Clinical Coder III
Maine Medical Center 

Introduction:

This position is responsible for the accurate coding of diagnoses, procedures and demographic information in the Health Information abstracting system. The position is responsible for coding inpatient encounters and working collaboratively with the Clinical Documentation Specialists.

Job Description:

Primary responsibilities are:

• Code Inpatient Medical Records maintaining established departmental accuracy and productivity standards.

• Identifies and assigns principal diagnosis and
  principal procedure, secondary diagnoses (including
  complications and co-morbidities), secondary
  procedures and demographic information. Applies
  correct ICD-9-CM coding guidelines with a 95%
  accuracy rate.

• Assigns the MS-DRG that most appropriately reflects
  the documentation of the occurrence of events, severity
  of illness, and resources utilized during the
  encounter.

• Queries physicians when there is the possibility of
  improving DRG by obtaining missing or ambiguous
  documentation.

• Maintains a minimum productivity standard of 2.5 to
  3.5 records per hour.

• Supports and collaborates with the Clinical Documentation Management Program

• Works with the DRG Coordinator and Clinical
  Documentation Specialists to accurately identify
  opportunities for MS-DRG optimization when medically
  indicated.

• Maintains open and positive communication with DRG
  Coordinator and Clinical Documentation Specialists.

• Participates in accurate data collection, evaluation
  and recommendations of process improvements to support
  Clinical Documentation Management Program.

Required Qualifications:

Qualifications include:

• Minimum of 3 years of experience in an acute care facility as ASU and/or inpatient coder. Demonstrated competency of knowledge base through the utilization of a standardized test with a minimum of 75% accuracy for the test.

• Strong knowledge of medical terminology, anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.

• Skill in ICD-9-CM and CPT coding classification systems, diagnosis and procedure section and sequencing guidelines.

• Knowledge of MS-DRG prospective payment system.

• Demonstrated competence in coding and correct extrapolation of Official Coding and select billing guidelines to specific coding situations.

• Ability to work effectively, collaborative and manage multiple demands consistently.

• Ability to problem solve with close attention to detail.

Compensation/Benefits:

Health, Dental, Vision and Retirement Planning

Instructions for Resume Submission:

Visit http://mmc.org to apply on line.
HR contact is Todd Nevins at 207-662-4838.

 
 

Data Abstractor
Maine Violent Death Reporting System

Introduction 

This part time position (12-16 hrs week) is with the University of Southern Maine as a contractor supporting the Maine Injury Prevention Program.  The work is conducted at the Maine Medical Examiner’s Office and at the Maine Injury Prevention Program office at the Maine CDC in Augusta.

Job Description

The essential responsibilities include:

• Review suicide death records in the Medical Examiner’s Office.

• Abstract data according to National Violent Death Reporting System standards for suicide and suicide/homicide deaths.

• Accurately record data on abstractor forms and input into electronic system.

• Write narratives of incidents using police and medical examiner reports.

This position requires knowledge or experience working with medical and/or public safety records.  Attention to detail is essential for accurate data collection and transcribing.  An ability to work independently is important.  The successful candidate must sign a confidentiality agreement with the Maine CDC, the University of Southern Maine and the Office of the Chief Medical Examiner.

Contact

For more information or to submit a resume, contact Joseph Riddick at joseph.riddick@maine.gove or 207-287-5690.