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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Louisville, US-KY
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:41
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Kansas City, US-KS
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:41
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Sioux City, US-IA
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:40
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Chicago, US-IL
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:39
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Des Moines, US-IA
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:39
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Springfield, US-IL
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:38
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Idaho Falls, US-ID
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:38
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Evansville, US-IN
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:37
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Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Indianapolis, US-IN
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:37
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Fort Wayne, US-IN
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:36
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Boise, US-ID
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:35
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:35
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:34
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Savannah, US-GA
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:34
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:33
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Columbus, US-GA
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:33
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:32
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:31
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:31
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:30
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:30
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:29
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:29
-
Why NHC?NHC Place Sumner is proud to be a part of the NHC family.
At NHC, we "Put our Heart in Everything We Do!" We take pride in working together as a team in our family-oriented work environment.
We provide a culture of excellence, recognition, empowerment, and fun.
We offer professional growth opportunities along with competitive compensation wage increases based on performance.
If you want this experience in your career, apply today!
Position: RN, MDS Coordinator / RN Supervisor
Pay: $40-$45 an hour
Licensure:
Tennessee Registered Nurse, RN Nursing license
We hire GNs and GPNs
Benefits we offer:Flexible Schedule
Competitive Pay & Holiday Incentive Pay Earned Time Off
Health, Dental, Vision, Disability and Life insurance
401k with generous company contributions
Uniforms
Tuition Reimbursement Opportunities
Advancement Opportunities
RN, MDS Coordinator Position Highlights:
* Ability to conduct and document accurate assessments of patients
* Ability to interview patients and families to ensure an accurate picture of the patient's psychosocial/medical status is obtained
* Ability to coordinate with other disciplines to ensure accurate and timely completion of the MDS.
* Organizational skills, ability to schedule and meet deadlines
If you are interested in working as a Registered Nurse for a leader in senior care, share NHC's values of honesty and integrity, and have a heart for the geriatric patient, please apply today and find out more about us at www.nhccare.com
We look forward to talking with you about this great RN, MDS Coordinator opportunity.
NHC is an Equal Opportunity Employer.
....Read more...
Type: Permanent Location: Gallatin, US-TN
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:28
-
Description & Requirements
Are you a detail-oriented professional with deep expertise in healthcare billing and coding-and exceptional communication skills to match?
Maximus is seeking a Senior Medical Billing and Coding Coordinator to support our California Independent Medical Review (IMR) project-all from the comfort of your home.
This fully remote position offers flexibility while enabling you to take ownership of complex case reviews and contribute to healthcare integrity.
This position is ideal for professionals who thrive in remote settings, value autonomy, and bring sharp analytical skills to regulatory decision-making.
Why Maximus?
Work/Life Balance Support - Flexibility tailored to your needs!
• Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.
Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
• Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
• Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage.
• Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
• Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
• Tuition Reimbursement - Invest in your ongoing education and development.
• Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
• Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
• Professional Development Opportunities-Participate in training programs, workshops, and conferences.
•Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees
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...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2025-08-07 08:27:28
