Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence based criteria related to DRG and clinical validation denials Creates appeal letters utilizing the relevant information from the medical record; supported by current clinical standards and facility guidelines, evidence based medicine, professionally reco

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will provide expertise in insur

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Utilize data, industry trends, and best practices to support the development of consulting methodologies that will address current challenges facing health systems related to the adoption and use of health IT as well as driving achievement toward client specific organizational objectives and strategic goals Assess opportunities for technology improvements with data in col

Position Summary This position is the initial contact for patients with Southern Maine Medical Center, and as such must demonstrate exceptional customer service skills in all interactions. This position has the responsibility for complete and accurate patient registration, insurance verification, medical necessity validation, identifying and collecting amounts due from th

We have several offices in ME. All ME residents are encouraged to apply! You must have clinical experience (e.g. RN, LPN, MA, etc) to be considered! Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, p

Position Summary This position is the initial contact for patients with Southern Maine Medical Center, and as such must demonstrate exceptional customer service skills in all interactions. This position has the responsibility for complete and accurate patient registration, insurance verification, medical necessity validation, identifying and collecting amounts due from th

Company Description Our Job Corps programs provide life changing services that help young people succeed in school, obtain good jobs, excel in their chosen fields, and serve as contributing members of their communities. We accomplish this through an intense commitment to safety, quality service, excellence, and partnerships. Job Description Provide information, services, a

Schedule Monday Tuesday Wednesday Thursday Friday 8 30 1 00 9 00 1 00 8 30 4 30 OFF 8 30 12 30 Position Summary The scanning Technician is responsible for scanning paper charts into the electronic medical record system. You will need to be comfortable with patient medical records management (sensitive information) and able to go into clinical areas to collect and distribu

Position Summary This is a 100% Remote Position This is the second level of a 4 tier career path. Under the general direction of the Coding Director, this position is responsible for the accurate assignment of ICD 9 CM (ICD 10 CM) and CPT 4 coding of diagnoses and procedures for outpatient medical records in multiple different outpatient settings including Outpatient Hosp

This is a hybrid position. Two days working in the Scarborough office, and three from home. Position Summary Position coordinates efforts and performs functions related to the use and maintenance of patient medical records and charts. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education High school graduate or equivalent preferred. License/Certifications N/A