30 jobs found

MaineHealth in Scarborough, Maine is seeking an Inpatient Coder III responsible for assigning ICD10 codes after reviewing provider documentation. This role is crucial for data collection, research, and compliance. Qualified candidates will possess a degree in Health Information Management and relevant certifications. At MaineHealth, employees enjoy a supportive workplace with benefits like paid parental leave, flexible work policies, and professional development opportunities. #J-18808-Ljbffr

Signature Performance is seeking an Observation Medical Coder to work remotely nationwide. You will apply E/M ICD-10-CM/PCS, CPT and HCPCS coding to encounters, ensuring compliant and accurate reimbursement. The role requires proficiency with medical record review, documentation analysis, and coding guidelines across payers. Join a team focused on accuracy, integrity, and professional growth, with benefits and ongoing development opportunities in a challenging healthcare environment. #J-18808-Ljbffr

MaineHealth Corporate Professional - Nonclinical Req #: 75901 Summary The Inpatient Coder III role is responsible for identifying and accurately assigning ICD10 diagnostic and ICD10 procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate’s Degree in Health Information Management and/or Bachelor’s Degree in Health Information Management, or other science-based degree such as nursing preferred. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder...

Northern Light Health, in partnership with Optum, is hiring a Senior Observation Medical Coder for a Remote, full-time role. You will provide inpatient/outpatient coding services for observation cases, ensuring adherence to coding standards and productivity expectations. The role requires AHIMA/AAPC credentials, strong ICD-10 expertise, and extensive experience with EMR tools and Excel in a remote setting. #J-18808-Ljbffr

Senior Inpatient Medical CoderOpportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation...

MaineGeneral Medical Center in Waterville, ME is seeking a Medical Coder/Biller to assign diagnosis and procedure codes that support accurate documentation and reimbursement for services provided. The role requires reviewing clinical documentation, abstracting key information such as procedures and discharge details, and querying providers to ensure complete, compliant coding across outpatient and ancillary areas. #J-18808-Ljbffr

Job Summary Assigns diagnosis and procedure codes to ensure quality documentation and accurate reimbursement for services provided. Job Description Assists with reconciling patient lists/census/discharge reports to track complete and accurate documentation/charges are obtained for each service rendered. Abstracts key non coding elements necessary for accurate billing (example: surgeon, surgical episode, discharge disposition) and manages worklists of incorrect claims and corrects to further support accurate billing. Reports back to providers and/or administrators regarding missing information. Reviews complex visit documentation from outpatient and/or ancillary areas to identify appropriate diagnostic and procedural codes (examples: ED, Cancer Center, Outpatient Surgery, Observation, Infusion). Uses coding guidelines and clinics to assign and sequence appropriate codes for 3-5 outpatient and/or ancillary patient areas in clinical information systems, including the assignment of...

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...

Location: Waterville, Maine, United StatesCompany: MaineGeneral HealthPosted: Job Summary:Assigns diagnosis, procedure, and DRG codes to ensure quality documentation and accurate reimbursement for services provided.Job Description:Reviews complex documentation from records to identify appropriate diagnostic and procedural codes (ICD, PCS, CPT).Uses coding guidelines, clinics, LCDs and NCDs and other resources and clinics to accurately assign and sequence appropriate codes and assign DRG. Identifies any quality concerns and refers to quality department as indicated.Reviews CDI documentation and collaborates closely with CDI staff to insure accurate DRG/AAPC assignment. Justifies DRG/AAPC discrepancies.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding and optimize DRG and severity of illness documentation.Scheduled Weekly Hours: 40Scheduled Work Shift:Job Exempt: NoBenefits:Supporting all aspects of our employees’...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

Inpatient Coder IIIThe Inpatient Coder III role is responsible for identifying and accurately assigning ICD diagnostic and ICD procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols.Required Minimum Knowledge, Skills, and Abilities (KSAs)Education: Associate’s Degree in Health Information Management and/or Bachelor’s Degree in Health Information Management, or other science-based degree such as nursing preferred.License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.Experience: One year of experience as an inpatient...

Description MaineHealth Corporate (100% remote) Professional - Nonclinical Req #: 83708 Summary: The Inpatient Coder III role is responsible for identifying and accurately assigning ICD diagnostic and ICD procedural codes after thorough review of provider documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in Health Information Management and/or Bachelor's Degree in Health Information Management, or other science-based degree such as nursing preferred. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified...

Signature Performance is seeking a Medical Coder for a remote, nationwide role focused on accurate E&M coding for surgery and anesthesia encounters. You will review medical records, assign diagnoses and procedures, and ensure compliance with coding guidelines to support proper reimbursement. The role requires at least 2 years of medical coding experience, proficiency with EHR systems, and AHIMA or AAPC certifications such as RHIT, RHIA, CCA, CCS, CCS-P, or CPC. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Medical Coder - Surgery/Anesthesia #2889 United States Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position...

Coder II – Ambulatory SurgeryThe Coder II – Ambulatory Surgery role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi-specialty physician practices and OPPS and CAH hospitals.Required Minimum Knowledge, Skills, and Abilities (KSAs)Education: Associate’s Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC.License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, CASCC or CIRCC credential required.Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD-CM/HCPCS/modifier coding for physician professional charges and a minimum of two years of experience in an acute care facility as a Clinical Coder II or equivalent required. Required experience coding Surgical...

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Observation Medical Coder (2383676) Senior Observation Medical Coder - 2383676 Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will...

Description Professional - Nonclinical (100% remote) Req #: 91784 Summary The Coder II– Ambulatory Surgery role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi‑specialty physician practices and OPPS and CAH hospitals. Required Minimum Knowledge, Skills, And Abilities (KSAs) Education: Associate’s Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC. License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, CASCC or CIRCC credential required. Experience: Two years of multi‑specialty, preferably surgical coding experience, with CPT/ICD‑CM/HCPCS/modifier coding for physician professional charges and a minimum of two years of experience in an acute care facility as a Clinical Coder II or...

MaineHealth is seeking a Coder II – Ambulatory Surgery to accurately code ICD and CPT for outpatient records in a Level 1 Trauma Facility and Teaching Hospital. This role handles complex surgical coding across multi‑specialty practices and OPPS/CAH hospitals. Requirements include an associate degree in a science field and AHIMA/AAPC credentials, with two years of surgical coding in an acute care setting. Remote options and comprehensive benefits are offered. #J-18808-Ljbffr

Martin's Point Health Care Inc. in Portland, Maine, is seeking a Clinical Documentation Improvement Nurse Coder (Certified) to ensure accurate documentation, optimize risk adjustment, and support quality reporting. The role requires RN licensure, CDI experience, coding certifications, and strong collaboration with providers and care teams. This full-time role emphasizes documentation integrity and regulatory compliance to improve population health outcomes. #J-18808-Ljbffr

## Clinical Documentation Improvement Nurse Coder (Certified)Applylocations: Portland, MEtime type: Full timeposted on: Posted 2 Days Agojob requisition id: REQ-2026-227Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.## Position SummaryThe Clinical Documentation Improvement (CDI) Nurse Coder supports accurate and complete clinical documentation that reflects the severity of illness, quality...

Description Professional - Nonclinical (100% remote) Req #: 91784 Summary: The Coder II - Ambulatory Surgery role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi-specialty physician practices and OPPS and CAH hospitals. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC. License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, CASCC or CIRCC credential required. Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD-CM/HCPCS/modifier coding for physician professional charges and a minimum of two years of experience in an acute care facility as a Clinical...

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

Description Professional - Nonclinical (100% remote) Req #: 91784 Summary: The Coder II - Ambulatory Surgery role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi-specialty physician practices and OPPS and CAH hospitals. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC. License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, CASCC or CIRCC credential required. Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD-CM/HCPCS/modifier coding for physician professional charges and a minimum of two years of experience in an acute care facility as a Clinical...