QA - Medical Coding

Key Responsibilities Perform quality audits of Emergency Department coding to ensure accurate assignment of: ICD-10-CM diagnosis codes CPT and HCPCS procedure codes E/M levels based on Medical Decision Making (MDM) guidelines Appropriate modifiers in accordance with coding guidelines and payer requirements. Review coded encounters for compliance with: AMA CPT guidelines CMS regulations NCCI edits Payer-specific coding requirements Validate the appropriate application of MDM components including: Number and complexity of problems addressed Amount and complexity of data reviewed Risk of complications and/or morbidity Identify coding trends, documentation deficiencies, and compliance risks through routine audits. Provide detailed and constructive feedback to coders regarding coding accuracy, productivity, and documentation opportunities. Conduct one-on-one and group feedback sessions to improve coding quality and consistency. Collaborate with Coding Leadership, Educators, Physicians, and Operational Teams to address coding issues and improve overall coding performance. Monitor coding quality metrics and prepare audit reports, scorecards, and trend analyses. Participate in root cause analysis for coding errors and implement corrective action plans. Assist in developing coding guidelines, audit tools, educational materials, and standard operating procedures. Support internal and external audit activities and respond to coding-related inquiries. Educate coders and providers on documentation requirements supporting accurate code assignment and E/M level selection. Stay current with: ICD-10-CM updates CPT and HCPCS changes CMS guidelines AMA E/M revisions ED-specific payer requirements Qualifications Certification in Medical Coding: CPC, COC, CCS, CIC, or equivalent preferred Minimum 3 years of Emergency Department coding experience. Minimum 1-2 years of coding quality review, auditing, mentoring, or senior coding experience preferred. Strong understanding of: Emergency Department workflows MDM-based E/M coding guidelines ICD-10-CM, CPT, and HCPCS coding systems Experience reviewing provider documentation and identifying documentation improvement opportunities. Strong knowledge of coding compliance, regulatory requirements, and payer guidelines. Excellent analytical and problem-solving skills. Strong communication and coaching abilities. High attention to detail and quality-focused mindset. Preferred Skills Experience performing coding audits and quality assurance reviews. Ability to mentor and provide actionable feedback to coding teams. Experience with audit scorecards, accuracy tracking, and quality reporting. Strong understanding of NCCI edits, LCD/NCD guidelines, and payer-specific reimbursement requirements. Proficiency in coding software, audit tools, encoder systems, and EHR platforms. Ability to identify coding trends and recommend process improvements. Strong organizational and time-management skills. Ability to work independently while collaborating effectively with cross-functional teams. Commitment to continuous learning and professional development.