Emergency Department Coder

Who We Are

Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking. We are seeking an experienced Emergency Department Coder to support our continued growth and commitment to deliver exceptional client outcomes.

 

Why Join Us?

• Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.

• Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.

• A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.

• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.

 

The Role:

Your Mission: As our next Emergency Department Coder you will play a key role in ensuring accurate and compliant medical coding practices by assigning and sequencing diagnoses and procedure codes in accordance with official ICD-10-CM/PCS guidelines. You will review medical records for completeness, accuracy, and compliance, and collaborate with providers to obtain clarification or additional documentation when information is incomplete, conflicting, or ambiguous regarding reportable conditions, procedures, or other critical data elements such as present on admission indicators. You will also stay current on coding standards and industry best practices through ongoing professional development and continuing education.

 

What You’ll Do Day-to-Day:

• Accurately assign ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes for Emergency Department services, including both technical and professional components, observation services, outpatient surgery, and specialty outpatient areas such as oncology, interventional radiology, and cardiology.

• Ensure all codes are correctly selected and sequenced in alignment with applicable government regulations, payer requirements, and industry coding guidelines.

• Review clinical documentation and communicate with providers through compliant queries to resolve incomplete, unclear, or conflicting information.

• Work independently while maintaining accuracy, productivity, and adherence to coding standards.

• Identify, interpret, and resolve coding edits and bill holds to support clean claim submission.

• Maintain flexibility to support additional related duties as needed in a dynamic environment.

 

Who You Are & What You’ll Bring:

• Education: Associate degree in health information technology or related field is preferred.

• Certifications: Certification from either AHIMA or AAPC is required.

• Proven Track Record: One or more years of hospital coding experience preferred.

• Physical Readiness: The position requires a high degree of mental and visual concentration. No lifting requirements. Requires a long period of sitting, with repetitive motion.