Clinical Coding and Compliance Auditor

MaineHealth; Scarborough (ME); On-site; USD 61,000 - 83,000; Full time

Benefits offered by this job

Paid parental leave

Flexible work options

Student loan assistance

Professional development opportunities

Well-being resources

Job summary

The Clinical Coding and Compliance Auditor role at MaineHealth is responsible for the accurate assignment of ICD and CPT codes of diagnoses and procedures for outpatient medical records in multiple outpatient settings.

We seek RHIT/RHIA/CCS/CCA/CPC credentials and at least two years of multi-specialty coding experience, including CPT/ICD-10-CM/HCPCS for professional charges. MaineHealth offers competitive benefits and professional growth opportunities.

Qualifications

• Associate’s degree in a science field preferred and AHIMA or AAPC training recommended.
• Two years of multi-specialty coding experience with CPT/ICD-10-CM/HCPCS.
• Experience coding E/Ms, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPTs, EDs, cardiac procedures.

Responsibilities

• Accurately assign ICD and CPT codes for outpatient medical records across multiple settings.
• Ensure coding complies with guidelines and auditing processes.

Skills

Medical coding

Outpatient coding

CPT/ICD-10 coding

E/M coding

Education

Associate’s Degree in science

AHIMA or AAPC credential preferred

Two years multi-specialty coding experience

Job description

Summary

The Clinical Coding and Compliance Auditor role is responsible for the accurate assignment of ICD and CPT codes of diagnoses and procedures for outpatient medical records in multiple outpatient settings.

Description

MaineHealth Corporate

Professional - Nonclinical

Req #: 75482

Required Minimum Knowledge, Skills, and Abilities (KSAs)

• Education: Associate’s Degree in a science field preferred. Completion of an accredited program through AHIMA or AAPC preferred.
• License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, or CIRCC credential preferred.
• Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD-10-CM/HCPCS/modifier coding for physician professional charges and a minimum of two years’ experience in an acute care facility as an ASU Clinical Coder required.
• Additional Skills/Requirements Required: Experience coding E/M’s, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPT’s, ED’s, cardiac cath/angiography, and simple visit coding required.
• Additional Skills/Requirements Preferred: N/A

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources—so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization. Any offer of employment will depend on qualifications such as skills, relevant experience, education, certifications, and other job-related factors. The base range is an estimate and does not reflect the full value of our total compensation package.

The pay range for this position is $61,256.00to $82,867.20per year.

Compensation for part‑time positions is determined on a prorated basis consistent with the scheduled hours and applicable full‑time equivalent (FTE).

In addition to base pay, MaineHealth offers comprehensive benefits, recognition programs, career growth opportunities, and, where applicable, shift differentials or other incentives.

Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.