Job Description

Emergency Department Facility Coder

Position Summary

The Emergency Department Facility Coder is responsible for reviewing and analyzing emergency department medical records to accurately assign diagnosis, procedure, and facility coding in accordance with ICD-10-CM, CPT, HCPCS, and regulatory guidelines. This role supports accurate reimbursement, charge capture, compliance, and data integrity while ensuring adherence to client-specific coding and billing requirements.

Key Responsibilities

• Review emergency department medical records and accurately assign ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers.
• Assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including utilization of the ACEP E/M tool.
• Analyze clinical documentation from physicians, nursing staff, ancillary departments, and diagnostic services to ensure complete and accurate code assignment and charge capture.
• Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements.
• Review procedural services, injections, and infusions to ensure accurate coding and billing when applicable.
• Identify documentation gaps or deficiencies and communicate coding clarification needs through established channels.
• Maintain compliance with Medicare, Medicaid, commercial payer, and organizational coding policies and procedures.
• Participate in coding audits, quality assurance reviews, educational initiatives, and process improvement activities.
• Stay informed on coding updates, reimbursement changes, and regulatory requirements impacting emergency department facility coding.
• Collaborate with coding leadership, auditors, and client stakeholders to resolve coding-related questions and ensure coding accuracy.

Required Skills

• Emergency Department Facility Coding
• ICD-10-CM Coding
• CPT and HCPCS Coding
• Evaluation & Management (E/M) Coding
• Epic Electronic Health Record (EHR)
• Charge Capture and Revenue Cycle Processes
• Regulatory Compliance and Documentation Review
• CMS and NCCI Guidelines

Qualifications

• Experience coding emergency department facility records.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Familiarity with ACEP emergency department leveling guidelines and facility E/M coding methodologies.
• Working knowledge of CMS regulations, NCCI edits, and payer requirements.
• Proficiency using Epic or comparable electronic health record systems.
• Strong analytical, organizational, and communication skills.
• Ability to maintain coding accuracy, productivity, and compliance in a fast-paced healthcare environment.

Preferred Certifications:

• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Certified Emergency Department Coder (CEDC) preferred but not required.

This is a Contract position based out of Phoenix, AZ.

The pay range for this position is $22.00 - $28.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Sep 19, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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