ED Facility & Pro Coder (Houlton)

Job Description

We are seeking Medical with at least three years of experience. The Inpatient Coder will be responsible for reviewing hospital patient medical records and assigning accurate diagnostic or procedural codes (ICD-10-CM/PCS, DRGs) to ensure proper reimbursement, accurate data for reporting, and compliance with healthcare regulations.

Key responsibilities:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Submit necessary provider queries to resolve documentation discrepancies.
• Perform quality assessment of records, including verification of medical record documentation.
• Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
• Abstracts and assigns the appropriate ICD-10-CM/PCS codes for all diagnoses and procedures performed in the outpatient and inpatient settings as applicable.

Skills and Requirements

• 3+ years of recent Emergency Department (ED) coding experience
• Strong ED Facility and ED Professional Fee (ProFee) coding
• Experience coding inpatient observations.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines
• Experience working coding edits, denials, and documentation review preferred
• Strong communication skills and professionalism

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.