-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Kansas City, US-MO
Salary / Rate: Not Specified
Posted: 2026-06-02 08:17:07
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: St. Louis, US-MO
Salary / Rate: Not Specified
Posted: 2026-06-02 08:17:05
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Springfield, US-MO
Salary / Rate: Not Specified
Posted: 2026-06-02 08:17:05
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Hattiesburg, US-MS
Salary / Rate: Not Specified
Posted: 2026-06-02 08:17:04
-
Position Summary:
Create an outstanding customer experience through exceptional service.
Establish and maintain a safe and clean environment that encourages our customers to return.
Assist the department manager in reaching sales and profit goals established for the department, and monitor all established quality assurance standards.
Embrace the Customer 1 st strategy and encourage associates to deliver excellent customer service.
Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.
* Retail experience
* Second language (speaking, reading and/or writing)
* Ability to handle stressful situations
* Effective communication skills
* Knowledge of basic math (counting, addition, and subtraction)
* Promote trust and respect among associates.
* Create an environment that enables customers to feel welcome, important and appreciated by answering questions regarding products sold within the department and throughout the store.
* Gain and maintain knowledge of products sold within the department and be able to respond to questions and make suggestions about products.
* Offer product samples to help customers discover new items or products they inquire about.
* Inform customers of dairy specials.
* Provide customers with fresh products that they have ordered.
* Recommend dairy items to customers to ensure they get the products they want and need.
* Check product quality to ensure freshness.
Review "sell by" dates and take appropriate action.
* Label, stock and inventory department merchandise.
* Report product ordering/shipping discrepancies to the department manager.
* Display a positive attitude.
* Stay current with present, future, seasonal and special ads.
* Adhere to all food safety regulations and guidelines.
* Ensure proper temperatures in cases and coolers are maintained and temperature logs are maintained.
* Reinforce safety programs by complying with safety procedures and identify unsafe conditions and notify store management.
* Practice preventive maintenance by properly inspecting equipment and notify appropriate department or store manager of any items in need of repair.
* Notify management of customer or employee accidents.
* Report all safety risks, or issues, and illegal activity, including: robbery, theft or fraud.
* Ability to work cooperatively in high paced and sometimes stressful environment.
* Ability to manage conflict in a reasonable, nonconfrontational and cooperative manner.
* Ability to act with honesty and integrity regarding customer and business information.
* Ability to follow directions and seek assistance when necessary to resolve customer and business issues.
* Provide support and assistance through direct interaction with minors, individuals with special needs, and/or older adults.
* Must be able to perform the essential functio...
....Read more...
Type: Permanent Location: Chicago, US-IL
Salary / Rate: 17.025
Posted: 2026-06-02 08:17:03
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Tupelo, US-MS
Salary / Rate: Not Specified
Posted: 2026-06-02 08:17:01
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Minneapolis, US-MN
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:59
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Grand Rapids, US-MI
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:57
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Duluth, US-MN
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:54
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Marquette, US-MI
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:52
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Jackson, US-MS
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:49
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Detroit, US-MI
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:47
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Springfield, US-MA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:46
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Boston, US-MA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:46
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Aberdeen, US-MD
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:44
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Bangor, US-ME
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:42
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Portland, US-ME
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:40
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Baton Rouge, US-LA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:37
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Baltimore, US-MD
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:37
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Louisville, US-KY
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:36
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Bowling Green, US-KY
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:35
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Shreveport, US-LA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:35
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: New Orleans, US-LA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:34
-
Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Sioux City, US-IA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:34
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Essential Duties and Responsibilities:
- Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data.
- Enter coded data into a system accurately and validate date entered.
- Research correct coding practices, clearly document and share findings with others.
- Write clear and concise rationales that provide defensible support of decisions.
- Train staff members on the coding processes (both project specific and general coding).
- Perform QA audits on coding process.
- Recommend and suggest improvements to assigned projects.
- Perform other duties as assigned by management.
- Apply California Workers' Compensation regulations and calculate fee schedule allowances.
- Evaluate the accuracy and appropriateness of coded and billed medical information
- Develop final determination letters based on regulatory and clinical standards
- Abstract key data from complex case files and medical records
- Assign and verify CPT, HCPCS, and ICD-10-CM codes using industry-standard billing guidelines
- Apply specialized regulations including California Workers' Compensation, CMS policies, AMA CPT coding guidelines, and CA fee schedules
- Collaborate virtually with cross-functional teams to drive quality and compliance
Minimum Requirements
- High school diploma or equivalent with 4+ years of experience, or AA with 2+ years of experience.
- Preferred risk adjustment auditing experience of coding inpatient and outpatient medical records.
- CPC, CCS, or RHIT Certification required.
- Ability to use critical thinking skills.
- Must have excellent writing skills.
- Experience coding physician, inpatient and/or outpatient medical records required.
- Strong computer skills, including Word, Excel, and Outlook.
- Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Active CPC, CCS, CIC, COC, CCS or RHIT certification required (AAPC or AHIMA accredited)
Preferred Requirements
- Bachelor's degree from an accredited institution
- Experience as a medical claim examiner, reviewing physician and hospital PPO contracts
- Experience with California Workers' Compensation Official Medical Fee Schedule
- Experience with CMS payment methodologies: IPPS, OPPS, DMEPOS and Physician Fee Schedule
Home Office Requirements
- Maximus provides company-issued computer equipment
- Private and secure workspace
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
#LI-Remote
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various f...
....Read more...
Type: Permanent Location: Wichita, US-KS
Salary / Rate: Not Specified
Posted: 2026-06-02 08:16:33
