13 jobs found in Augusta

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Job Description Job Description Need an experienced person who does medical billing and coding. $30 per hour starting salary. Paid vacation days. $250 subsidy towards health insurance benefits. 30-40 hours per week. Great work environment with emphasis on team work. Company Description Growing company with a great work environment. Company Description Growing company with a great work environment.

Datavant is seeking experienced outpatient coders to join their fully remote team. Candidates should have AHIMA or AAPC certification and at least 2 years of coding experience. The role includes reviewing medical records and ensuring accurate code assignment for diagnoses and procedures. Alongside a competitive salary ranging from $20 to $35 per hour, the company offers a comprehensive benefits package including healthcare, professional development stipends, and a supportive work environment. #J-18808-Ljbffr

Stryker Corporation is seeking an experienced HIMS Supervisor in Augusta, Maine. This leadership role focuses on overseeing HIMS functions to ensure compliance and optimize medical records systems. The ideal candidate brings supervisory experience and thrives in an inclusive work environment. You'll enjoy perks like medical benefits, paid time off, and opportunities for tuition reimbursement from day one. Join a dynamic team dedicated to excellence in health information management! #J-18808-Ljbffr

Job Description Job Description Are you ready to take your career to the next level in a dynamic and supportive environment? A O Multispecialty Clinic is seeking motivated individuals to join our Insurance Department as Insurance Reimbursement and Prior Authorization Specialists. If you have billing experience and a passion for helping others navigate the complexities of healthcare, we want to hear from you! Key Responsibilities: -Process insurance reimbursements and prior authorizations efficiently and accurately. -Communicate with insurance companies, healthcare providers, and patients to resolve billing issues and ensure timely payments. -Maintain up-to-date knowledge of insurance policies, coding practices, and regulations. -Collaborate with the clinical team to ensure seamless patient care and billing processes. Qualifications: Previous experience in medical billing or insurance reimbursement is required, 1-2 years minimum. -Strong attention to detail and...

Humana is seeking a Senior Market Consultation Professional (Nurse Medical Coder) to enhance quality in risk adjustment programs. The role involves coding accuracy, documentation assessments, and training delivery. Ideal candidates possess an active RN license, CPC certification, and experience in medical coding. This position is primarily remote but may require occasional travel to Humana's offices. The successful candidate will work closely with clinical teams to ensure compliance and quality standards. #J-18808-Ljbffr

About Otsuka We defy limitation, so that others can too. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka’s opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for a Medical Omnichannel Data Scientist , with strong expertise in artificial intelligence, encompassing machine learning, data mining,...

Highmark Health is looking for a Medical Coder in Augusta, Maine. The position requires coding experience and certification, along with familiarity with medical terminology. Responsibilities include reviewing medical information, data abstraction, and ensuring coding accuracy. The salary range is $23.73 to $37.14 per hour, and the position is eligible for a $10,000 sign-on bonus with a 2-year commitment. #J-18808-Ljbffr

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Humana Inc is seeking a Medical Coding Coordinator. This remote position requires extracting clinical information and assigning medical codes to patient records. Candidates must have a coding certification and a minimum of 3 years of experience as a Certified Medical Coder. The role offers flexibility with typical business hours Monday to Friday, and requires proficiency in Microsoft Office apps and strong data entry skills. Humana provides competitive benefits and support for employee well-being. #J-18808-Ljbffr