12 cpc certified professional coder jobs found in Augusta, ME

Datavant is seeking experienced outpatient coders for a fully remote role with a flexible schedule. The position emphasizes accuracy, coding for diagnoses and procedures, and timely data abstraction to support hospital statistics and reporting. The role requires AHIMA or AAPC credentials and at least 3 years of hospital coding experience, with proficiency across multiple coding specialties. A focus on communication, time management, and adherence to ethics is essential. #J-18808-Ljbffr

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...

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...

Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule, enabling you to contribute to healthcare data quality from your own workspace. You will assign ICD-10-CM/PCS codes, abstract patient records, audit Level 1 & 2 coders, promote documentation improvements, and maintain 95% coding accuracy and 95% MS-DRG accuracy, all while meeting productivity benchmarks. #J-18808-Ljbffr

Certified Professional Coder (CPC)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 SummaryThe 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...

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...

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,...

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

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...

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....

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...