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Coder I - Medical Records

Central Maine Healthcare

Overview

Department: Medical Records

Schedule: Full time, 40 hours, days

Facility: Central Maine Medical Center

Location: Lewiston, Maine 04240

Central Maine Healthcare is an integrated healthcare delivery system serving communities across central, western, and midcoast Maine. The organization includes Central Maine Medical Center in Lewiston, a not-for-profit regional referral hospital, as well as Bridgton Hospital and Rumford Hospital.

Responsibilities

The Coder I reviews medical record documentation for inpatient and outpatient visits to determine diagnoses and procedures documented by physicians. Using ICD-9 and CPT coding standards, the role translates clinical documentation into coded data according to AHA, hospital-specific, and regulatory guidelines.

The coder enters coded and abstracted data into the hospital electronic information system to support Health Information Services indexing, internal use, and mandated reporting requirements. The position also participates in chart review projects as assigned.

Requirements & Qualifications
  • Minimum one year of experience with ICD-9 and CPT coding in an acute care setting
  • Basic computer experience
  • Experience using encoder software for code assignment in an acute care setting preferred
  • Computer data entry experience with 10-key and typing speed of 35 wpm preferred
  • Completion of college-level coursework in anatomy, physiology, medical terminology, and ICD/CPT coding required
  • Current enrollment in, or completion of, a program for CCS, RHIT, or RHIA certification required
  • CCS, RHIT, or RHIA certification or license preferred
Benefits & Perks
  • Competitive compensation
  • Comprehensive benefits package
  • Flexible benefit options to fit individual needs
  • Growth and wellness resources and programs

Location

Maine, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

1 month ago

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