CAH Outpatient Coder
- Flexible schedule
- 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, TruCode, 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.
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