3 jobs found in Waterville

Job Summary:Assigns diagnosis, procedure, and DRG codes to ensure quality documentation and accurate reimbursement for services provided. Job Description: Reviews complex documentation from records to identify appropriate diagnostic and procedural codes (ICD, PCS, CPT). Uses coding guidelines, clinics, LCDs and NCDs and other resources and clinics to accurately assign and sequence appropriate codes and assign DRG. Identifies any quality concerns and refers to quality department as indicated. Reviews CDI documentation and collaborates closely with CDI staff to insure accurate DRG/AAPC assignment. Justifies DRG/AAPC discrepancies. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding and optimize DRG and severity of illness documentation. Scheduled Weekly Hours: 40 Scheduled Work Shift: Job Exempt: No Benefits: Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a...

SUMMARY The Medical Billing Specialist is responsible for providing overall support in the Billing Department. In addition, this position is responsible for preparing charges for submission to insurance plans/patients, posting insurance payments to practice management system and interacting with insurance companies/patients about billing status and questions. POSITION DUTIES A. Process electronic bill submissions/remits. B. Print, review and process HCFAs. C. Enter and review HMO referrals. D. Apply charges to patient accounts. E. Post insurance/patient payments to patient accounts. F. Follow up on insurance claims/denials. G. Accept patient or insurance company telephone inquiries and assist with problems. H. Read emails/newsletters and correspondence from insurance companies. I. Review and process patient statements. J. Weekly account review and follow-up. K. Perform other duties as assigned. QUALIFICATIONS A. Third party billing experience. B. Proficient in basic...

MaineGeneral Medical Center seeks a Coder III in Waterville, ME to assign diagnosis, procedure, and DRG codes for accurate service documentation and reimbursement. The role requires reviewing complex records, collaborating with CDI staff, and ensuring optimal coding practices. Candidates should have experience with ICD, PCS, and CPT codes, as well as a strong attention to detail. MaineGeneral offers a comprehensive benefits package promoting physical, emotional, and financial wellness. Apply now to join our dedicated team. #J-18808-Ljbffr