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

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

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

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

Position Summary Fully remote working schedule This is the third level of a 4 tier career path. Under the general direction of the Inpatient Coding Manager or Director, this position is responsible for identifying and accurately assigning ICD 10 CM diagnostic and ICD 10 PCS procedural codes after thorough review of physician documentation; and abstracts demographic and cl

Position Summary Provides customer service support and processes correspondence and requests for patient information in accordance with organizational policies, HIPAA, State and Federal regulations. Primary responsibilities include assisting customers (the public, physicians, nursing units, other hospital departments, patients, and employees, etc.) with the release of inf

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

Position Summary Fully remote position/ 40 hours a week is needed, working 5 days 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 9 CM (ICD 10 CM) and CPT 4 coding of diagnoses and procedures for outpatient medical records in multiple different o

Position Summary Position is responsible for scanning paper charts into the electronic medical record system. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education High school graduate or GED preferred. License/Certifications N/A Experience N/A Knowledge of standard office equipment. Proficient computer skills. Excellent organizational skills with the ability