Position Summary
This position contributes and supports Revenue Integrity’s Mission towards developing a multidisciplinary profits stability group to enhance the user interface in between medical departments and charge enhancement procedure. It is a holistic technique that guides the Maine Health company towards attaining functional effectiveness, total regulative compliance, and overall compensation.
Under the instructions of the Director of Revenue Integrity, this position is accountable for tracking, recognizing, remedying, with analysis of account mistakes prior to claim submission to consist of Discharge Not Billed (DNB), Stop Bills (SB), Workques (WQ) and Dashboards.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: High school diploma or GED. Technical school or bachelor’s degree in financing or science or comparable mix of education and experience.
License/Certifications: Applicable expert accreditation through AHIMA (CCA) or AAPC (CPC A, COC-A) are extremely preferable. Need to acquire expert credential within 6 months of work.
Experience: One (1) to 3 (3) years’ experience in the healthcare facility setting, health care market or coding. LEGENDARY HB/PB experience chosen.
Proficiencies: Current understanding of earnings cycle procedures and medical facility/ medical billing. Comprehending of parts of electronic medical record. Existing understanding of code information sets to consist of CPT, HCPCS, and ICD. Existing understanding of NCCI edits, and Medicare LCD/NCDs.
Abilities: Due to its service focus, this position needs social and interaction abilities, analytic and organizational abilities, important -believing and the capability to fulfill due dates. Computer system abilities; MS Office consisting of Word, PowerPoint, Excel and Outlook; Windows running system and Internet.
Additional Information
MaineHealth was ranked among America’s Best Large Employers in 2022 by Forbes!
MaineHealth is a not-for-profit integrated health system whose vision is, “Working together so our neighborhoods are the healthiest in America.” MaineHealth includes 9 regional health systems, an extensive behavioral healthcare network, diagnostic services, house health firms, and 1,700 used clinicians interacting through the MaineHealth Medical Group. With around 22,000 care staff member, MaineHealth supplies preventive care, medical diagnosis and treatment to 1.1 million locals in Maine and New Hampshire. Find out more about our system at
At MaineHealth, we provide advantages that support a person’s requirements for today and versatility to prepare for tomorrow. Our plans consist of health and oral insurance coverages, paid adult leave, retirement program, generous paid time off, and far more! Our thorough range of advantages are competitive, budget-friendly, and consist of options that satisfy particular, however ever altering, requires.
With a profession at any of the MaineHealth places, you’ll be dealing with healthcare specialists that really value individuals around them – both within the walls of the company and the areas that surround it. We are deeply purchased the wellness of our neighborhoods and care staff member. Our company believe in promoting a workplace of strong dedication, thoughtful caring and constant enhancement. Join us, and your capabilities will be challenged and boosted as you take your profession to a brand-new level.
Additional Information MaineHealth is a health system whose members and affiliates consist of healthcare facilities, doctor practices, long-lasting care centers, house care firms, and assistance services. Discover more about this system at www.mainehealth.org
MaineHealth
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