Top 21 Coding specialist Jobs in Maine

Referral Specialist
Northern Light Health —Presque Isle, ME
- Full-time
- Acute care
- Hospital
- Medical office experience
Medical Billing Specialist-Accounts Receivable
New England Cancer Specialists —Westbrook, ME
- Full-time
- Remote
- Computer literacy
- HIPAA
- Research
- Paid holidays
- Disability insurance
Quick Apply
Inpatient Coder III
MaineHealth —Scarborough, ME
- $29.45 - $39.84 an hour
- Email
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Parental leave
Cancer Registrar
MaineHealth —Portland, ME
- $27.27 - $36.88 an hour
- Email
- Hospital
- Mid-level
- Experience equivalent to degree accepted
- Paid parental leave
- Parental leave
Trauma Registrar
Northern Light Health —Bangor, ME
- $19.50 - $28.09 an hour
- Full-time
- Mid-level
- Quality control
- Associate's degree
Authorization Specialist
New England Life Care —Scarborough, ME
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Surgical Scheduler
Plastic + Hand Surgical Associates —Westbrook, ME
- $23 - $26 an hour
- Full-time
- Background check
- Surgery
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
8d
Medical Receptionist
ConvenientMD —Sanford, ME
- Part-time
- Urgent Care
- HIPAA
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Clinical Assurance Spec/RN
Northern Light Health —South Portland, ME
- $32.65 - $50.11 an hour
- Full-time
- Nursing
- RN License
- Word processing
5d
Clinical Documentation Improvement Nurse Coder (Certified) - Hybrid in Maine
Martin's Point Health Care —Portland, ME
- $86,926.10 - $107,379.30 a year
- Full-time
- Nursing
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Medical Receptionist - Urgent Care
ConvenientMD —Waterville, ME
- $19.50 - $24.00 an hour
- Part-time
- Urgent Care
- HIPAA
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
7d
Compliance Specialist
MaineGeneral Health —Augusta, ME
- $66,768 - $116,854 a year
- Full-time
- Research
- Mid-level
- Office
- 403(b) matching
- Disability insurance
Quick Apply
5d

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Clinical Quality Analyst
Optum —Bangor, ME
Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually.
$29 - $52 an hour
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Maine
Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
$43,888 - $93,574 a year

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As required by listed licensure and/or certification requirement. Conducts billing and coding audits to ensure accuracy and identify missed opportunities.
Remote Physician Coding Specialist II
Mount Carmel —Columbus, OH
Attends educational opportunities to enhance knowledge in coding and reimbursement systems and obtains/maintains certification from AHIMA or AAPC to validate…

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Referral Specialist

Northern Light Health -
Presque Isle, ME

Apply Now

Job Details

Full-time

Qualifications

Collaborate with healthcare professionals
Business Management
Overseeing health insurance pre-certification
Medicare
Safety protocol adherence
Medical office experience
Healthcare Administration
Coding for hospital billing
Associate's degree in Business Administration
Process improvement
Mid-level
Medical coding experience in outpatient clinics
Healthcare referral management
Medicare regulations
Decision making
Clinical information systems
Client referral services
Business Administration
Health insurance referral requirements
Business
Associate's degree
Medical claim denial management
2 years
Communication skills

Full Job Description

The compensation range listed reflects the range Northern Light Health anticipates relying on in setting the wages for the position. The range may not necessarily include all additional compensation elements available, such as differentials, incentive programs and benefits.

Northern Light A.R. Gould

Department: Physician Practice Central Ops

Position is located: North Street Healthcare Mall

Work Type: Full Time

Hours Per Week: 40.00

Work Schedule: 8:00 AM to 4:30 PM

Exempt: No

Summary :

Referral specialists are responsible for assuring that patients needing diagnostic tests and specialty services are referred to the appropriate department/office efficiently to assure services needed are received timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to assure that every patient receives the definitive care that they need. A major role of the Referral Specialist is to communicate progress of referrals to patients, families, and referring providers. Key characteristics to be successful include expert communication, knowledge of insurances and health systems, teamwork, collaboration, organizational skills, and detail orientation. Multitasking ability is essential as Referral Specialists often are working on multiple cases at a time. Fast paced setting requires independent thinking, ability and willingness to be flexible and adaptable to changes. Re-prioritization of tasks occurs frequently.

Responsibilities:

Manages outgoing referrals and incoming referrals as assigned.
Obtains authorizations for procedures and diagnostics as assigned.
Communicates with patients, providers, office staff, insurers and referrers. Works collaboratively with clinical staff, providers, surgical schedulers, ancillary departments, and insurance carriers to complete work.
Adds new patients to EMR when needed, including assisting with scheduling as assigned.
Manages and monitors prior authorizations/out-going referrals for the assigned departments(s) following Policy and Procedures.
Maintains working knowledge of inpatient vs. outpatient procedures and CPT codes.
Maintains referral tracking documentation to determine that referral is complete.
Maintains current knowledge of various insurance processes necessary to obtain prior authorization; follows Prior Authorization Policy.
Assists with claim denials/research as assigned.
Assists with coding to assure appropriate authorization of procedures.
Makes recommendations for change to improve processes in accordance with mission statement and established goals.
Ensures compliance with Medicare and third-party payers procedures.
Maintain safety standards at all times and report safety issues immediately.
Maintains mandatory education compliance.

Other Information :

Competencies and Skills

Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation.
Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Education

Required Associate's DegreeAssociate degree in business management, healthcare, administration, medical coding, or related field or 2 years’ experience in a medical office or related setting is required.

Required Experience

0 year/years of Relevant Work Experience

Working Conditions

Prolonged periods of sitting.

Northern Light AR Gould Hospital is an acute care hospital located near the Canadian border in Presque Isle, Maine. This is the largest city and economic hub of Aroostook County – Maine’s northernmost county, with a geographic area larger than the states of Maryland and Rhode Island combined. When you're not enjoying year-round outdoor activities, you will be working with supportive colleagues in a facility that offers a surprising range of comprehensive services given its rural location.

AR Gould provides emergency, primary, and specialty care. In addition to traditional acute care, our inpatient units also include acute rehabilitation and a women and children’s unit. It is the only healthcare facility in the region to offer certain life-saving specialty services, such as radiation therapy, a cardiac catheterization lab, and a dialysis center.

The hospital is a member of Northern Light Health, an integrated statewide health system that is raising the bar with no-nonsense solutions that are leading the way to a healthier future for our state.

The University of Maine at Presque Isle, Northern Maine Community College, the Maine School of Science and Mathematics magnet school, and quality local public schools all provide opportunities for academic enrichment. Lakes, rivers, and woodlands are legendary and well-known to hunters, anglers, and outdoor recreationalists. The local airport provides daily, year-round service between Presque Isle International Airport (PQI) and Boston Logan International Airport.

Questions? Contact Talent Acquisition:
phone: 207-973-7100
email: [email protected]

ARG, Presque Isle, Aroostook County, Maine, TAMC, Northern Maine, Rural Health Care

Apply Now

Refine Your Search

coding specialist jobs in maine

Referral Specialist

Medical Billing Specialist-Accounts Receivable

Inpatient Coder III

Cancer Registrar

Trauma Registrar

Authorization Specialist

Surgical Scheduler

Medical Receptionist

Clinical Assurance Spec/RN

Clinical Documentation Improvement Nurse Coder (Certified) - Hybrid in Maine

Medical Receptionist - Urgent Care

Compliance Specialist

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