Automated biomedical concept recognition is important for biomedical document retrieval and text mining research. In this paper, we describe a two-step concept extraction technique for documents in biomedical domain. Step one includes noun phrase extraction, which can automatically extract noun phrases from medical documents. Extracted noun phrases are used as concept term candidates which become inputs of next step. Step two includes keyphrase extraction, which can automatically identify important topical terms from candidate terms. Experiments were conducted to evaluate results of both steps. The experiment results show that our noun phrase extractor is effective in identifying noun phrases from medical documents, so is the keyphrase extractor in identifying document conceptual terms.