Medical Coder - Emergency and Hospital Medicine

About Protouch Medical Billing

Protouch Medical Billing, a subsidiary of Protouch Staffing, is a healthcare Revenue Cycle Management (RCM) company built on decades of experience in the healthcare industry. Leveraging deep expertise in healthcare operations, compliance, and patient care, we help healthcare providers optimize their financial performance through tailored RCM solutions. Our experienced team specializes in medical billing, coding, claims management, and compliance, utilizing advanced technology and industry best practices to streamline revenue cycles for healthcare providers ranging from individual clinics to large hospitals.

Position Summary: The Medical Coder assigns accurate diagnosis and procedure codes for emergency medicine and hospital medicine professional services based on provider documentation and applicable coding requirements.

Job Specification & Preferences

• APC - Certification
• Experience in emergency
  
  

Required Experience: 3 to 5 years.

Essential Responsibilities

• Review medical records and provider documentation.
• Assign appropriate ICD-10-CM, CPT, and HCPCS codes.
• Apply applicable modifiers and place-of-service requirements.
• Code emergency medicine or hospital medicine encounters according to assigned scope.
• Identify incomplete, conflicting, or insufficient documentation.
• Submit compliant provider queries through approved channels.
• Resolve coding edits and support coding-related denials.
• Follow official guidance, payer policies, company standards, and client requirements.
• Participate in audits, education, and corrective-action activities.
• Maintain required credentials and continuing education.
  
  

Required Qualifications

• Current CPC, CCS, CCS-P, COC, or an equivalent approved credential
• At least two years of professional coding experience
• Experience in both emergency medicine and hospital medicine
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding guidelines
• Ability to interpret provider documentation accurately
• Strong written English and documentation skills
  
  

Preferred Qualifications

• Experience with coding audits and appeals
• Familiarity with payer edits and medical-necessity issues
• Experience working in an offshore delivery environment
  
  

Key Performance Indicators

• Coding accuracy
• Encounters coded per day
• Turnaround time
• Documentation-query rate and quality
• Coding-related denial rate
• Audit findings by severity
• Credential and education compliance