Coding Concepts LLC

Role Description If you’re ready to bring your expertise to a role where your skills make a meaningful impact, this opportunity may be a great fit. We are seeking a skilled and detail-oriented Critical Access Hospital (CAH) Coder for a full-time, permanent position. In this role, you will play an essential part in ensuring accurate coding and supporting the operational integrity of a Critical Access Hospital environment. - Accurately assign codes for a variety of services, including Inpatient (IP) Profee, Observation, Emergency Department (ED), Clinic, and other applicable areas - Ensure coding accuracy and compliance with all federal, state, and payer guidelines - Review clinical documentation and query providers when necessary for clarification - Maintain productivity and quality standards Qualifications - Minimum of 3 years of coding experience required, with direct experience in a Critical Access Hospital (CAH) setting - Strong knowledge of IP Profee, Observation, ED, Clinic, and related coding areas - Relevant coding certification (e.g., CPC, CCS, RHIT, RHIA) preferred - High attention to detail and strong analytical skills - Experience with Evident/CPSI systems is a plus, but not required Benefits - Competitive salary - Dental insurance - Flexible schedule - Health insurance - Paid time off - Training & development Company Description

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