35 jobs found in Portland

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

Job Type Full-time Description MAKE A DIFFERENCE AT OCHIN OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone. At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values. Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our...

Only applicants who reside in Oregon or Washington will be considered. JOB SUMMARY The Certified Professional Coder is responsible for ensuring accurate, timely, and compliant coding and charge capture of all assigned claims while ensuring compliance with ICD-10, CPT, and HCPCS guidelines. This position supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, resolving coding-related denials and claim edits, and providing monthly education and performance feedback to assigned providers. MAJOR RESPONSIBILITIES Coding Review -Review and resolve charge sessions routed to Epic Charge Review work queues., Validate CPT, HCPCS, ICD-10-CM, and modifier selection for accuracy and compliance. Ensure documentation supports all reported services. Correct coding discrepancies prior to claim submission. Maintain productivity standards while ensuring coding quality and compliance. Claim Quality Assurance -Audit...

Coding Position This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance...

Inpatient Coder Position This level 3 coding position provides support to the Enterprise Coding Department for the coding of Inpatient services. The Inpatient Coder position requires certification and active credential status with AHIMA and advanced coding experience in the highly specialized areas of Inpatient coding. Function/Duties of Position Inpatient Coding at 95% or above accuracy. Abstract information from inpatient medical records to assign correct codes following the ICD 10 guidelines. Identify query opportunities. Verify Account Class, Attending provider, and Discharge Disposition in Epic. Assign codes via 3m 360. Resolve with coding leads and billing, any issues, coding denial requests or questions as part of coding denial process. Follow team procedures necessary in carrying out ICD 10 coding on cases in the Uncoded IP accounts work queue in Epic. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and...

Medical Coder - Hematology/Oncology Clinic Duration: 12 Weeks Location: 100% Remote Job Description Review documentation of professional services in EPIC, obtain copies of chart notes, reports (i.e., admission/discharge records, patient medical records) and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services' (CMS) documentation of professional services and assign correct CPT, ICD-9-CM, and HCPCS codes. Utilizes ICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-9-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT. Enter billing information into EPIC Resolute. Establish and maintain procedures and other controls necessary in carrying out all insurance billing activity. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate all...

Cardiology Medical Billing Specialist To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas. Seeking a full-time, experienced medical billing specialist to join our Texas team. Knowledge of and experience with cardiology coding and billing is preferred. This is a remote position with the possibility of occasional travel. Our company provides revenue management support for medical practices located all over the United States. Medical billing is one of the fastest growing industries with unlimited career opportunities. Our goal is to find someone that is willing to put in the time and investment in a career with us. General Purpose To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team. To successfully function as part of a team and to be able to communicate professionally with clients and...

Overview Description TSP Talent Solutions has been retained by a global biopharmaceutical company specializing in severe orphan diseases to recruit an Associate Director, Medical Affairs - West Coast. This role will serve as a key liaison to the medical and scientific community, focusing on building and maintaining relationships with leading experts in pediatric neurology and epilepsy across the West Coast. This position reports to the Medical Officer, North America within the North America subsidiary. Responsibilities Build, maintain, and manage professional relationships with Key External Experts (KEEs) to organize networks at state levels within their designated region Ensure the appropriate dissemination of clinical and scientific information regarding marketed and pipeline compounds in a timely, ethical and health care provider (HCP)-focused manner Implement clinical and educational strategies in collaboration with other company colleagues for designated HCPs/KEEs. This...

Join 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 Summary The Clinical Documentation Improvement (CDI) Nurse Coder supports accurate and complete clinical documentation that reflects the severity of illness, quality of care, and services provided to patients. This role reviews medical records, collaborates with providers, and applies clinical expertise and coding knowledge to ensure...

Job Summary: In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities: * Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. * Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and...

Overview The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specified client sites. The Area Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. Responsibilities Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialist in accordance with MRO/customer policies and...

Signature Performance is seeking a dedicated Inpatient Professional Fee Medical Coder for a full-time remote position. This role involves accurately coding medical records using ICD-10-CM, CPT, and HCPCS codes. You’ll ensure compliance with coding guidelines while maintaining a high standard of accuracy. Successful candidates will have at least 2 years of experience in medical coding and relevant certifications. #J-18808-Ljbffr

Northwest ADHD Treatment Center, INC. is seeking a detail-oriented Medical Billing Specialist in Portland, OR. The role involves accurately submitting claims to insurers, posting payments, and resolving billing discrepancies. Ideal candidates will have at least 1 year of experience in medical billing, proficiency with medical billing software, and strong attention to detail. The position offers health, dental, and vision insurance, paid time off, and retirement savings plans. Join our team to ensure quality care and financial sustainability. #J-18808-Ljbffr

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Job Requirements Education and Work Experience: High School Education/GED or equivalent:...

Legacy Health is hiring a Biller I in a hybrid role open to candidates in Oregon or Washington. The position requires 2-3 days onsite at Legacy Health locations with remaining days remote from Oregon or Washington, and all new hires travel to a Portland office for new-hire health assessments and orientation. The Biller I will perform basic medical billing, verify charges, research denials, and support multiple payer types. Training may occur on-site before the hybrid schedule begins. #J-18808-Ljbffr

Let’s do great things, together! Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Provides supervision to a team of customer service representatives fielding calls from multiple sources regarding a wide range of plan types. Organizes staff, sets goals, ensures resources are available as...

Overview The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specified client sites. The Area Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations, and are completed in a timely manner. Responsibilities Manages workflow among on-site employees at multiple client sites to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave, and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of ROI Specialists. Performs Quality Assurance monitoring of work performance for the ROI Specialists. In conjunction with and under the direction of the Area Manager, conducts productivity and work performance reviews for ROI Specialists in accordance with MRO/customer policies and procedures...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD‑10‑CM, and HCPCS codes for professional charges, which could include all E&M services including outpatient and inpatient; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned professional services at OHSU. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth...

Oregon Health & Science University (OHSU) seeks an Inpatient Coder to support the Enterprise Coding Department. Certification in AHIMA or AAPC with 4+ years of inpatient coding experience is required. You will ensure accurate ICD-10 coding, identify query opportunities, and collaborate with CDI teams. The role is remote with Monday–Friday schedule; working with Epic and 3M 360 to process inpatient records and ensure compliance with CMS/OMAP guidelines. #J-18808-Ljbffr

A leading health organization in Portland, Oregon, is seeking an experienced coding professional. This role requires advanced coding skills and certification from AAPC or AHIMA. Responsibilities include coding with high accuracy, ensuring compliance with regulations, and mentoring staff. The position allows for telecommuting and offers extensive benefits including healthcare, pension plans, and tuition reimbursement. Join a diverse team committed to high standards of practice. #J-18808-Ljbffr

The Certified Professional Coder at Children's Clinic PC in Portland, OR ensures accurate, timely, and compliant coding and charge capture of all claims while following ICD-10, CPT, and HCPCS guidelines. This role supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, resolving coding-related denials, and providing monthly education to providers. #J-18808-Ljbffr

A nonprofit integrated health system in Portland is seeking a detail-oriented coding specialist. The role involves reviewing patient records to assign accurate diagnosis and procedure codes, ensuring regulatory compliance. Candidates should have a high school education/GED, preferably with technical certifications like Certified Coding Specialist (CCS). This position is ideal for those skilled in audit processes and coding guidelines. Join a dynamic team focused on providing quality healthcare in a supportive environment. #J-18808-Ljbffr

Children's Clinic PC is seeking a Certified Professional Coder to ensure accurate, timely, and compliant coding and charge capture for all claims, guided by ICD-10, CPT, and HCPCS rules. The role supports revenue cycle performance by reviewing charge sessions in Epic Charge Review, auditing auto-released claims, and resolving coding-related denials, while providing monthly education to assigned providers. Remote work is available per policy; Oregon residency is required for consideration for #J-18808-Ljbffr

Department Overview This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. The role requires advanced coding experience in highly specialized areas and certification with AAPC or AHIMA. Function/Duties of Position Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD‑10‑CM, HCPCS, or ICD‑10‑PCS and DRGs for facility and/or professional charges, involving complex procedure and diagnostic coding within highly specialized areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate patient encounter billing...