Current jobs related to Medical Auditor - Scarborough - MaineHealth
-
Clinical Coding
3 weeks ago
Scarborough, United States MaineHealth Full timeFull remote The Clinical Coding and Compliance Auditor role is responsible for the accurate assignment of ICD and CPT codes of diagnoses and procedures for outpatient medical records in multiple outpatient settings. Required Minimum Knowledge, Skills Clinical, Auditor, Compliance, Audit, Healthcare
-
Clinical Coding
3 weeks ago
Scarborough, United States MaineHealth Full timeSummary Full remote The Clinical Coding and Compliance Auditor role is responsible for the accurate assignment of ICD and CPT codes of diagnoses and procedures for outpatient medical records in multiple outpatient settings. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in a science field preferred....
-
Clinical Coding
4 months ago
Scarborough, United States Facility MaineHealth Full timeSummary ***Fully Remote 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 multiple different outpatient settings including Outpatient Hospital Clinics, ASU, OBSV, interventional radiology/cardiac...
-
Healthcare Compliance Audit Manager
1 week ago
Scarborough, Maine, United States Maine Medical Center Full timeJob SummaryThe Coding Audit Education and Quality Assurance Manager is responsible for managing a team of DRG Validation Specialists/Educators, Outpatient Quality Compliance auditors, Clinical Coding Compliance auditors, and Behavioral Health Clinical Coding audit educators. This role oversees and validates the statistical reports and analysis of audit...
-
Scarborough, United States Maine Medical Center Full timeSummary Fully remote with flexible hours The Coding Audit Education and Quality Assurance Manager manages a team of DRG Validation Specialists/Educators, Outpatient Quality Compliance auditors, Clinical Coding Compliance auditors, and Behavioral Health Clinical Coding audit educators. The Coding Audit Education and Quality Assurance Manager will directly...
-
Clinical Coding Specialist
1 month ago
Scarborough, Maine, United States Facility MaineHealth Full timeJob SummaryWe are seeking a highly skilled Clinical Coding Auditor to join our team at Facility MaineHealth. As a Clinical Coding Auditor, you will be responsible for ensuring the accuracy and completeness of outpatient medical records in multiple settings, including outpatient hospital clinics, emergency departments, and other areas as needed.Key...
-
Healthcare Compliance Audit Manager
5 days ago
Scarborough, Maine, United States MaineHealth Full timeCoding Audit Education and Quality Assurance Manager RoleThe Coding Audit Education and Quality Assurance Manager is responsible for managing a team of DRG Validation Specialists/Educators, Outpatient Quality Compliance auditors, Clinical Coding Compliance auditors, and Behavioral Health Clinical Coding audit educators.This role oversees and validates the...
-
Scarborough, Maine, United States MaineHealth Full timeMaineHealth Coding Audit Education and Quality Assurance ManagerSummaryFully remote with flexible hoursThe Coding Audit Education and Quality Assurance Manager oversees a team of professionals responsible for medical audit reviews, analysis, and reporting. This role ensures compliance with billing and documentation practices for the MaineHealth system. The...
-
Manufacturing Line Quality Assurance Specialist
2 weeks ago
Scarborough, Maine, United States Abbott Full timeAbout AbbottAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals, and branded generic medicines.Our 114,000 colleagues serve people in more than 160...
-
Quality Assurance Specialist
1 month ago
Scarborough, Maine, United States UCT Alumni Association Full timeQuality Inspector II Job DescriptionUltra Clean Technology is seeking a highly skilled Quality Inspector II to join our team in Scarborough, ME. As a Quality Inspector II, you will be responsible for ensuring the highest quality standards in our manufacturing process.Key Responsibilities:Audit and assess compliance with procedures and standards through...
-
Quality Inspector II
4 weeks ago
Scarborough, United States UCT Alumni Association Full timeJoin UCT and be part of the fastest-growing sector in the world! We indirectly touch every semiconductor chip that goes into every smartphone, smart car and device that uses artificial intelligence. This is a critical time for the semiconductor industry and for UCT - as technology evolves, we evolve with it. UCT is a diverse workplace where every talented...
-
Quality Inspector II
1 month ago
Scarborough, United States UCT Alumni Association Full timeJoin UCT and be part of the fastest-growing sector in the world! We indirectly touch every semiconductor chip that goes into every smartphone, smart car and device that uses artificial intelligence. This is a critical time for the semiconductor industry and for UCT - as technology evolves, we evolve with it. UCT is a diverse workplace where every talented...
Medical Auditor
3 months ago
Summary 100% remote Review medical necessity and Correct Coding Initiative (CCI) claim edits. Assess clinical documentation for supporting medical necessity to appeal denials or audits. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: N/A License/Certifications: CPC, COC or other coding certification or current licensure as a registered nurse is required Experience: 3-5 year coding experience with CPT, HCPCS, Revenue and ICD9/10 codes. Current knowledge of the rules and regulations as they relate to State and Federal Government and 3rd Party Payers. Including an in-depth understanding of Medicare's LCD and NDC medical necessity guidelines, appeals process and timelines. Knowledge of broad range of medical and psychiatric diagnoses, current treatment modalities, therapeutic service and intervention techniques. Interpersonal skills sufficient to communicate effectively with a variety of clinicians, hospital personnel, and well as third party reimbursement personnel. Ability to take initiative; be self-directed and exercise consistently sound judgment in making appropriate decisions regarding denials and appeals. Ability to communicate effectively, using a high degree of diplomacy and sensitivity in verbal and written communication in order to achieve the desired outcome Ability to work under pressure, and to maintain patience in difficult situations as well as to cope with a high volume work load. Ability to adapt to new or consistently challenging problems, procedures, and policies. Familiarity with medical records, health information management systems. Additional Information With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it. We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family. MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today. Additional Information MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org #J-18808-Ljbffr
