39 coder iii jobs found in Waterville, ME

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...

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...

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

Job TitleAssigns diagnosis, procedure, and DRG codes to ensure quality documentation and accurate reimbursement for services provided.Job DescriptionReviews 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 - $42.33The hourly pay range shown represents the base pay range for this position. Individual pay is determined based on factors such as experience, qualifications,...

Waterville, ME Part time R16445 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....

Preferred candidate locations in New Hampshire and/or Massachusetts Strong ED coding experience required About the Company Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About the Role The Coding Specialist – Hospital Based, Emergency Department is responsible for reviewing and...

MaineHealth is seeking a Coder II - Ambulatory Surgery for a 100% remote position. You will assign ICD and CPT codes for outpatient records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital, supporting OPPS and CAH hospitals. Qualifications include an Associate's Degree, AHIMA/AAPC credentials, and 2+ years of multi-specialty surgical coding in acute care. The pay range is $29.45 to $39.84 per hour, with comprehensive MaineHealth benefits. #J-18808-Ljbffr

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...

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...

Description Professional - Nonclinical (100% remote) Req #: 84021 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...

Intermountain Health is seeking a Med Grp Professional Billing Coder II for a fully remote position. You will resolve coding edits in Epic WQ’s, assign ICD-10, CPT, and HCPCS codes based on clinical documentation, and ensure data integrity for internal and external reporting. The role requires CPC or CCS-P certification, E/M coding experience, and proficiency with Microsoft Office. You will communicate with providers, meet productivity standards, and participate in ongoing education to stay #J-18808-Ljbffr

Lynn Community Health Center is seeking a Level 2 Certified Medical Coder (Medical Coder II) in Lynn, MA. The role supports documentation improvement and coding accuracy across clinical care, finance, and billing teams to ensure compliant ICD-10-CM coding and reimbursement. The position, full-time and on-site, requires CPC certification, 2–5 years of medical coding experience, and proficiency with EMR and Microsoft Office. Strong communication with providers is preferred. #J-18808-Ljbffr

Per the Collective Bargaining Agreement, current bargaining unit employees have priority consideration for this position if they apply within seven (7) days of the posting date. After this period, all applicants will be considered equally. GENERAL SUMMARY: Under the general supervision of the Manager, HIM (Coding) and following established hospital and Department policies and procedures, a Coder Level II will apply ICD-10 CM diagnostic and procedure codes as well as CPT procedure and Evaluation and Management codes to outpatient Emergency Care Center/Fast Track accounts. A Coder Level II will also be proficient in at least one other area of outpatient coding (ex. Ancillary Services, Clinics, OB-GYN, Medical Necessity, SNF). Position is remote. QUALIFICATIONS: Education/Skills Required: 1. High School Diploma required. 2. Successful completion of medical terminology, anatomy and physiology classes. 3. Working knowledge of ICD-10CM and CPT coding guidelines and...

UMass Memorial Health is seeking an Outpatient Coder II to interpret clinical documentation and assign ICD-CM and CPT codes for outpatient encounters across the hospital system. The role focuses on accurate coding, supports reimbursement, and requires close attention to detail. Responsibilities include verifying documentation, minimizing coding backlogs, participating in audits, and maintaining a high accuracy rate while working with billing teams. #J-18808-Ljbffr

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? Exemption Status: Non-Exempt Hiring Range: $0.00 - $0.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7a-3:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are...

MaineGeneral in Waterville seeks a Medical Coder to assign diagnosis and procedure codes to ensure accurate documentation and reimbursement for services provided. You will assist with reconciling patient lists, census, and discharge reports to ensure complete documentation and that charges are captured for each service. You will abstract key non-coding elements, review complex outpatient and ancillary visit documentation, and apply coding guidelines to sequence codes. #J-18808-Ljbffr

Coding SpecialistAssigns diagnosis and procedure codes to ensure quality documentation and accurate reimbursement for services provided.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 appropriate...

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

Coding Specialist Assigns diagnosis and procedure codes to ensure quality documentation and accurate reimbursement for services provided. 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...

DescriptionThe HB IP Coder reviews interprets and translates provider medical diagnostic and procedural documentation into appropriate codes following hospital inpatient claims and reporting requirements.The HB Inpatient Coder initiates provider queries as needed to support accurate and comprehensive code assignment.QualificationsAssociate degree required and a minimum of 3 years of relevant hospital inpatient coding experience.Bachelors Degree preferred.Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) or coding credential of a Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) required.Knowledge of hospital inpatient coding principles including Diagnosis Related Group (DRG) assignment logic conditions affecting hospital quality measures such as Hospital Acquired Conditions Present on Admission and HCCs.Ability to work concurrently in a fast-paced environment with identified productivity requirements and with...

DescriptionThe Surgical Coder reviews analyzes and codes professional / physician medical record documentation to include but not limited to medical diagnostic and procedural information for various practices.This coder works collaboratively with surgeons to ensure the accuracy of the code sets on the surgical case.There are currently 2 openings :The preferred candidate will have professional surgical coding experience in Urology and Gynecology.The preferred candidate will have professional surgical coding experience in Plastic SurgeryQualificationsHigh School diploma and 6 years of physician / professional / procedural / surgical coding experienceORAssociates Degree and 4 years of physician / professional / procedural / surgical coding experience required; Bachelors Degree preferred.Minimum of 4 years of physician / professional / procedural / surgical coding experience.1.Knowledge of professional / physician coding rules for specialized surgical professionals.Experience with...

Level 2 Certified Medical Coder The Level 2 Certified Medical Coder is responsible for documentation improvement and integrity and serves as a liaison between clinical care providers, finance, and billers. This role is also an information and educational resource, providing proactive and retrospective review of health center visits as they relate to ICD-10-CM diagnosis coding and reimbursement. The Level 2 Certified Medical Coder will audit medical records to ensure completeness, accuracy and compliance with Medicaid coding and supporting documentation guidelines. Qualifications: Certified Professional Coder (CPC) certificate or equivalent required. 2 - 5 years' experience in medical setting. Experience with computer systems required, including EMR, web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. Preferred Qualifications: Associate's degree preferred Certified Risk Coder (CRC)...

Mayo Clinic seeks an Inpatient Coder to translate provider medical documentation into DRG-driven codes for inpatient claims. This 100% remote role supports accurate coding across hospital records. Responsibilities include initiating provider queries to ensure comprehensive code assignments, adhering to regulatory guidelines and hospital quality measures, with emphasis on accuracy and timely delivery. #J-18808-Ljbffr