[Hiring] CAH Coder @Coding Concepts LLC

Role Description

We are seeking an experienced Facility and Professional Fee (Profee) Coder to support accurate and compliant coding for our Critical Access Hospital (CAH). This role is essential in maintaining the integrity of our outpatient billing and reimbursement processes. The coder will be responsible for coding facility services, including Emergency Department (ED), Observation, and Clinic services, as well as professional fee services, including outpatient and ancillary services.

• 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.

Qualifications

• 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.

Requirements

• Please only apply if you have the experience required in this post, thank you!
• This is a remote position.

Benefits

• Flexible schedule
• Join our team!