Coder II

MaineGeneral Health • Waterville, ME

112d

About The Position

MaineGeneral Health is seeking a skilled Coder II to join our team. In this role, you'll ensure accurate coding and billing by reviewing documentation, assigning appropriate diagnostic and procedural codes, and collaborating with providers to resolve discrepancies. This role offers the opportunity to work in a dynamic healthcare environment, using your expertise to ensure accurate coding, compliance, and optimal reimbursement.

Requirements

• Certification by AHIMA or AAPC (Required).
• 3-5 years of surgical coding experience (Preferred).
• Strong knowledge of anatomy, physiology, medical terminology, and pharmacology.
• Proficiency in Microsoft Office applications.
• Detail-oriented with strong organizational and multitasking skills.
• Effective communication skills (both written and verbal).

Responsibilities

• Reconcile patient lists, census, and discharge reports to ensure complete and accurate documentation and charge capture.
• Abstract key non-coding elements necessary for billing, such as surgeon details, surgical episodes, and discharge dispositions.
• Manage and correct billing discrepancies, ensuring claims are accurate and complete while reporting missing information to providers or administrators.
• Review complex visit documentation from outpatient and ancillary areas (e.g., Emergency Department, Cancer Center, Outpatient Surgery, Observation, Infusion) to assign appropriate diagnostic and procedural codes.
• Assign and sequence accurate codes for 3-5 outpatient and/or ancillary patient areas in clinical systems, including necessary modifiers.
• Query providers when needed to clarify documentation, ensuring coding accuracy and compliance with guidelines.

Benefits

• Quality health, dental, and vision benefits and wellness programs.
• Industry-leading leave for new parents.
• Generous earned time plan for holidays, family, vacations, or personal care.
• Employee Assistance Program for emotional wellness.
• Employee discount program for services provided by MaineGeneral Medical Center.
• Tuition Reimbursement for skill and career development.
• 403(b) company-matching contributions plus another 2% in the 401(a) retirement plan.
• Insurance plans for protection against loss of life, terminal illness, or serious injury.
• Short-term and long-term disability insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Nursing and Residential Care Facilities