CAH Outpatient Coder Gilbert, AZ

CAH Outpatient Coder job at Coding Concepts. Gilbert, AZ.

• Flexible schedule

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.

• 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.

• 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, Tru Code, or similar).
• Detail-oriented, self-motivated, and able to work independently or as part of a team.

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

This is a remote position.