Coding Specialist - Hospital Based, Emergency DepartmentSouthern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center, a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet designation for nursing excellence, we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.About the JobThe 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.What You’ll DoReview and analyze Emergency Department clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for professional and facility componentsAssign appropriate ED Evaluation & Management (E/M) levels using current medical decision-making and/or time-based guidelinesCode ED procedures, including injections, infusions, laceration repairs, splinting, and other emergency servicesApply modifiers, units, NCCI edits, and payer-specific billing rules to ensure compliant charge captureValidate documentation completeness and initiate provider queries when clarification is requiredServe as a subject matter expert in ED-specific coding and reimbursement methodologiesCollaborate with providers, clinical teams, CDI, and revenue cycle partners to resolve coding and documentation issuesAbstract and enter coded data into Epic and other coding/billing systems within established turnaround timesMonitor trends in documentation quality, coding accuracy, and denials; communicate findings to leadershipMaintain productivity and quality benchmarks within ED single-path workflowsStay current on regulatory updates, coding guideline changes, and payer requirementsWho You Are / RequirementsRequiredHigh School diploma or equivalentCertified Coding Specialist (CCS) or Certified Outpatient Coder (COC)Minimum of two (2) years of Emergency Department coding experience in an acute care hospital settingStrong working knowledge of ICD-10-CM, CPT, and HCPCS coding systemsUnderstanding of ED reimbursement methodologies, including APCs, RVUs, and payer editsProficiency with Epic and encoder/coding softwareStrong analytical, organizational, and communication skillsAbility to work independently while meeting productivity and accuracy standardsCommitment to confidentiality, HIPAA compliance, and ethical coding practicesPreferredAssociate degree in Health Information Management or related fieldAdditional HIM certifications (RHIT, RHIA)Why You’ll Love UsSouthern NH Medical Center is a 5-time Magnet designated hospitalHealth, dental, prescription, and vision coverage for full-time & part-time employeesMedical, dental, and vision coverageLife insuranceShort- and long-term disabilityFlexible Spending Accounts (FSA)Competitive payTuition ReimbursementNursing Student Loan Paydown Program403(b) Retirement Savings PlanEducation & paid training courses for continued career progression& so much more!