248 healthcare-it jobs found in Scarborough, ME

Summary Schedule: Full-time and fully remote! Position Summary This is the fourth level of a 4 tier career path. Under the general direction of the Coding Manager or Coding Director, the Coder IV position is responsible for identifying and accurately assigning ICD-10-CM diagnostic and ICD-10-PCS procedural codes after thorough review of physician documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols. Coding staff at this level are able to code IPPS (Inpatient Prospective Payment System) and CAH (Critical Access Hospital) acute care, swing bed and psychiatric facilities; multiple specialties (neurosurgery, cardiothoracic, vascular, cardiology, trauma, burns, kidney transplant, and psychiatry – not an exhaustive list) as...

Summary HCC Outpatient Coder - (Hierarchical Condition Categories - Full remote) Position Summary 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 ICD10-CM and CPT-4 coding of diagnoses and procedures for outpatient medical records in multiple different outpatient settings including Provider Based Outpatient Hospital Clinics, , Provider Based Clinics (inclusive of E/M, Coding for both inpatient and outpatient professional procedures), IV therapy, and other areas as needed. Position includes performing abstracting to determine accuracy and completeness of the outpatient record, utilizing Epic EMR systems and additional external software systems to compile data. The HCC Outpatient Coder evaluates medical necessity and Correct Coding Initiative edits and resolves them accurately. The HCC coder reviews medical record documentation to...

Summary Position Summary The Business Analyst facilitates business process improvement via the methodical investigation, analysis, review and documentation of functional business specifications. This position leads the requirement's development for applying technology to satisfy business needs. This resource manages the requirement's development process through the elicitation, analysis, specification and verification of multiple levels of requirements from an end to end perspective and supports the ongoing management of the requirements. The Business Analyst will act as the liaison to coordinate and manage the implementation and/or integration of products, features and workflows for RCM integration. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: A bachelor's degree in Information Technology Management or related discipline or equivalent, and 6 to 9 years of direct experience....

Summary Revenue Cycle Management - RCM Process Analyst - Physician Billing    Position Summary This individual will be responsible for anticipating and uncovering areas of improvement and working with key leadership to implement solutions. Lead projects and document actions and outcomes. Will identify shortfalls in current systems and analyze data to support solutions.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: 4-year college degree or equivalent revenue cycle leadership experience. License/Certifications: N/A Experience: See "Education." A minimum of 4 years' applicable revenue cycle or insurance experience. A minimum of 2 years’ experience in business analysis or related experience. Experience creating detailed reports and presenting findings. Evaluating business processes, anticipating requirements, uncovering...

Summary Status: Remote schedule Position Summary This individual will be responsible for anticipating and uncovering areas of improvement and working with key leadership to implement solutions. Lead projects and document actions and outcomes. Will identify shortfalls in current systems and analyze data to support solutions.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: 4-year college degree or equivalent revenue cycle leadership experience. License/Certifications: N/A Experience: See "Education." A minimum of 4 years' applicable revenue cycle or insurance experience. A minimum of 2 years’ experience in business analysis or related experience. Experience creating detailed reports and presenting findings. Evaluating business processes, anticipating requirements, uncovering areas for improvement and developing and implementing...

Summary Position Summary This position contributes and supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the Maine Health organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement. Under the direction of the Director of Revenue Integrity, this position is responsible for monitoring, identifying, correcting, with analysis of account errors prior to claim submission to include 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 finance or science or equivalent combination of education and experience....

Summary Status: Remote schedule Position Summary This position contributes and supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the Maine Health organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement. Under the direction of the Director of Revenue Integrity, this position is responsible for monitoring, identifying, correcting, with analysis of account errors prior to claim submission to include 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 finance or science or equivalent combination of education and...

Summary Position Summary The Associate Training Analyst role is accountable for analysis, building, testing, training, implementation and support of computer systems in a healthcare setting. These systems may include, but are not limited to, functionality to support clinical, fiscal, IS and business operations. The system implementation may be changes or new functionality within a site's current system or the implementation of the system at a new site. Typically works with end users within a functional area on initiatives with a low level of complexity. Incumbents in this role perform instructor led classroom training, one on one training, assist with training environment build, create basic training materials and maintain and update existing lesson plans and curriculum. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Bachelor's Degree or equivalent work experience....

Summary Status: Flexible schedule and fully remote! Position Summary 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-10-CM and CPT-4 coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi-specialty physician practices and OPPS and CAH hospitals. The position includes performing abstracting to determine accuracy and completeness of the outpatient record, utilizing the 3M Coding Reimbursement, other external encoder tools and Epic EMR systems to compile data. The Surgical Coder evaluates medical necessity and National Correct Coding Initiative edits and resolves them accurately. Data reported is used to meet licensure requirements, statistical purposes and...

Summary Status: Flexible schedule and fully remote! Position Summary 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-10-CM and CPT-4 coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi-specialty physician practices and OPPS and CAH hospitals. The position includes performing abstracting to determine accuracy and completeness of the outpatient record, utilizing the 3M Coding Reimbursement, other external encoder tools and Epic EMR systems to compile data. The Surgical Coder evaluates medical necessity and National Correct Coding Initiative edits and resolves them accurately. Data reported is used to meet licensure requirements, statistical purposes and...

Summary Position Summary This position contributes and supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the Maine Health organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement. Under the direction of the Director of the Charge Master, this position is responsible for maintaining a consolidated and compliant charging structure within Epic. They support workflow analysis, design and build sessions with Subject Matter Experts (business leaders, providers and other ancillary services personnel) and instructional designers. They coordinate all issues that arise during the project for their application(s) and are familiar with policies, procedures and constraints of revenue cycle operations. They complete in depth...

Summary Status: Fully remote schedule Position Summary This is the fourth level of a 4 tier career path. Under the general direction of the Coding Manager or Coding Director, the Coder IV position is responsible for identifying and accurately assigning ICD-10-CM diagnostic and ICD-10-PCS procedural codes after thorough review of physician documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols.   Coding staff at this level are able to code IPPS (Inpatient Prospective Payment System) and CAH (Critical Access Hospital) acute care, swing bed and psychiatric facilities; multiple specialties (neurosurgery, cardiothoracic, vascular, cardiology, trauma, burns, kidney transplant, and psychiatry – not an exhaustive list) as well as...

Summary Position Summary This position contributes and supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process. It is a holistic approach that guides the Maine Health organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement. Under the direction of the Director of Revenue Integrity, the Revenue Integrity Analyst II plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Bachelor’s degree from a recognized college or university in business, healthcare or a closely related field and...

Summary ASU Outpatient Coder II   **Fully remote and eligible for a sign-on bonus**   Position Summary 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...

Summary **Sign-on Bonus eligible and fully remote scheduling** Weekend shifts required   Position Summary This 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.   Required...

Summary Position Summary This position supports the day to day administration of physician compensation. The incumbent provides operational and analytical support for special pay vouchers, compensation surveys, reporting, ad hoc data requests, etc. The incumbent also supports the development and implementation of the annual Compensation Program.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education:  Bachelor’s Degree in Business Administration or similar. License/Certifications: Experience: Approximately 2-4 years' related work experience required. Strong analytical and problem solving skills. Strong communication and interpersonal skills. Team player who is calm and effective while working in a face paced environment. Ability to concentrate and pay close attention to detail when preparing job descriptions, analyzing survey data and preparing reports.   MaineHealth...

Summary Schedule: Fully remote schedule available with flexibility to collaborate on-site, if and when possible.  Position Summary Provides analytical support including research, data collection, quantitative and qualitative analysis, presentation and report formulation and production. Manages Planning Department data resources and databases for internal planning uses and for required external reporting.  Develops information and data for environmental assessments and other major strategic planning and business development projects. Interprets data based on industry knowledge, and converts data into information for management decision-making. Collaborates with management and other clinicians and serves as a resource to achieving the organization's goals.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Bachelor's degree required with a minimum of 4 years of work experience in a...

Summary Status: Hybrid scheduling available, some in-office requirements Position Summary The overall purpose and function of the job is to complete specific assigned responsibilities as it relates to budgets, and financial planning. The position is responsible for supporting and assuring accurate preparation of division operating budgets and serves as support for operational departments and assists in the support of Service Lines. This position supports the annual operating and capital budget process and ongoing variance and financial reporting.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Bachelor’s degree in Accounting or Finance. Knowledge of accounting, finance, and reimbursement principles normally acquired through completion of a degree program in Accounting, Finance, Business Administration or related field. License/Certifications: N/A...

Summary MaineHealth - Chief Technology Officer (LinkedIn Positing)   Position Summary   MaineHealth is seeking a Chief Technology Officer, responsible for aligning technology vision with business strategy by integrating MaineHealth values, goals, and processes with the appropriate technologies. The CTO develops, implements, and maintains technology initiatives within the organization, assuring high performance, consistency, reliability, and scalability of all technology offerings. The CTO is responsible for developing the organization’s technology-based competencies and will lead a staff of Directors, managers, and specialists within the IT organization.   The Chief Technology Officer will report directly to MaineHealth’s Chief Information Officer and manage a team of roughly 105 FTEs with an annual budget of $25M+.   Essential Functions:   Strategic Planning, Roadmapping, and Prioritization Understanding and...

Summary Status: Remote work schedule eligible based on direct experience Position Summary The overall purpose and function of the job is to complete specific assigned responsibilities as it relates to cost reporting, month-end contractuals and third party receivables.  The position is responsible for supporting and assuring accurate preparation and reconciliation of third party payer logs, physician time studies, graduate medical education data and all related industry surveys.  Furthermore, the position will assist in the completion of month-end accounts receivable analysis and yearly contractual allowance budgeting.  Along with the Director and Manager, this position contributes to the accurate yearly filing of Medicare and Medicaid cost reports as well as the monthly reporting of net patient service revenues.   Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Bachelor's degree in...