At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary Under supervision, this position is

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

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

Position Summary Supporting the organization's EPIC clinical and Access application support needs to include Epic training of physicians and staff; development and implementation of a quality assurance process; maintaining application functionality within the MaineHealth model system and supporting end user needs by serving as the primary Epic application resource. Requir

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Assists with the development of education and training of physicians, coders, and CDI specialists for Accuity Healthcare and provides coding component to all education programing, which may include preparation of related educational materials and giving frequent presentations on site and virtual Assists with the orientation programs and online learning module assignments

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

MaineHealth is actively recruiting for a Senior Tumor Registrar role. This is a 100% remote role. Position Summary The MaineHealth Senior Tumor Registrar oversees the collection, analysis and coding of health and medical information on Maine Medical Center cancer patients and trains non certified registry staff on all of these aspects of tumor registry operations. It incl

MaineHealth is actively recruiting for a Tumor Registrar. This is a 100% remote role. Position Summary The Tumor Registrar position is responsible for the identification, collection, and management of health, medical and outcome information on all oncology patients and in accordance with established policies, procedures and regulatory requirements. Primary responsibilitie

Fully Remote Working position This position manages Revenue Integrities Clinical Data Section, which is accountable for coding and abstracting the medical records of Provider Based practice outpatient practice clinic claims i; preparing statistical analysis of medical records data; compiling, analyzing and summarizing data from medical records into various formats. The ou

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

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

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

Position Summary 100% remote, 40 hours per week 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 10 CM and CPT 4 coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Ho