33 jobs found

Datavant is seeking an experienced Outpatient Coder to join their team remotely. The ideal candidate will have a minimum of 3 years of coding experience, particularly in the Emergency Department and proficient knowledge of medical coding standards. This role offers a flexible schedule and requires CCS certification. Datavant values attention to detail and provides a supportive work environment to enhance your professional growth. #J-18808-Ljbffr

Job Description Job Description We expect the Chiropractic & Acupuncture Medical Biller to manage the practice's revenue cycle. This role requires specialized knowledge of time-based acupuncture coding and chiropractic-specific modifiers to ensure reimbursement for same-day evaluation and treatment. Core Responsibilities Chiropractic and Acupuncture Coding: Be able to code properly from the doctor's notes and add proper modifiers needed per insurance company. Diagnosis Alignment: Ensure ICD-10 codes align with specific payer "medical necessity" lists, such as Medicare's restriction of acupuncture to chronic low back pain. Personal Injury & Workers' Comp: Manage complex "Third-Party Payer" claims involving attorneys, lien settlements, and specialized documentation for accident cases. Documentation Auditing: Review clinical SOAP notes to ensure they distinguish between "Active Care" (billable) and " Maintenance/Wellness Care" (typically...

This position is Remote in Maine. If you are located within commutable distance to the office at 43 Whiting Hill Rd. Brewer ME 04412, you will have the flexibility to work remotely as you take on some tough challenges.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.This position directly supervises Patient Access staff. The Supervisor ensures the department is adequately staffed to fulfill daily operations, and assists...

DIAGNOSTIC CODERDEPARTMENT :Health InformationPVH employment application required.All job offers contingent upon background check and completion of pre-employment physical.This is an as needed position utilized to cover gaps in coverage including vacations, leaves of absence, and other instances of unfilled shifts.While remote work is an option, the applicant should be located within Maine and able to be in person in Lincoln, ME when requested.JOB FUNCTIONSRemote work option is available1.Review and process records.2.Assign codes.3.Checks for record completeness and distributes record deficiencies appropriately.4.Sends records to scanning at completion.5.Answers telephone promptly.6.Retrieves information requested.7.Provides customer service support to all visitors of the department as appropriate.8.Completes statistical reports as advised by the Department Director.9.Works with PFS on Insurance follow-up.10.Completes other duties assigned.Quality ImprovementActively participates...

Inspire Medical Systems, Inc. seeks a Field Clinical Representative in Portland, ME. This role involves providing technical and clinical support for Inspire therapy adoption in clinical settings. Candidates should have a Bachelor's degree with relevant experience, strong communication skills, and proficiency in MS Office. The position offers a salary range of $100,000 - $130,000 and a robust benefits package, including health insurance and tuition reimbursement. #J-18808-Ljbffr

Coder – 36 hrs/wk – Health Information Management Cary Medical Center strives to be the “Employer and Provider of Choice” in healthcare in Northern Maine. We are currently recruiting for a Coder to join our Health Information Management team . Qualified candidates must demonstrate a commitment to Cary Medical Center’s vision and mission by modeling the values and culture of the organization. Providing exceptional patient and customer care is part of our goal to keep our community healthy. Qualified candidates for this position will be responsible for coding for inpatient and outpatient services, diagnostic tests and other medical services rendered to each patient, in compliance with federal and state regulations using appropriate classification systems. License/Educational/Experience/Skill Requirements: A High School Diploma or equivalent. Knowledge of current coding classification systems. Medical terminology and anatomy. Employee is encouraged to obtain a coding certification...

Overview Department : Medical Records Schedule : Full Time, 40 Hours, Days Facility : Central Maine Medical Center Location : Lewiston, Maine, 04240 Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Responsibilities The Coder I reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to determine diagnoses and procedures as described by the physicians of record. Utilizing the...

Job Description Job Description Description: SUMMARY: The Medical Billing Specialist is responsible for providing overall support in the Billing Department. In addition, this position is responsible for preparing charges for submission to insurance plans/patients, posting insurance payments to practice management system and interacting with insurance companies/patients about billing status and questions. POSITION DUTIES A. Process electronic bill submissions/remits. B. Print, review and process HCFAs. C. Enter and review HMO referrals. D. Apply charges to patient accounts. E. Post insurance/patient payments to patient accounts. F. Follow up on insurance claims/denials. G. Accept patient or insurance company telephone inquiries and assist with problems. H. Read emails/newsletters and correspondence from insurance companies. I. Review and process patient statements. J. Weekly account review and follow-up. K. Perform other duties as assigned. Requirements:...

Description MaineHealth Corporate Professional - Nonclinical Req #: 69433 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...

MaineHealth is hiring a Coder II - Ambulatory Surgery to ensure accurate coding of outpatient medical records in its Level 1 Trauma Facility. Qualified candidates will have an Associate's degree (preferred) and relevant coding credentials such as RHIT or CPC, along with at least two years of multi-specialty surgical coding experience. The role involves performing complex coding for specialty practices and contributing to patient care in an inclusive work environment. Benefits include paid parental leave and educational assistance. #J-18808-Ljbffr

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...

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...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

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...

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...

Overview Department : Medical Records Schedule : Full Time, 40 Hours, Days Facility : Central Maine Medical Center Location : Lewiston, Maine, 04240 Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoastal Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services. Responsibilities The Specialty Coder reviews and analyzes documentation present in the medical record for both inpatient and outpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical...

Crains Cleveland is looking for a Senior Inpatient Medical Coder to perform coding services for healthcare providers. This remote position requires 5+ years of coding experience and current coding credentials. Responsibilities include assigning ICD-10 and CPT-4 codes, maintaining coding quality, and providing documentation feedback. The role offers a competitive pay range from $23.89 to $42.69 per hour based on qualifications and experience, along with a comprehensive benefits package including medical, dental, and 401(k) options. #J-18808-Ljbffr

Texas Health Institute is seeking a Senior Inpatient Medical Coder. This remote role requires a skilled coder with 5+ years of experience in outpatient facility coding and proficiency in ICD-10 and CPT codes. You will work 40 hours a week, Monday to Friday, ensuring high-quality coding services and adhering to ethical standards. A comprehensive benefits package, including medical and dental insurance, 401(k) plan, and paid time off, is provided. #J-18808-Ljbffr

Stryker Corporation is seeking a Senior Inpatient Medical Coder to join their team. This remote position involves providing coding services directly to providers, ensuring adherence to coding standards, and maintaining high performance levels in coding quality. With flexible telecommute options available, suitable candidates will have substantial experience and relevant coding credentials. Benefits include medical plans, paid time off, and 401(k) savings among others. Join us to make a difference in health care while enjoying a comprehensive benefits package. #J-18808-Ljbffr

Leading Age Virginia seeks a Senior Inpatient Medical Coder. This remote role involves coding services directly to providers and requires strong organizational skills and technical knowledge. Candidates should have extensive coding experience and be proficient in ICD-10 and CPT coding. Benefits include Paid Time Off, Medical Plans, and 401(k). A flexible schedule allows you to work from anywhere in the U.S. Join us to make a significant impact on patient care in Maine. #J-18808-Ljbffr

Become a part of our caring community The 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy 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...

Job Description New England Cancer Specialists (NECS) is currently seeking a full-time Monday- Friday Billing Specialist-Accounts Receivable(AR) to join our professional billing team. As a 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 Collaborative. NECS brings...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...