Provider Quality Compliance ASU/IR Specialist

MaineHealth; Westbrook (ME); On-site; USD 77,000 - 104,000; Full time

Job summary

MaineHealth is seeking a Provider Quality Compliance ASU/IR Specialist to oversee ICD and CPT coding audits and training for medical records in multiple settings. The role requires an associate degree in a science field and professional coding credentials, with EPIC experience preferred.

Base pay ranges from $77,147.20 to $104,353.60 per year, with comprehensive benefits and prorated options for part-time roles. This is a full-time, on-site position in Maine.

Qualifications

• Associate degree in science preferred; AHIMA or AAPC program preferred.
• RHIT, RHIA, CCS, CCA, CPC, CPC-H or CIRCC required; CIRCC within 12 months.
• Five years of multi-specialty coding experience; CPT/ICD-10-CM/HCPCS coding for physician professional charges; five years in an acute care ASU Clinical Coder.
• Experience coding E/Ms, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPTs, EDs, cardiac cath/angiography, and simple visit coding.

Responsibilities

• Oversee auditing and training of ICD and CPT coding for diagnoses and procedures.
• Code and charge medical records across inpatient and outpatient settings.
• Support ASU/IR program priorities and coordinate related projects.

Skills

E/M coding

Outpatient clinics

ASU

Surgical CPTs

ED coding

Cardiac cath/angiography

Simple visit coding

Education

Associate degree in science

AHIMA/APAC program preferred

Tools

EPIC

Job description

Professional - Nonclinical
Req #: 96913

Summary:

The Provider Quality Compliance ASU/IR Specialist role is responsible for the oversight, auditing and training of ICD and CPT coding and charging of diagnoses and procedures for medical records in multiple outpatient and inpatient settings.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Associate’s Degree in a science field preferred. Completion of an accredited program through AHIMA or AAPC preferred.
2. License/Certifications: One of the following Credentials: RHIT, RHIA, CCS, CCA, CPC, CPC-H, or CIRCC required. CIRCC Credential required within 12 months of employment.
3. Experience: Five years of multi-specialty, preferably surgical coding experience, with CPT/ICD-10-CM/HCPCS/modifier coding for physician professional charges and a minimum of five years’ experience in an acute care facility as an ASU Clinical Coder required. Two years of project coordination experience preferred. Coding in both physician and hospital practice EPIC experience preferred.
4. Additional Skills/Requirements Required: Experiencecoding E/M’s, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPT’s, ED’s, cardiac cath/angiography, and simple visit coding required.
5. 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 employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $77,147.20to $104,353.60per 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.

If you have questions about this role, please contact [e-mail]

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to [e-mail].

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.