36 jobs found in Maine

Prime Healthcare is seeking a Coder I for its Medical Records department. This full-time role involves reviewing and analyzing medical records to accurately code diagnoses and procedures using ICD-9 and CPT coding systems. The ideal candidate will have at least one year of coding experience in an acute care setting and the successful completion of college-level courses in relevant topics. Additional qualifications include certification or enrollment in coding programs. #J-18808-Ljbffr

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...

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 escalates coding/denial trends and provider education...

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...

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...

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 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

Datavant is seeking a Profee Auditing & Education Specialist to lead professional fee coding audits and create engaging education for coding staff. The role is fully remote with a flexible schedule, supporting clients and internal teams. You will analyze complex coding scenarios, deliver training programs, and help improve compliance and accuracy across multiple EMR systems. Strong communication and leadership are 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...

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...

Central Maine Healthcare is seeking a Coder I for the Central Maine Medical Center in Lewiston, ME. The role reviews medical records to translate diagnoses and procedures into coded data using ICD-9 and CPT guidelines. The ideal candidate has at least one year of ICD-9/CPT coding experience in an acute care setting, basic computer skills, and familiarity with encoder software. Aiming for accurate data entry, 10-key and 35 wpm typing are preferred. Full-time, day shift. #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...

Clinical Coding And Compliance Auditor 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 cath/angiography, and simple visit coding required....

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...

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. 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...

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?...

Serco Inc. seeks a Medical Coding Auditing Specialist to support DHA Medical Coding Program Branch (MCPB) across 400 MTFs and dental clinics, with audits, annual work plans, and targeted coding/documentation reviews. Travel to CONUS and OCONUS sites may be required. The candidate should possess seven+ years of medical coding and auditing experience across multiple specialties, with certifications in RHIT/RHIA/CPC/CCS-P and institutional codes, plus deep knowledge of ICD-CM, CPT, DRGs, and CMS #J-18808-Ljbffr

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...

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...