CAH Coder

Coding Concepts; Gilbert (AZ); Remote; USD 60.000 - 90.000; Vollzeit

Benefits dieser Stelle

Flexible schedule

Zusammenfassung

Coding Concepts, LLC. is seeking an experienced Facility, Ancillary, and Profee Coder to support accurate coding for a Critical Access Hospital.

You will handle facility and professional fee coding across ED, inpatient, swing bed, and ancillary services, ensuring compliance and proper documentation for optimal reimbursement. The role emphasizes accuracy, regulatory compliance, and collaboration with providers and the revenue cycle team.

Qualifikationen

• 2+ years of outpatient coding experience, preferably in CAH or similar setting.
• Certification: CPC, COC, or CCS required.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding.
• Experience with claim edits and denial management is a plus.
• Proficient with EHR and encoder systems (Epic, 3M, Meditech, Evident, TruCode).

Aufgaben

• Assign ICD-10-CM, CPT, and HCPCS codes for outpatient encounters (ED, observation, surgery, ancillary).
• Code facility and professional fee components accurately.
• Review and resolve claim edits and denials related to coding or medical necessity.
• Collaborate with providers and revenue cycle team to ensure complete documentation.
• Stay current with coding regulations and CAH billing requirements.

Kenntnisse

Outpatient coding

ICD-10-CM coding

CPT coding

HCPCS Level II coding

EHR systems (Epic, 3M, Meditech, Evidy

Tools

Epic

3M Encoder

Meditech

Evident

TruCode

Jobbeschreibung

Benefits:

• Flexible schedule

Facility, Ancillary + Profee Coder - Critical Access Hospital

Join our team!

We are seeking an experienced Facility, Ancillary, and Professional Fee (Profee) Coder to support accurate and compliant coding for our Critical Access Hospital (CAH). This role is essential to maintaining the integrity of our billing, coding, and reimbursement processes.

The coder will be responsible for assigning accurate codes for facility services, including Emergency Department (ED), Inpatient, and Swing Bed services. Responsibilities also include coding professional fee services for Radiology, Pathology, Emergency Department, Clinic, and Hospitalist providers, as well as ancillary services such as Radiology, Diagnostic Imaging, CT (Cat Scan), Occupational Therapy, Physical Therapy, and Laboratory services.

The ideal candidate will ensure coding accuracy, compliance with regulatory requirements, and proper documentation to support appropriate reimbursement.

What You’ll Do

• Assign ICD-10-CM, CPT, and HCPCS codes for outpatient encounters including emergency, observation, surgery, and ancillary services.
• Code both facility and professional fee components accurately.
• Review and resolve claim edits and denials related to coding or medical necessity.
• Collaborate with providers and the revenue cycle team to ensure complete and compliant documentation.
• Stay current with coding regulations, payer guidelines, and CAH billing requirements.

What We’re Looking For

• Certification: CPC, COC, or CCS required.
• Experience: 2+ years of outpatient coding, preferably in a Critical Access Hospital or similar setting.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding.
• Skilled in claim edit resolution and denial management.
• Proficient with EHR and encoder systems (Epic, 3M, Meditech, Evident, TruCode, or similar).
• Detail-oriented, self-motivated, and able to work independently or as part of a team.

This is a remote position.