Medical coder jobs in Maine

If you are a current State of Maine employee, you must complete your application through the internal application process (Find Jobs Report). Please apply using your PRISM account. If you are on Seasonal Leave and do not have access to PRISM, contact your local Human Resources representative for application information. Department of Health and Human Services (DHHS) Public Service Coordinator II Opening Date: November 20, 2025 Closing Date: December 5, 2025 Job Class Code: CA29 Grade: 29 (Confidential) Salary: $68,993.59 - $97,635.20 per year Position Number: 02000-4178 Location: Augusta * Limited Period Position- Job Description: This position offers an opportunity to combine analytical skills with public service impact, helping to design and implement equitable, data-driven reimbursement systems that sustain access to high-quality care. As a hospital specialist in Rate Setting you will: * Lead analysis of hospital cost reports, claims, and financial data to shape hospital reimbursement reform and ensure MaineCare's hospital payment models are sustainable, equitable, and aligned with quality care outcomes. * Support MaineCare's transition toward more value-driven and transparent hospital payment systems, developing data models and financial tools that link cost, utilization, and outcomes. * Review claims data to understand hospital billing practices and trends and communicate actionable information to senior leadership. * Track federal and state legislation and policy changes impacting hospitals and estimating potential provider impacts and fiscal impacts. * Create and lead presentations, both to internal Department groups and to external providers or partners. * Lead work with program staff from OMS Policy, Delivery System Reform, Provider Relations, Care Coordination, and other OMS units, and also from other DHHS Offices, to develop and implement policies impacting hospitals. * Engage with OMS Program Integrity staff to monitor potential fraud, waste, and abuse in hospital billing and reimbursement. * Evaluate and model the fiscal impacts of proposed reimbursement strategies, providing senior leadership with actionable insights that guide multimillion-dollar hospital payment decisions. * Analyze post-implementation impacts of the adopted changes to reimbursement policies. * Oversee the process of generating supplemental payments to hospitals. * Be a subject matter expert on hospital cost reports and understand financial pressures hospitals are facing. * Create reports or dashboards with important data and key metrics about hospitals. * Troubleshoot and respond to questions and issues that arise related to hospital reimbursement. Minimum Qualifications: To qualify, you must have an eight (8) year combination of education and/or experience comprised of a Master's Degree in Business Administration, Non-Profit Administration, Finance, Health Care Administration or a closely related field and two (2) years of experience in cost, budget, and financial analysis. Directly related professional experience may be substituted for education on a year-for-year basis. Preferred experience includes: * Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income populations * Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage The background of well-qualified candidates will demonstrate the following competencies: 1. Experience working with hospital cost reports, financial statements, and claims data 2. Strong written and oral communication skills, including the ability to lead meetings and public presentation. 3. Experience using analytics tools with ability to write SQL queries is preferred 4. Ability to research law, regulations, and Medicaid policies to provide sound advice and recommendations to executive managers 5. Ability to synthesize and present complicated analysis and technical information in an understandable and concise manner to support decision-making Thinking about applying? Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you're currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your experience and passion set you apart. Agency information: The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers. The Office of MaineCare Services (OMS) within DHHS administers the state's Medicaid program, which provides free or low-cost health insurance coverage for low-income Mainers so they can access the health care services they need to work, care for family, go to school, and participate in the community. OMS works collaboratively with other State agencies, the Legislature, the Office of the Governor, MaineCare members, health care providers, and other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and positive health outcomes for all low-income Mainers. OMS provides benefit coverage and support services in alignment with Department goals, federal requirements, and State statutes. OMS also provides oversight necessary to ensure accountability and efficient and effective administration of the state's Medicaid program. The Rate Setting unit is located within the OMS Data Analytics team. Rate Setting oversees the implementation and operations of MaineCare's rate system and other key DHHS reimbursement initiatives. Rate Setting objectives are to streamline, rationalize, and improve MaineCare's reimbursement system to ensure rates are equitable and adequate to provide all MaineCare members with access to needed, high value healthcare services. MaineCare's Rate Setting team plays a pivotal role in shaping how hospitals across the state are reimbursed, the financial health of Maine's hospital system, access to hospital services, and the sustainability of Medicaid services. Application Information: For additional information about this position please contact David Jorgenson, at **************. Please submit all documents or files in PDF or Word format. To request a paper application, please contact ************************* Benefits of working for the State of Maine: No matter where you work across Maine state government, you find employees who embody our state motto-"Dirigo" or "I lead"-as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including: * Work-Life Fit - Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave. * Health Insurance Coverage - The State of Maine pays 85%-100% of employee-only premiums ($12,845.82 - $15,112.76 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State. * Health Insurance Premium Credit - Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements. * Dental Insurance - The State of Maine pays 100% of employee-only dental premiums ($395.72 annual value). * Retirement Plan - The State contributes the equivalent of 18.91% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS). * Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child-including fathers and adoptive parents-receive six weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act. State employees are eligible for an extensive and highly competitive benefits package, covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness. Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time. There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role. As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics. If you're looking for a great next step, and want to feel good about what you do, we'd love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request. . If you are unable to complete the online application, please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights** **This is a Remote Role** + Full Time: Monday-Friday 8:00 AM to 4:30 PM Central Time. All Datavant Holidays are non-covered days. + Ability working in a high-volume environment. + Will answer incoming calls and assist patients via Ring Central + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Detailed Oriented **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

MaineHealth Corporate Professional - Nonclinical The Outpatient Coder II role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in multiple different outpatient settings including Outpatient Hospital Clinics, ASU, OBSV, interventional radiology/cardiac cath/angiography records, Provider Based Clinics (inclusive of E/M, Coding for both inpatient and outpatient professional procedures), IV therapy, Emergency department and other areas as needed. Performs abstracting to determine accuracy and completeness of the outpatient record. Required Minimum Knowledge, Skills, and Abilities (KSAs) * Education: Associates 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, or CIRCC credential required. * Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD and 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 I required. Demonstrates competency in all essential functions of an Outpatient Coder I role. * Additional Skills/Requirements Required: Required experience coding E/M's, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPT's, ED's, interventional radiology, cardiac cath/angiography, and simple visit coding. * Additional Skills/Requirements Preferred: N/A Additional Information With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it. We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

MaineGeneral Health. We're with you. Be with us! MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families, and our communities. If you are looking for the opportunity to support your friends, family, and your community through your work at MaineGeneral Health...Come be with us. Job Description: The Role: Medical Records Technician The Opportunity: MaineGeneral Health is seeking a Medical Records Technician to join our team! The Work: * Performs technical skills associated with medical record procedures * Copies and mails pertinent portions of medical records while ensuring patient confidentiality * Preps, scans, indexes, analyzes, and maintains complete medical records * Quality checks medical records for Accuracy * Maintains retention standards * Assists with reviewing requests for the release of medical information for proper authorization as needed You Have: * Certified as a Registered Health Information Technician (RHIT) by the American Health Information Management Association (AHIMA) preferred * Proficiency in a suite of Microsoft Office applications and multiple computer applications * Ability to work independently, effective time management and problem-solving skills, ability to manage multiple priorities * Detail-oriented, with strong organizational skills and the ability to multi-task You Get: Supported in all aspects of your wellness - physical, emotional, financial, and professional - We believe this is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. * Health, dental, and vision benefits and wellness programs and resources to provide access to resources for a healthy lifestyle and help manage healthcare costs * An employee discount program is available to all employees for services provided by MaineGeneral Medical Center * Access to industry-leading leave for new parents * Generous earned time - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves * When life gets challenging, you have access to our Employee Assistance Program for you members of your household * If eligible, you receive up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan * A variety of leadership-supported programs and learning and development resources for every stage of your professional development. We know that our employees are our most valuable resource - you are how we grow our business and care for our community Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting a reasonable accommodation to the career site is available by contacting HR at **************. Scheduled Weekly Hours: 40 Scheduled Work Shift: Job Exempt: No Benefits: Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. Physical Wellness: * We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs. * Employees have access to industry-leading leave for new parents. * A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves. Emotional Wellness: When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household. Financial Wellness: * An employee discount program is available to all employees for services provided by MaineGeneral Medical Center. * Tuition Reimbursement is available to all employees to further develop skills and career. * We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. * Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident. * We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time. Career Mobility: Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community. Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at ************** .

# At York Hospital, we#re more than a hospital.# We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers# commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.# # York Hospital, we are a Community. For Life. # We are looking for an experienced#Physician Coding # Charge Entry candidate.# This is a#part time, 24hrs/wk#position working in York Hospital#s Physician Practice Patient#Billing Team.# The hours for this position are#3 days/week#8:00am-4:30pm.# This position is located in York, Maine. # Primary responsibilities include: # # ######## Reviewing, posting and ensuring appropriate Medical Codes are utilized using ICD-10-CM and CPT-4 coding conventions. # ######## Periodically reviews medical records to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges. # ######## Provides follow up with physicians, staff and management related to any findings. # In order to help us continue to provide exceptional patient/customer service experiences, you must have the following: # # ######## Minimum (2) years of experience in#coding with ICD-10-CM and CPT. Inpatient/Hospital preferred # ######## Excellent customer service. # ######## Computer skills to#include Microsoft Office Suite.# Knowledge of McKesson#s Paragon software a plus. # ###### Certification AHIMA or AAPC preferred. YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER. At York Hospital, we're more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a Hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all. York Hospital, we are a Community. For Life. We are looking for an experienced Physician Coding & Charge Entry candidate. This is a part time, 24hrs/wk position working in York Hospital's Physician Practice Patient Billing Team. The hours for this position are 3 days/week 8:00am-4:30pm. This position is located in York, Maine. Primary responsibilities include: * Reviewing, posting and ensuring appropriate Medical Codes are utilized using ICD-10-CM and CPT-4 coding conventions. * Periodically reviews medical records to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for professional charges. * Provides follow up with physicians, staff and management related to any findings. In order to help us continue to provide exceptional patient/customer service experiences, you must have the following: * Minimum (2) years of experience in coding with ICD-10-CM and CPT. Inpatient/Hospital preferred * Excellent customer service. * Computer skills to include Microsoft Office Suite. Knowledge of McKesson's Paragon software a plus. * Certification AHIMA or AAPC preferred. YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER.

Will provide quality services to all customers (e.g. clients and employees), which requires assistance from the HIM central department. Services might include release of information, audit support, document imaging or scanning, and other technical functions. Assists with the maintenance of permanent clinical records with respect to the retention, retrieval, control and disposal of those records. Knowledge on mental health regulatory and funding agencies such as licensing, Medicaid, Medicare, etc. Above average proficiency in the use of computer programs is essential; including, Microsoft Windows applications, Access database environments and spreadsheet applications. Experience working in networked computer environment is desirable. Experience and/or training in managing medical records required. **CHCS believes in the importance of work-life balance, we offer generous leave time with paid sick & vacation time plus seven paid holidays and five paid float holiday time to our full-time staff and pro-rated time for part-time staff.** Notice of Non-Discrimination Discrimination is Against the Law In accordance with all applicable state and federal laws and regulations cited below, Community Health and Counseling Services (CHCS) does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, pay transparency, and status as a protected veteran, or any other trait that is protected under local, state or federal law in admission or access to, or treatment or employment in, its programs or activities.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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 comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. + Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. + Provide detailed written summary of medical record review findings. + Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. + Review and discuss cases with Medical Directors to validate decisions. + Independently research and accurately apply state or CMS guidelines related to the audit. + Assist with investigative research related to coding questions, state and federal policies. + Identify potential billing errors, abuse, and fraud. + Identify opportunities for savings related to potential cases which may warrant a prepayment review. + Maintain appropriate records, files, documentation, etc. + Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. + Mentor New Coders, providing training, coding, and record review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10. + CMS 1500 and UB04 data elements + Experience with researching coding and policies. + Experience with Microsoft products; including Excel and Word + Prior experience auditing others' work and providing feedback. + Experience mentoring others. + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 3+ years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Licensed Professional Counselor (LPC) + Excellent communication skills + Excellent analytical skills + Strong attention to detail and ability to review and interpret data. **Education** + AAPC Certified Professional Coder Certification (CPC) + GED or High School diploma **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

New England Life Care (NELC) is of the fastest growing home infusion therapy services company in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 60 hospital systems in Maine, New Hampshire and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive and authentic workplace. If you're energized by this opportunity, we encourage you to apply! You may be just the person we are looking for! New England Life Care currently has a Senior Medical Records Coordinator opportunity in our Scarborough, Maine branch location. This position typically works Monday - Friday 8AM - 5PM, 1 weekend a month and 1 holiday a year! This position will allow you to work autonomously, have a predictable schedule, and be able to connect with your coworkers. NELC prides itself on fostering an environment where our employees feel respected, appreciated, supported, and empowered to make decisions. Come join our team and see for yourself! Job Summary: The person in this position is responsible for the management and maintenance of all medical records, while supporting the sites with administrative support. Benefits: Health insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Primary Responsibilities: Develops a clear understanding of the Medical Records Coordinator role and can mentor new members of the team Reviews entry level MRC work for accuracy during 90-day probationary period. Assists entry level MRC with instructions on how to file more complex documents. Responsible for sending out Plan of Treatments (POTs) and limited orders for nurses. Also responsible for tracking the receipt of returned documents. Work closely with Intake Supervisor in recommending enhancement of MRC policies & procedures. Accurately files clinical documents in the appropriate section of each patient specific medical record. While assigning documents to an appropriate patient, MRC must ensure proper notifications are made to specific departments when applicable. Completes filing of 95% of the clinical documents by the end of each day. Manages a monthly budget for ordering supplies Manages the filing of all Compounding Sheets, Delivery Tickets and Processed orders for Pharmacy/Materials Maintains adequate inventory of Office/Kitchen and Facility supplies Accurately collates documentation for patient Admission Packets and ensures that all types of Patient Admission Packets and responsible to ensure we always keep par levels. Responsible for ordering/coping all documentation that must be added to the packets. Responsible for updating appropriate spreadsheets on public drive to maintain inventory levels. Ensures that confidentiality of patient information is maintained in accordance with state and HIPAA Privacy and Security regulations. Performs month audits for nursing “Hand Hygiene Audits” 10 per month Responsible to copy teach sheets for Pharmacy and maintain par levels Complete all RN requests that are emailed to MRC within 48 hours (i.e., teach sheets, welcome packets) and coordinate the delivery with operations staff. Additional Responsibilities: Acts as Branch Receptionist greeting visitors to the sites Follows NELC policies and procedures in the normal conduction of company business. Assures that professional practice complies with state and federal regulations including but not limited to the HIPAA Privacy and Security regulations and NELC's Corporate Compliance Program. Education Requirements: High school Diploma or equivalent required. Minimum of 2 years previous medical records. Regulatory Requirements: Knowledge of HIPAA Privacy and Security requirements preferred. Knowledge of federal and state regulations relating to medical record retention is preferred. Additional Skills: Excellent organizational skills required. Attention to detail required. Ability to work independently as well as part of a team. Good interpersonal and customer service skills required. Strong computer skills Dependability in attendance and job performance required. Monday - Friday, 8:00am - 5:00pm with an hour lunch break.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. **Position Highlights** : + Temporary Full-Time: Monday-Friday 8:00AM-4:30 PM EST + Location: This role will be performed at one location (Remote) + Comfortable working in a high-volume production environment. + Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status. + Documenting information in multiple platforms using two computer monitors. **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

MaineHealth Corporate Professional - Nonclinical The Outpatient Coder II role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in multiple different outpatient settings including Outpatient Hospital Clinics, ASU, OBSV, interventional radiology/cardiac cath/angiography records, Provider Based Clinics (inclusive of E/M, Coding for both inpatient and outpatient professional procedures), IV therapy, Emergency department and other areas as needed. Performs abstracting to determine accuracy and completeness of the outpatient record. Required Minimum Knowledge, Skills, and Abilities (KSAs) * Education: Associates 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, or CIRCC credential required. * Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD and 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 I required. Demonstrates competency in all essential functions of an Outpatient Coder I role. * Additional Skills/Requirements Required: Required experience coding E/M's, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPT's, ED's, interventional radiology, cardiac cath/angiography, and simple visit coding. * Additional Skills/Requirements Preferred: N/A Additional Information With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it. We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

Requirements ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. Maintain and organize patient health records in accordance with HIPAA, HRSA, and FQHC guidelines. 2. Process requests for medical records, including internal provider requests and external authorized releases of information. 3. Scan, upload, and index incoming patient documentation into the Electronic Health Record (EHR). 4. Ensure timely chart preparation and closure for patient visits. 5. Verify accuracy of patient demographic and insurance information related to medical records. 6. Support providers and staff with retrieval of clinical documentation. 7. Respond to subpoenas, insurance requests, and audit-related inquiries under supervision of leadership. 8. Monitor record retention schedules and assist with secure record destruction as needed. 9. Participate in quality improvement initiatives and compliance audits related to medical records. 10. Perform other administrative duties as assigned. 11. Adheres to all HIPAA regulations and FQHC compliance standards. 12. Supports the mission of providing accessible, high-quality care to underserved populations. NON-ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. May provide backup coverage for the scheduler, dental department, medical clinic front desk, Ellsworth site as needed. 2. Performs other duties and tasks as assigned. GENERAL EXPECTATIONS: 1. Be committed to the mission of the Bucksport Regional Health Center 2. Be punctual for scheduled work and use time appropriately. 3. Work in harmonious relationships with all staff, patients, vendors and others. 4. Perform duties in a conscientious, cooperative manner. 5. Perform required amount of work in a timely fashion with a minimum of errors. 6. Be neat and maintain a professional appearance. 7. Maintain confidentiality and protect the Center by keeping information concerning Operations, patients and employees confidential. 9. Participation in community activities as a representative of Bucksport Regional Health Center. PHYSICAL REQUIREMENTS: The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel, including operation of a standard computer keyboard; reach with hands and arms and talk, see and hear; prolonged sitting is required. Eye hand coordination and manual dexterity required. The employee must occasionally lift/move up to 25 pounds, bend, stoop, stretch or crouch. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed primarily in a medical office setting. Noise level is usually quiet. QUALIFICATIONS NEEDED FOR POSITION: Experience and Skill Requirements: The following experience and skills are considered essential: Prior experience in medical records, health information, or clerical work in a healthcare setting preferred. Familiarity with EHR systems (eClinicalWorks) preferred. Computer experience using Microsoft Windows and Microsoft Office software products required. Strong attention to detail, organizational skills, and confidentiality. Ability to work effectively both independently as well as in a team-oriented, patient-centered environment. Ability to communicate and present information. Ability to establish priorities and coordinate work activities. EDUCATION REQUIREMENTS: The following education requirements are considered essential: High School diploma or equivalent with emphasis on office and business skills including keyboarding, filing, and multi-tasking, required. Additional training in health information management preferred.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **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 comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements + Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 2 years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Prior auditing experience + Excellent analytical skills + Strong attention to detail and ability to review and interpret data + Excellent communication skills **Education** + GED or equivalent + AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. **You will:** + **Schedule: Monday-Friday 8:00am-4:30pm (Bellevue, Ohio)** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Must be 18 years or older. + 1-year Health Information related experience. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

MaineHealth Corporate Clerical/Administrative Support Summary: Full Remote The Outpatient Coder I role is responsible for accurate coding of all outpatient visits for statistical and billing purposes. Performs abstracting to determine accuracy and completeness of the outpatient record. Required Minimum Knowledge, Skills, and Abilities (KSAs) * Education: Associate's Degree in a Science field with completion of an accredited program through AHIMA or AAPC preferred. * License/Certifications: Coding certification (CCA, CCS, RHIT, RHIA and/or Certified Professional Coder (CPC), or CPC-A credential required. * Experience: Completion of the MH Coder I Apprenticeship program or one year experience coding in an outpatient setting using 3M Coding and/or Optum Reimbursement encoder required. * Additional Skills/Requirements Required: Demonstrated, applied knowledge of ICD and CPT coding guidelines and principles required. * Additional Skills/Requirements Preferred: N/A Additional Information With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it. We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

The Medical Records Clerk supports the accurate and timely management of patient health information within Bucksport Regional Health Center (BRHC). This role ensures compliance with HIPAA and federal regulations while maintaining accessibility and confidentiality of patient records to support high-quality patient care. Requirements ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. Maintain and organize patient health records in accordance with HIPAA, HRSA, and FQHC guidelines. 2. Process requests for medical records, including internal provider requests and external authorized releases of information. 3. Scan, upload, and index incoming patient documentation into the Electronic Health Record (EHR). 4. Ensure timely chart preparation and closure for patient visits. 5. Verify accuracy of patient demographic and insurance information related to medical records. 6. Support providers and staff with retrieval of clinical documentation. 7. Respond to subpoenas, insurance requests, and audit-related inquiries under supervision of leadership. 8. Monitor record retention schedules and assist with secure record destruction as needed. 9. Participate in quality improvement initiatives and compliance audits related to medical records. 10. Perform other administrative duties as assigned. 11. Adheres to all HIPAA regulations and FQHC compliance standards. 12. Supports the mission of providing accessible, high-quality care to underserved populations. NON-ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. May provide backup coverage for the scheduler, dental department, medical clinic front desk, Ellsworth site as needed. 2. Performs other duties and tasks as assigned. GENERAL EXPECTATIONS: 1. Be committed to the mission of the Bucksport Regional Health Center 2. Be punctual for scheduled work and use time appropriately. 3. Work in harmonious relationships with all staff, patients, vendors and others. 4. Perform duties in a conscientious, cooperative manner. 5. Perform required amount of work in a timely fashion with a minimum of errors. 6. Be neat and maintain a professional appearance. 7. Maintain confidentiality and protect the Center by keeping information concerning Operations, patients and employees confidential. 9. Participation in community activities as a representative of Bucksport Regional Health Center. PHYSICAL REQUIREMENTS: The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel, including operation of a standard computer keyboard; reach with hands and arms and talk, see and hear; prolonged sitting is required. Eye hand coordination and manual dexterity required. The employee must occasionally lift/move up to 25 pounds, bend, stoop, stretch or crouch. Specific vision abilities required by the job include close vision, distance vision, and the ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed primarily in a medical office setting. Noise level is usually quiet. QUALIFICATIONS NEEDED FOR POSITION: Experience and Skill Requirements: The following experience and skills are considered essential: * Prior experience in medical records, health information, or clerical work in a healthcare setting preferred. * Familiarity with EHR systems (eClinicalWorks) preferred. * Computer experience using Microsoft Windows and Microsoft Office software products required. * Strong attention to detail, organizational skills, and confidentiality. * Ability to work effectively both independently as well as in a team-oriented, patient-centered environment. * Ability to communicate and present information. * Ability to establish priorities and coordinate work activities. EDUCATION REQUIREMENTS: The following education requirements are considered essential: * High School diploma or equivalent with emphasis on office and business skills including keyboarding, filing, and multi-tasking, required. Additional training in health information management preferred.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. + **This is a Remote role** **- Full-Time: Monday - Friday, 8 am - 430 pm EST** **- Comfortable working in a high-volume production environment.** **- Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status** **- Documenting information in multiple platforms using two computer monitors.** **- Proficient in Microsoft office (including Word and Excel)** **We offer:** **Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor** **Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)** **Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance** To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) 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 comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. Provide detailed written summary of medical record review findings. Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. Review and discuss cases with Medical Directors to validate decisions. Independently research and accurately apply state or CMS guidelines related to the audit. Assist with investigative research related to coding questions, state and federal policies. Identify potential billing errors, abuse, and fraud. Identify opportunities for savings related to potential cases which may warrant a prepayment review. Maintain appropriate records, files, documentation, etc. Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. Mentor New Coders, providing training, coding, and record review guidance. Collaboration with investigators, data analytics and plan leadership on SIU schemes. Act as management back-up and supports the team when the manager is out of the office. Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. Required QualificationsAAPC Coding certification - Certified Professional Coder (CPC)3+ years of experience in medical coding or documentation auditing. Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10. CMS 1500 and UB04 data elements Experience with researching coding and policies. Experience with Microsoft products; including Excel and WordPrior experience auditing others' work and providing feedback. Experience mentoring others. Must be able to travel to provide testimony if needed. Preferred Qualifications3+ years or more previous experience with Behavioral Health coding/auditing of records Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) Licensed Professional Counselor (LPC) Excellent communication skills Excellent analytical skills Strong attention to detail and ability to review and interpret data. EducationAAPC Certified Professional Coder Certification (CPC) GED or High School diploma Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $112,200. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. 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 include:- Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify Required QualificationsAAPC Coding certification - Certified Professional Coder (CPC)3+ years of experience in medical coding or documentation auditing. Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements Experience with researching coding, state regulations and policies. Working experience with Microsoft ExcelMust be able to travel to provide testimony if needed. Preferred Qualifications2 years or more previous experience with Behavioral Health coding/auditing of records Licensed Clinical Social Worker (LCSW) Licensed Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) Prior auditing experience Excellent analytical skills Strong attention to detail and ability to review and interpret data Excellent communication skills EducationGED or equivalent AAPC Certified Professional Coder Certification (CPC) Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$43,888. 00 - $102,081. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.