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Manager – Clinical Coding Job in Scarborough, Maine

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Job Title: Manager – Clinical Coding

Employer:Maine Medical Center
Required Certifications:Must have current coding certifications for ICD-10 and be skilled in ICD coding and case mix index management.
Location: Scarborough 04074, ME, US
Date Posted:8/13/2018

Manager – Clinical Coding

Maine Medical Center

Scarborough, ME

Full Time, Days and Evenings


Maine Medical Center is seeking a Manager – Clinical Coding in Scarborough. This position manages HIM’s Clinical Data Section, which is accountable for: coding and abstracting the medical records of inpatients, ambulatory surgery, urgent care, observation and outpatient clinics; preparing statistical analysis of medical records data; and compiling, analyzing and summarizing data from medical records into various formats. The output of this section is used for: meeting hospital licensure requirements; financial and billing purposes, which includes the identification and determination of appropriate reimbursement under inpatient and outpatient prospective payment systems; maintenance of acceptable accounts/receivables and DNB levels; compliance with internal and external regulatory agencies, such as Quality Improvement Organizations, the Centers for Medicare and Medicaid Services, and JCAHO. The position also coordinates hospital DRG activities through chart reviews, DRG validation activities, and provides information and reports to fulfill requests made by members of the medial staff, administration and planning.



  •         Must have current coding certifications for ICD-10 and be skilled in ICD coding and case mix index management.
  •          Advanced education which should include communication and mathematical/statistical skills and/or extensive knowledge in organization, research and analysis normally acquired through the completion of Health Record Administration.
  •          Bachelor’s program in Science with certification as an RHIA and coding credentials (CCS, CPC). Credentials are a job requirement and RHIT may be substituted for RHIA credentials provided held in conjunction with CCS and CPC certifications. Must have coding credentials within 6 months of hire date.
  •          Must have experience with Epic, HP CDM, claim edit processes, 3M encoder and CDI programs. Prior CAC and Lawson preferred.
  •          Have knowledge of: medical information and revenue cycle systems; Grouper and Severity of Illness Systems; medical record systems, medical terminology, anatomy and physiology, pathophysiology, microbiology, and pharmacology; state, federal and JCAHO requirements pertaining to medical records; DRG prospective payment system.
  •          A minimum of four years prior successful supervisory experience.
  •          Demonstrate abilities to: correctly interpret and apply federal regulations and PRO requirements in the assignment of DRGs, APCs and in the interpretation of various billing guidelines (i.e., medical necessity, resident supervision policies, correct coding initiative, etc.) Ability to direct concurrent and retrospective coding reviews and provide physician education for the roll-out of ICD-10 CM and PCS.
  •          Effective skills in leadership, communications, coaching, planning, motivation, and establishing effective working relationships with all levels of staffing in the organization.


To apply, please click here or visit www.careersatmainehealth.org.


About Maine Medical Center

Maine Medical Center is a complete healthcare resource for the people of greater Portland, the entire state of Maine and Northern New England. With a history dating back to 1864, Maine Medical Center is the state’s largest medical center and the flagship facility of MaineHealth, with 637 beds and more than 7,000 employees. In addition, we have achieved Magnet™ status in recognition of our commitment to the highest standards of nursing excellence. Maine Medical Center’s unique role as both a community hospital and a referral center requires an unparalleled depth and breadth of services, including the state’s only medical school, through a partnership with Tufts University School of Medicine, and a world-class biomedical research center, the Maine Medical Center Research Institute.


Inside and out, you’ll find what you’re looking for when you join Maine Medical Center. As the largest hospital in northern New England, MMC is committed to helping you grow professionally throughout your career. From tuition assistance and scholarships, to ongoing education, leadership training, mentoring and promotion opportunities, we offer the resources you need to achieve your career goals.


MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.


To apply, please click here or visit www.careersatmainehealth.org.

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