> Markdown version of [/jobs/ext/4690168-ed-charge-capture-coder](https://www.wearedevelopers.com/jobs/ext/4690168-ed-charge-capture-coder). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # ED Charge Capture Coder - **Company:** TEKSYSTEMS INC. - **Location:** Houston, TX, United States (Remote available) - **Experience:** Experienced - **Salary:** $62,400 - $70,720 - **Contract:** Temporary contract - **Skills:** Computer Programming, Lynx - **Published:** November 12, 2026 - **Apply:** https://dejobs.org/x/x/08575F8BAC4140B18B3A949D0A6E4A0F/job/ ## About the Role * Minimum of 2 years of relevant Emergency Department experience, preferably in ED diagnosis coding or ED facility charge capture, depending on the assigned function. * Demonstrated experience in Emergency Department coding or charge capture, including familiarity with ED workflows and documentation. * Strong proficiency in ICD-10-CM diagnosis coding for facility-side Emergency Department encounters. * Experience with CPT coding for Emergency Department services, particularly for injections, infusions, and bedside procedures, for candidates supporting the ED charge capture function. * Prior ED charge capture or facility coding experience, with a strong preference for candidates who have worked directly with ED facility levels and ED bedside procedure charging. * Understanding of facility-based Emergency Department charging principles and workflows. * Experience working within Epic work queues, including navigating single-item queues and charge review queues. * Ability to work independently in a high-volume, production-driven environment while consistently meeting defined productivity and accuracy metrics. * Strong productivity orientation, with the ability to maintain targets such as 10 charts per hour for ED coding and 15 charts per hour for ED treat-and-release charge capture, as applicable. * Strong quality and accuracy orientation, with the ability to meet or exceed 95% coding and charging accuracy standards. * Effective written and verbal communication skills, including the ability to document findings clearly in Epic and communicate questions or issues promptly. * Ability to remain accessible and responsive via Teams and email during working hours. * Comfort with being measured against defined productivity and accuracy metrics and operating within a structured performance framework. Additional Skills and Qualifications * Professional coding credentials such as CPC, COC, CCS, or CCS-P are strongly preferred and accepted for this role. * CCA certification has been accepted previously and may be considered. * Prior Emergency Department charge capture experience, particularly with injections and infusions, is especially valuable. * Experience identifying and coding ED bedside procedures, including incision and drainage, laceration repair, foreign-body removal, fracture reduction, splinting, nebulizer treatments, vaccine administration, intubation, and chest tube placement. * Experience with ED facility-level review and validation, including the use of tools such as Optum Lynx. * Epic experience, particularly with ED coding and charge review queues, is preferred. * Experience with Optum Lynx for ED facility-level and injection/infusion calculations is a plus. * Familiarity with 3M or Solventum encoders and computer-assisted coding tools is helpful. * Experience using Epic Charge Navigator for bedside procedure charging is beneficial. * Demonstrated ability to work remotely in a self-directed manner without requiring significant day-to-day management. * Strong attention to detail and analytical skills when reviewing medical necessity and CCI edits. * Comfort working within a large, complex health system environment with standardized workflows and centralized operations., * Preferred/accepted credentials discussed: * CPC * COC * CCS * CCS-P * CCA has been accepted previously * ED Charge Capture Candidates * Prior ED charge capture or facility coding experience strongly preferred * Injection and infusion experience is especially valuable * CPT coding knowledge * Experience identifying and coding ED bedside procedures * Understanding of facility-based ED charging * Epic experience preferred * Optum Lynx experience is a plus * 3M encoder experience is helpful * Strong productivity and quality orientation * Able to work independently in a high-volume environment * Strong communication skills * Must remain accessible through Teams/email during working hours * Must be comfortable being measured against defined productivity and accuracy metrics ## Description This fully remote contract role supports Emergency Department operations for a large, multi-hospital health system by performing facility-side coding and charge capture. The position encompasses two distinct but closely related functions: ED Coding, which focuses primarily on diagnosis coding within Epic work queues, and ED Charge Capture, which focuses on CPT-based facility charging, injections and infusions, and ED bedside procedures. You will work in a high-volume, production-driven environment using Epic, 3M/Solventum, and Optum Lynx to ensure accurate, compliant, and timely coding and charging for Emergency Department encounters., * Work within centralized Epic work queues to support Emergency Department encounters across multiple hospital sites. * For the ED Coder function, process assigned ED encounters through an Epic single-item work queue in priority order, typically starting with the oldest and highest-dollar accounts. * Assign accurate ICD-10-CM diagnosis codes for Emergency Department encounters, following facility-specific coding guidelines and departmental standards. * Perform limited procedure coding when ED patients undergo operating room or endoscopy procedures but are ultimately discharged from the Emergency Department, such as appendectomies or EGD procedures. * Review and address medical necessity and CCI edits that appear during coding, researching the encounter as needed and documenting findings in Epic account activity notes when appropriate. * Utilize 3M/Solventum computer-assisted coding with Code Confidence to support accurate and efficient diagnosis coding. * Consistently meet established production and quality standards for ED coding, including a target of approximately 10 charts per hour and at least 95% total code accuracy. * Maintain availability and responsiveness through Teams and email during working hours, proactively communicating questions, issues, or barriers to productivity. * Adhere strictly to the defined scope of facility-side coding, avoiding professional/provider coding, ED facility leveling, injection and infusion charging, routine ED bedside procedure charge capture, observation charge capture, and downstream claim edits handled by other teams. * For the ED Charge Capture function, work ED charge review queues within Epic across multiple sites, supporting separate queues based on patient disposition, including ED treat-and-release, ED-to-inpatient, and ED-to-observation. * Review Emergency Department encounters to ensure that all appropriate facility charges have been captured accurately and completely. * Review and validate ED facility levels, ensuring that levels are supported by documentation and applied consistently. * Review and charge injections and infusions provided in the Emergency Department, using appropriate CPT coding and facility charging rules. * Identify and code ED bedside procedures, including but not limited to incision and drainage, laceration repair, foreign-body removal, fracture reduction, splinting, nebulizer treatments, vaccine administration, intubation, and chest tube placement. * Apply a clear understanding of distinctions such as simple, intermediate, and complex laceration repairs to prevent overcharging or undercharging. * Use Optum Lynx for ED facility-level determination and injection/infusion calculation to ensure accurate facility charging. * Use Epic Charge Navigator to capture and validate bedside procedure charges within the Emergency Department. * Utilize a standalone 3M encoder and appropriate coding references as needed to support accurate CPT coding and charge capture. * Review inpatient and observation encounters with attention to admit-order timing and the appropriate charging period, ensuring that facility charges align with the correct phase of care. * Meet production and quality standards for ED charge capture, including a target of approximately 15 charts per hour for ED treat-and-release encounters and 10 charts per hour for inpatient and observation queues, while maintaining at least 95% accuracy. * Remain accessible and responsive through Teams and email during scheduled hours, promptly communicating questions, issues, or unusual encounter scenarios. * Work independently and efficiently in a high-volume, production-driven environment with minimal day-to-day supervision, while maintaining a strong focus on quality, accuracy, and compliance. * Support a centralized Emergency Department revenue cycle workflow across multiple hospitals, adapting to standardized processes, documentation expectations, and performance metrics., This role is 100% remote and supports a centralized Emergency Department revenue cycle operation for a multi-hospital health system. Work is primarily performed during regular business hours aligned with Eastern Time, with a strong preference for a MondayFriday day shift schedule such as 8:00 a.m. to 4:30 p.m. Eastern. Weekend work is not required, although consultants who prefer weekend hours may have some flexibility. The internal Emergency Department operation provides 365-day coverage, but consultants are not expected to cover the full schedule. You will work in a high-volume, production-driven environment that relies heavily on Epic for coding and charge review, including Epic work queues and Charge Navigator, supported by tools such as 3M/Solventum computer-assisted coding, standalone 3M encoders, and Optum Lynx for facility-level and injection/infusion calculations. Responsiveness via Teams and email during working hours is very important, and the environment is designed for professionals who are relatively self-sufficient and comfortable working with minimal day-to-day management while meeting defined productivity and quality metrics. Dress code is typical for a professional remote setting and is generally determined by personal preference unless participating in video meetings or client-facing interactions.