CAH Outpatient Coder

Coding Concepts LLC; Gilbert (AZ); Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization is seeking an experienced Outpatient Coder to support accurate coding in a remote capacity. You will play a key role in ensuring the integrity of billing processes by coding outpatient encounters and reviewing claims. Ideal candidates should have CPC, COC, or CCS certification and experience in a critical access hospital setting. Join a team that values detail-oriented and self-motivated individuals.

Benefits

Flexible schedule

Qualifications

• 2+ years of outpatient coding experience in a Critical Access Hospital or similar setting.
• Strong knowledge of coding regulations and payer guidelines.
• Detail-oriented and self-motivated, able to work independently.

Responsibilities

• Assign ICD-10-CM, CPT, and HCPCS codes for outpatient encounters.
• Review and resolve claim edits and denials related to coding.
• Collaborate with providers to ensure compliant documentation.

Skills

ICD-10-CM

CPT

HCPCS Level II

Claim edit resolution

Denial management

Education

Certification: CPC, COC, or CCS

Tools

EHR systems (Epic, 3M, Meditech, Evident, TruCode)

Job description

Benefits

• Flexible schedule
• Outpatient Coder – Critical Access Hospital

Join our team!

We’re seeking an experienced Outpatient Coder to support accurate, compliant coding for our Critical Access Hospital (CAH). This position plays a key role in ensuring the integrity of our outpatient billing and reimbursement processes by coding facility, professional fee, and ancillary services.

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.

Preferred

• Experience with CAH billing and reimbursement models.
• Familiarity with revenue cycle workflows and charge capture.

This is a remote position.