间提供的设施服务。该职位需要对设施费编码、急诊科分级方法和门诊报销法规有深入了解。
主要职责和责任
· 审查急诊科医疗记录，分配准确的ICD-10-CM诊断代码、CPT/HCPCS程序代码和适用的修饰符。
· 根据客户特定的急诊科分级指南和设施收费方法，准确分配设施评估与管理（E/M）级别，包括对ACEP工具的了解。
· 分析护理人员、医生、辅助部门和诊断服务的文档，以确保完整的代码分配和收费捕获。
· 应用官方的设施费编码规则和相关法规。
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About Sutherland
Artificial Intelligence. Automation.Cloud engineering. Advanced analytics.For business leaders, these are key factors of success. For us, they’re our core expertise.
We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.
We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model.
For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA.We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.
Sutherland
Unlocking digital performance. Delivering measurable results.
The Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. This role ensures coding accuracy, regulatory compliance, appropriate reimbursement, and adherence to client-specific coding guidelines, payer requirements, and industry standards.
The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits. The position requires strong knowledge of facility fee coding, emergency department leveling methodologies, and outpatient reimbursement regulations.
Essential Duties and Responsibilities
· Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.
· Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool.
· Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure 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 appropriate assignment of procedural services and injections/infusions when applicable.
· Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs.
· 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 affecting emergency department facility coding.
· Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues.
To qualify you must possess:
· 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
All your information will be kept confidential according to EEO guidelines.
EEOC and Veteran Documentation
During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.