- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This ... role supports Appeals quality goals through quality monitoring and training . This role partners directly with Appeals leadership to support on-going… more
- Intermountain Health (Augusta, ME)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... advanced level of complexity. **Essential Functions** + Provides advanced training to acute coders at all levels, providers, clinical...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more
- Evolent (Augusta, ME)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more