-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:35
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:34
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:34
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:33
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:32
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:32
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:31
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:31
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:30
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:29
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:29
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:28
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:27
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:27
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Birmingham, US-AL
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:26
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Phoenix, US-AZ
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:26
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Montgomery, US-AL
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:25
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Mobile, US-AL
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:24
-
Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.
- Enter and verify accurate case and CPT/HCPCS/DRG data
- Process IBR correspondences for the mail
- Review files for completeness and documentation
- Prepare and validate IBR correspondence
- Identify gaps, request information, and resolve discrepancies
- Communicate with stakeholders to support case processing
- Ensure timely, compliant case handling
- Support system updates, redactions, and other IBR tasks
Minimum Requirements
- High School diploma or equivalent with 0 - 2 years of experience.
- Additional clinical licensure may be required based on project.
- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed
Preferred Requirements
- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules
Home Office Requirements
- Maximus provides company-issued computer equipment
- 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 factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-specific awards.
Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...
....Read more...
Type: Permanent Location: Little Rock, US-AR
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:24
-
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: Milwaukee, US-WI
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:23
-
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: Charleston, US-WV
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:22
-
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: Cheyenne, US-WY
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:22
-
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: Rock Springs, US-WY
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:21
-
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: Eau Claire, US-WI
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:21
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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: Morgantown, US-WV
Salary / Rate: Not Specified
Posted: 2026-06-02 08:18:20
