34 jobs found in Augusta, ME

Fully Remote Lake Park Building Full time R180631 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...

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. What We’re Looking For We’re looking for experienced and credentialed inpatient 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...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and identify opportunities for...

**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 and...

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...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Humana, a Fortune 100 Company, is seeking an experienced and Certified Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement and resolve provider disputes. You will extract clinical information from medical records, assign ICD-10-CM/PCS and DRG codes, audit coding quality, and collaborate with teams to improve payment accuracy and reduce errors. This remote position offers a competitive bonus plan and comprehensive benefits. #J-18808-Ljbffr

Job Description 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. Compensation Information: $24.19 - $42.33 The hourly pay range shown represents the base pay range for this position. Individual pay is determined based on...

MaineGeneral Medical Center in Waterville, ME seeks a skilled medical coder to assign ICD, CPT and PCS codes, ensuring DRG accuracy and documentation quality for appropriate reimbursement. You will review complex records, identify coding discrepancies, collaborate with CDI staff, and seek clarification from providers to optimize DRG and severity of illness. The role includes a competitive hourly wage with shift and on‑call differentials and a comprehensive benefits package to support caregivers #J-18808-Ljbffr

Assistance Plus is seeking a Records Management Specialist to join our Quality Assurance Department. This full-time role audits client records for compliance with MaineCare, Licensing, HIPAA and internal policies, while reviewing documentation for accuracy and handling scanning, coding and disclosures. The position requires strong attention to detail and confidentiality. Office location is Benton, Maine. Ideal candidates will have a high school diploma (associate degree preferred), solid #J-18808-Ljbffr

Job Details Job Location: RIVER FALLS , WI 54022Position Type: Full TimeWork Where You Matter! At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Health Information Manager-Scheduler Position Overview The Health Information Manager (HIM)Scheduler serves as an office manager building culture and community within the branch and keeping things running smoothly to support patients, their families and the clinical care team in the field. HIM has primary responsibility and accountability for scheduling staff, maintaining patient records, managing supply inventory, answering the branch phone, planning team meetings and events, and other related clerical duties. Essential Functions and Skills Scheduling and...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy 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...

Clinical Documentation Improvement (CDI) Nurse CoderJoin 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 of care, and services provided to patients. This role reviews medical records, collaborates with providers, and applies...

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. 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?...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? 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 Advanced...

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...

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

Signature Performance is seeking a Medical Billing Specialist II for a remote-based role, nationwide. You will review and submit medical claims, verify CPT/ICD-10 codes, and resolve claim issues to support timely reimbursement. Ideal candidates have 2+ years in medical billing, proficiency with EHR systems (Epic, Cerner, Meditech, NextGen), and strong attention to detail. This position emphasizes HIPAA compliance and cross-team collaboration to meet departmental goals. #J-18808-Ljbffr

Job Description Job Description We are seeking a senior auditor to join our South Portland Maine office. The individual should be able to work independently and also lead small groups, solve problems and provide solutions, possess strong communication skills and leadership ability, prepare financial statements, and be committed to providing quality service. Responsibilities: Coordinate audit schedules/testwork. Development of client relationships. Supervise staff and assist with technical issues. Prepare audit risk assessments and audit plan. Complete fieldwork and prepare financial statements. Overnight travel is periodically required for accountants in this position. Qualifications: Bachelor’s Degree. At least three years’ experience in public accounting specific to audits. Governmental or Nonprofit auditing/accounting experience preferred. CPA not required, but preferred.  Candidates who do not have a CPA license should be actively working towards...

Overview Medical Billing Specialist-Accounts Receivable (AR) – full-time, Monday to Friday. Responsible for the full accounts receivable life cycle, including analysis of unpaid claims, denial resolution, and collection efforts for assigned insurance payers. Communicates with payers, patients, and internal team members to optimize cash flow and claim accuracy. Job Details Job Tracking ID : 512708-913377 Job Location : Westbrook, ME Job Level : Mid Career (2+ years) Level of Education : High School/GED Job Type : Full-Time/Regular Date Updated : 07/15/2026 Years of Experience : 2 - 5 Years Salary : Not disclosed Responsibilities Perform collection efforts on assigned insurance payers and manage the full accounts receivable life cycle. Analyze and research unpaid claims, assist in resolving denials, partial payments, and over-payments. Communicate with payers, patients, and internal team members to resolve issues and improve reimbursement timelines. Identify and resolve...

Job Description New England Cancer Specialists (NECS) is currently seeking a full-time Remote Monday- Friday Billing Specialist-Accounts Receivable (AR) to join our professional billing team. As a Remote Billing Specialist-AR, you will perform all collection efforts on assigned Insurance payers. You are responsible for the full accounts receivable life cycle, including analyzing and researching unpaid claims, assisting in the resolution of denials, partial payments, and over-payments as well as communicating with payers, patients and other team members. NECS is a private medical practice composed of 18 oncologists and hematologists serving the state and region from 4 different locations in Maine. NECS is committed to achieving the best outcome and providing unmatched support in all areas for every patient. Nationally recognized as 1 of 12 Oncology Medical Homes in the nation and the first private practice to become a affiliate member of the Dana Farber Cancer Care...

Location: Scarborough, ME Facility: MaineHealth Corporate Schedule: Full Time Shift: Day Job Category: Professional - Nonclinical Req #: 75901 Date Posted: Aug 16, 2026 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),...

Description MaineHealth Corporate Professional - Nonclinical Req #: 75482 Summary: The Clinical Coding and Compliance Auditor role is responsible for the accurate assignment of ICD and CPT codes of diagnoses and procedures for outpatient medical records in multiple outpatient settings. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in a science field preferred. Completion of an accredited program through AHIMA or AAPC preferred. License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, or CIRCC credential preferred. Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD-10-CM/HCPCS/modifier coding for physician professional charges and a minimum of two years' experience in an acute care facility as an ASU Clinical Coder required. Additional Skills/Requirements Required: Experience coding E/M's, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPT's, ED's, cardiac...