Maine Health

  • Portland, ME, United States
Maine Health
Maine Health Scarborough, ME, USA
Full Time 301B Route 1 Professional - Nonclinical Day Shift * * 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 outpatient settings including Outpatient Hospital Clinics, ASU, OBSV, interventional radiology/cardiac cath/angiography records, Provider Based Clinics (inclusive of E/M, Coding for both inpatient and outpatient professional procedures), IV therapy, Emergency department and other areas as needed. Position includes performing abstracting to determine accuracy and completeness of the outpatient record, utilizing the 3M Coding Reimbursement and/or Optum and Epic EMR systems to compile data. The Coder II evaluates medical necessity and...

Maine Health Scarborough, ME, USA
Full Time 301B Route 1 Clerical/Administrative Support Day Shift MaineHealth is actively recruiting a Patient Financial Services Associate II to assist in the Ambulance Biller and Coder roles within the revenue cycle department. This is a 100% remote role. * Responsible for billing ambulance claims to all third party payors * Responsible for pre-billing claim edits * Investigating and appealing insurance denials * Validating contractual reimbursement on paid claims * Follow up with insurance companies on unpaid, underpaid or denied claims. * Reviewing patient care reports/run sheets. * Selecting the proper diagnosis/condition codes * Required- up to date CAC (Certified Ambulance Coder) certification. Position Summary This is the second level of a revenue cycle career path within PFS. Responsible for the specific set of patient accounting which could include the appropriate billing, training, and/or follow up/denial resolution of insurance claims within filing limits to...