Certified CDI Nurse Coder – Risk-Adjustment Focus

Martin's Point Health Care Inc.; Portland (ME); On-site; USD 75,000 - 110,000; Full time

Job summary

Martin's Point Health Care Inc. in Portland, Maine, is seeking a Clinical Documentation Improvement Nurse Coder (Certified) to ensure accurate documentation, optimize risk adjustment, and support quality reporting.

The role requires RN licensure, CDI experience, coding certifications, and strong collaboration with providers and care teams. This full-time role emphasizes documentation integrity and regulatory compliance to improve population health outcomes.

Qualifications

• Associates degree in nursing required; RN license active.
• Certified Professional Coder (CPC), CCS, or equivalent required.
• 3+ years clinical nursing experience; CDI/coding experience preferred.
• Experience in primary/ambulatory care and population health preferred.
• Knowledge of ICD-10, CPT, and HCC conventions.

Responsibilities

• Review medical records to ensure documentation reflects illness severity and services.
• Collaborate with providers to clarify documentation and accurate diagnoses.
• Apply coding knowledge to support risk adjustment and quality reporting.
• Perform concurrent and retrospective documentation reviews for accuracy.
• Ensure CPT, ICD-10, and HCC coding aligns with regulations.
• Educate providers on documentation best practices and coding impact.
• Identify documentation gaps and support improvements in workflows.

Skills

Analytical thinking

Critical thinking

Written communication

Verbal communication

EMR proficiency

Attention to detail

Organizational skills

Education

Associate's degree in nursing

Bachelor's degree in nursing

Tools

EMR systems

Clinical documentation systems

Job description

Martin's Point Health Care Inc. in Portland, Maine, is seeking a Clinical Documentation Improvement Nurse Coder (Certified) to ensure accurate documentation, optimize risk adjustment, and support quality reporting.

The role requires RN licensure, CDI experience, coding certifications, and strong collaboration with providers and care teams. This full-time role emphasizes documentation integrity and regulatory compliance to improve population health outcomes.