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Manager – Health Information Management Operations

Manager – Health Information Management Operations

Job Description:

Manager – Health Information Management Operations
Westbrook, ME
Maine Behavioral Healthcare
Full Time, Days, Salaried

Maine Behavioral Healthcare is seeking a Manager of Health Information Management Operations in Westbrook. This position oversees the department in the following functional areas: chart assembly, chart analysis, transcription quality, record deficiency, release of information, document imaging, data collection and reporting, and coding. S/he is responsible for supervising and evaluating the staff and, in collaboration with the Director, is responsible for hiring, disciplining and terminations. The Manager serves as a liaison between the Director and the hospital staff and participates in committee activity as directed by the Director. S/he is responsible for the operation of the HIM Committee and conducts the HIM portion of the new employee orientation. The Manager also assists the Director with privacy concerns/issues as needed.

Qualifications

  • Associate’s degree or higher in HIM, relevant equivalent experience considered.
  • 3+ years of experience in a supervisory role.
  • RHIA, RHIT, or achieved within six months of hire.
  • Demonstrated knowledge and experience in functional areas of HIM.
  • Prior experience with Joint Commission on Accreditation of Healthcare Organizations survey preferred.
  • Experience in ICD-9-CM and CPT-4 professional coding preferred.

About Maine Behavioral Healthcare

By bringing together some of Maine’s most highly respected and well-established behavioral healthcare organizations, Maine Behavioral Healthcare has become a unified organization committed to providing the highest quality of care to our clients and patients. Our goal is to become Maine’s first choice for integrated behavioral healthcare and a regional and national model for the future.

With a service area covering the Greater Portland area and a large part of southern Maine, a career with Maine Behavioral Healthcare gives you the opportunity to live, work and play in one of the most beautiful areas of the country. Southern Maine offers natural beauty, four-season recreational opportunities and a wealth of historic and cultural attractions. Wherever you settle, you will have easy access to Maine’s picturesque coast and sandy beaches, and its countless mountains, lakes and rivers. Portland itself was recently named the most livable city in America by Forbes Magazine.

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.

Apply Online:

https://www.careersatmainehealth.org/job/7810071/manager-him-operations-health-information-management-westbrook-me/

Full Time Remote Clinical Documentation Specialist

Intellis

Introduction:

Complicated reimbursement processes, heavy regulatory mandates and increased compliance risk leaves a burden on providers who are finding it increasingly difficult to balance the business side and stay on top of ever changing rules and systems. Intellis’ healthcare business consultants believe in partnering with our client providers to facilitate them in accomplishing their top priority of providing the highest level of patient care. We support this mission by understanding our client partner’s unique healthcare environment and working to balance this priority with developing an efficient operational and reimbursement structure.

We have assembled a team of professionals who are dedicated, qualified and experienced. Our team members possess the outstanding character, passion and strong work ethic which solidifies our team members as our best resource. Our team management approach enables our team members to utilize their expertise and work with our client partners to provide an excellent client experience. We also believe in an excellent team experience which we support by providing our team with constant communication, education and opportunities for growth and development.

Job Description:

Job Summary:

The Clinical Documentation Improvement consultant will provide timely reviews of patient medical records to ensure accurate and complete documentation to reflect the patient’s severity and complexity of illness. The clinical documentation consultant is expected to work with providers and coders to ensure that documentation on the chart reflects the complexity of the patient. The ability to educate and interact with providers is essential.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
  • Initiate and complete queries as necessary to reflect accurate data regarding the patient’s stay
  • Adhere to guidelines as set forth by ACDIS and AHIMA
  • Maintain strict confidentiality of all patient information in accordance with HIPAA
  • Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics
  • Work closely with the client, co-workers and management to meet the specific needs of each assignment in alignment with Intellis’ core values
  • Effectively utilize computer software based on the specific client requirements

Required Qualifications:

  • Current RN license or graduate of medical school with 5+ years of acute care experience
  • 2+ years of clinical documentation experience
  • 3M 360 and Cerner experience
  • Strong analytical skills to clinically evaluate the medical record
  • Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
  • Ability to communicate effectively with Intellis management and clients to ensure that we continue our mission of minding the business of healthcare

Preferred Qualifications:

  • CCDS or CDIP preferred
  • Experience providing group education
  • Experience with telecommuting

Instructions for Resume Submission:

Please email resumes to careers@intellisinc.com

Apply Online: http://www.intellisinc.com/careers/open-positions/

Full Time Clinical Documentation Improvement Specialist

Intellis

Introduction:

Complicated reimbursement processes, heavy regulatory mandates and increased compliance risk leaves a burden on providers who are finding it increasingly difficult to balance the business side and stay on top of ever changing rules and systems. Intellis’ healthcare business consultants believe in partnering with our client providers to facilitate them in accomplishing their top priority of providing the highest level of patient care. We support this mission by understanding our client partner’s unique healthcare environment and working to balance this priority with developing an efficient operational and reimbursement structure.

We have assembled a team of professionals who are dedicated, qualified and experienced. Our team members possess the outstanding character, passion and strong work ethic which solidifies our team members as our best resource. Our team management approach enables our team members to utilize their expertise and work with our client partners to provide an excellent client experience. We also believe in an excellent team experience which we support by providing our team with constant communication, education and opportunities for growth and development.

Job Description:

Job Summary:

The Clinical Documentation Improvement consultant will provide timely reviews of patient medical records to ensure accurate and complete documentation to reflect the patient’s severity and complexity of illness. The clinical documentation consultant is expected to work with providers and coders to ensure that documentation on the chart reflects the complexity of the patient. The ability to educate and interact with providers is essential.

  • Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
  • Initiate and complete queries as necessary to reflect accurate data regarding the patient’s stay
  • Adhere to guidelines as set forth by ACDIS and AHIMA
  • Maintain strict confidentiality of all patient information in accordance with HIPAA
  • Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics
  • Work closely with the client, co-workers and management to meet the specific needs of each assignment in alignment with Intellis’ core values
  • Effectively utilize computer software based on the specific client requirements

Required Qualifications:

  • Current RN license or graduate of medical school with 5+ years of acute care experience
  • 2+ years of clinical documentation experience
  • 3M 360 and Cerner experience
  • Strong analytical skills to clinically evaluate the medical record
  • Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
  • Ability to communicate effectively with Intellis management and clients to ensure that we continue our mission of minding the business of healthcare

Preferred Qualifications:

  • CCDS or CDIP preferred
  • Experience providing group education
  • Experience with telecommuting

Instructions for Resume Submission:

Please email resumes to careers@intellisinc.com

Apply Online: http://www.intellisinc.com/careers/open-positions/

Full Time Documentation Improvement Specialist

Intellis

Introduction:

Complicated reimbursement processes, heavy regulatory mandates and increased compliance risk leaves a burden on providers who are finding it increasingly difficult to balance the business side and stay on top of ever changing rules and systems. Intellis’ healthcare business consultants believe in partnering with our client providers to facilitate them in accomplishing their top priority of providing the highest level of patient care. We support this mission by understanding our client partner’s unique healthcare environment and working to balance this priority with developing an efficient operational and reimbursement structure.

We have assembled a team of professionals who are dedicated, qualified and experienced. Our team members possess the outstanding character, passion and strong work ethic which solidifies our team members as our best resource. Our team management approach enables our team members to utilize their expertise and work with our client partners to provide an excellent client experience. We also believe in an excellent team experience which we support by providing our team with constant communication, education and opportunities for growth and development.

JOB SUMMARY:

The Clinical Documentation Improvement consultant will provide timely reviews of patient medical records to ensure accurate and complete documentation to reflect the patient’s severity and complexity of illness. The clinical documentation consultant is expected to work with providers and coders to ensure that documentation on the chart reflects the complexity of the patient. The ability to educate and interact with providers is essential.

Job Description:

  • Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
  • Initiate and complete queries as necessary to reflect accurate data regarding the patient’s stay
  • Adhere to guidelines as set forth by ACDIS and AHIMA
  • Maintain strict confidentiality of all patient information in accordance with HIPAA
  • Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics
  • Work closely with the client, co-workers and management to meet the specific needs of each assignment in alignment with Intellis’ core values
  • Effectively utilize computer software based on the specific client requirements

Required Qualifications:

  • Current RN license or graduate of medical school with 5+ years of acute care experience
  •  2+ years of clinical documentation experience
  • 3M 360 and Cerner experience
  • Strong analytical skills to clinically evaluate the medical record
  • Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
  • Ability to communicate effectively with Intellis management and clients to ensure that we continue our mission of minding the business of healthcare

Preferred Qualifications:

  • CCDS or CDIP preferred
  • Experience providing group education
  • Experience with telecommuting

Instructions for Resume Submission:

Please email resumes to careers@intellisinc.com for consideration.

Apply Online: http://www.intellisinc.com/careers/open-positions/

Full Time Inpatient Rehab Coding Consultant

Intellis

Introduction: Job Description:

Job Description:

  • Codes and abstracts all pertinent patient medical information according to AHA ICD-10-CM/PCS coding conventions, UHDDS guidelines and CMS directives.
  • Performs data entry of required abstracted patient information into Hospital’s information system.
  • Assigns Present on Admission (POA) indicators according to AHA POA guidelines.
  • Query’s physicians when appropriate and interacts with Clinical Documentation staff as per account requirements.
    Proficiency in ICD-10-CM/PCS coding system, including proper code sequencing and application/assignment of complications and comorbidities (CC/MCC).
  • Proficiency in assigning Present on Admission (POA) indicator.
  • Must have working knowledge of IRF-PPS reimbursement system.
  • Proficiency in Coding Clinic guidelines.
  • Strong organizational, analytic and problem solving abilities and techniques required along with excellent communication and interpersonal skills.
  • Ability to work independently from your home.
    Position Responsibilities:
  • Perform accurate ICD-10-CM/PCS coding for inpatient rehabilitation hospital cases.
  • Abide by the Standards of Ethical Coding as set forth by AHIMA and CMS.
  • Adhere to ICD-10 Official Guidelines for Coding and Reporting.
    Perform abstracting and data entry of codes and abstract items as pertinent to each account requirements.
  • Query physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent documentation in the health record for accurate code assignment.
  • Keep abreast of coding guidelines, as published in Coding Clinic, and maintains a working knowledge of prospective payment systems as it relates directly to the coding process.
  • Maintain coding credential requirements.
  • Achieve and maintain coding productivity standards for each specific account.
  • Achieve and maintain a 95% coding and IRF-PPS accuracy rate.
  • Bring identified concerns to coding management for resolution.
  • Perform IRF-PAI Submission (if required).
  • Assist in other related projects as necessary.

Required Qualifications:

Educational Requirements:

  • Candidate must possess a credential such as CCS, CCS-P, CPC, CPC-H, RHIT or RHIA.

Knowledge, Skills and Abilities Required:

  • Must be able to work 30-35 hours weekly – 8 a.m. to 5 p.m.
    Onsite in SE Pennsylvania for 5 months and then work remotely.
  • Experience with 3M, McKesson, and Hyland OnBase.
  • Proficiency in ICD-10-CM/PCS coding system, including proper code sequencing and application/assignment of complications and comorbidities (CC/MCC).
  • Proficiency in assigning Present on Admission (POA) indicator.
  • Must have working knowledge of IRF-PPS reimbursement system.
  • Proficiency in Coding Clinic guidelines.
  • Strong organizational, analytic and problem solving abilities and techniques required along with excellent communication and interpersonal skills.
  • Ability to work independently from your home.
    Position Responsibilities:
  • Perform accurate ICD-10-CM/PCS coding for inpatient rehabilitation hospital cases.
  • Abide by the Standards of Ethical Coding as set forth by AHIMA and CMS.
  • Adhere to ICD-10 Official Guidelines for Coding and Reporting.
    Perform abstracting and data entry of codes and abstract items as pertinent to each account requirements.
  • Query physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent documentation in the health record for accurate code assignment.
  • Keep abreast of coding guidelines, as published in Coding Clinic, and maintains a working knowledge of prospective payment systems as it relates directly to the coding process.
  • Maintain coding credential requirements.
  • Achieve and maintain coding productivity standards for each specific account.
  • Achieve and maintain a 95% coding and IRF-PPS accuracy rate.
  • Bring identified concerns to coding management for resolution.
  • Perform IRF-PAI Submission (if required).
  • Assist in other related projects as necessary.

Preferred Qualifications:

  • Prefer a minimum of 3 years of coding experience in an inpatient acute care setting, and a rehabilitation hospital setting.

Instructions for Resume Submission:

Please email resume to careers@intellisinc.com for consideration, thank you.

Apply Online: http://www.intellisinc.com/careers/open-positions/

Inpatient Coder III

Maine Medical Center

Job Description:

Inpatient Coder III

Maine Medical Center
Scarborough, Maine
40 hours/week, Weekend Shifts

 REMOTE OPTION AVAILABLE AND SIGN ON BONUS!

Maine Medical Center is seeking an Inpatient Coder in Scarborough. 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 the accurate assignment of ICD-9-CM diagnostic and procedural codes (ICD-10-CM/PCS) for inpatient records; abstracting to determine accuracy and completeness of the inpatient record, utilizing the 3M Coding Reimbursement/Epic System to compile data and related work assigned. Coding staff in this position are able to code encounters of multiple specialties, as well as mentor and train other coding levels. This position is differentiated from the Coder II level by the skill and independence to handle complex inpatient coding scenarios. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes.

Qualifications:

  • Associate’s degree in Health Information Management, and/or Bachelor’s degree in Health Information Management, or other science-based degree such as nursing preferred.
  • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
  • Minimum of 1-2 years’ experience as an inpatient coder at an acute care or academic teaching facility required or successful completion of inpatient coding apprenticeship program.
  • Advanced coding skills and knowledge of revenue cycle, billing systems, Epic Electronic Health Record and 3M Encoder, ICD-10 training, Computer Assisted Coding software (CAC); effective communication to serve as a knowledge resource and mentor on coding and compliance issues.
  • Demonstrated ability to work effectively and collaboratively with Clinical Documentation Improvement Specialists (CDIS) and other healthcare professionals.
  • Comprehensive knowledge of disease processes, clinical science, anatomy and physiology, pathophysiology, pathology and laboratory medicine; knowledge of ICD-9-CM Official Guidelines, as well as ICD-10 training, for Coding and Reporting, AHA Coding Clinic and CMS regulations.

You’ll love the comprehensive benefits that MMC offers – including pet insurance, cell phone discounts, tuition reimbursement, and our Employee Discount Program, “Perks Connect.”

About Maine Medical Center:

Maine Medical Center is a complete healthcare resource for the people of greater Portland, the entire state of Maine and Northern New England. With a history dating back to 1864, Maine Medical Center is the state’s largest medical center and the flagship facility of MaineHealth, with 637 beds and more than 7,000 employees. In addition, we have achieved Magnet™ status in recognition of our commitment to the highest standards of nursing excellence. Maine Medical Center’s unique role as both a community hospital and a referral center requires an unparalleled depth and breadth of services, including the state’s only medical school, through a partnership with Tufts University School of Medicine, and a world-class biomedical research center, the Maine Medical Center Research Institute.

Inside and out, you’ll find what you’re looking for when you join Maine Medical Center. As the largest hospital in northern New England, MMC is committed to helping you grow professionally throughout your career. From tuition assistance and scholarships, to ongoing education, leadership training, mentoring and promotion opportunities, we offer the resources you need to achieve your career goals.

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.

Apply Online:

To apply, please click here or visit www.careersatmainehealth.org.