– Clinical Coding
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
- 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
- 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.
please click here or visit www.careersatmainehealth.org.
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.
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