Coder I - Physician Services
MaineHealth - Brunswick, ME
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Status: Fully remotePosition SummaryUnder the general direction of the SMHC Physician Practice Coding Manager, this position is responsible for the accurate assignment of ICD-10-CM and CPT-4 coding of diagnoses and procedures for hospital provider based practice and or professional charges including determination of accuracy and completeness of the outpatient record utilizing EPIC, 3M Coding Reimbursement and/or Optum Encoder. Accurate assignment of place of service codes, modifiers and other coding data to ensure accurate claims submission. Reviews documentation and assigns or determines accurate evaluation and management code selection. Typically works with family medicine, internal medicine or Walk In care work queues. Conducts all interactions with patients and personnel in a courteous, respectful manner while maintaining confidentiality. The incumbent is required to conduct all job responsibilities consistent with SMHC policies, procedures and in compliance with all applicable laws or mandates relating to patient care and business activities.Required Minimum Knowledge, Skills, and Abilities (KSAs)Education: N/ALicense/Certifications: Certification through AAPC or AHIMA require, such as CPC, CCS, RHIT, or specialty coding certification(s).Experience: One to two (1-2) years'' experience coding in an outpatient or physician practice setting using electronic medical record and encoder. Prior experience using EPIC, 3M Coding and/or Optum Reimbursement encoder preferred.Demonstrated, applied knowledge of ICD-10-CM and CPT-4 coding guidelines/ principles and accurate modifier assignment required.Ability to apply broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytical ability.Excellent written and verbal communication skills.Proficient in use of Microsoft Office including Word, Excel, Outlook and email.Demonstrated ability to solve problems and work in a fast pace environment.Good understanding of Anatomy and Physiology as well as Pharmacology. Medical terminology or other class work preferred.Additional Information MaineHealth was ranked a Best-In-State Employer in 2021 and one of America''s Best Large Employers in 2022 by Forbes!MaineHealth is a not-for-profit integrated health system whose vision is, ''Working together so our communities are the healthiest in America.'' MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at At MaineHealth, we offer benefits that support an individual''s needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever changing, needs.With a career at any of the MaineHealth locations, you''ll be working with health care professionals that truly value the people around them - both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care team members. We believe in fostering a work environment of strong commitment, compassionate caring and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.
Created: 2025-10-04