- MaineGeneral Health (Waterville, ME)
- …in an assigned area. Job Description: Elmwood Primary Care - Medical Director Elmwood Primary Care, a hospital-employed outpatient Family Medicine practice ... an experienced Family Medicine physician as the practice Medical Director . We are looking for an individual with a...in their household. Financial Wellness: + An employee discount program is available to all employees for services… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact VHA ... at Togus VA which includes an integrated inpatient and outpatient program . The H&PC Physician works closely...hospice and palliative care unit Participation in Hospice On-call program Inpatient consultative services in the acute… more
- Cardinal Health (Augusta, ME)
- …of billing for professional (physician) services and/or hospital (technical) services . This position will also support the Director with transactional ... and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine… more
- Genesis Healthcare (Waterville, ME)
- …for children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... outpatient clinics, and home-based care. We're proud to deliver...+ **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn… more
- Genesis Healthcare (Waterville, ME)
- …for children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... outpatient clinics, and home-based care. We're proud to deliver...+ **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn… more
- Datavant (Augusta, ME)
- …+ Prepare preliminary results for review by the facility or CCS HIM director . + Review disagreements on APC/DRG changes with the appropriate manager. + Prepare ... + Demonstrate versatility and exceptional work across a wide range of coded services . + Meet with client facility representatives to discuss issues and trends… more
- Cognizant (Augusta, ME)
- …but not limited to referral, preauthorization, medical necessity, non-covered services , investigational/experimental and billing resulting in denials and/or delays ... Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare,… more