MAXIMUS is a leading operator of government health and human services programs and has partnered with state, federal and local governments to provide critical, high quality health and human service programs to a diverse array of communities. Operating under MAXIMUS’s founding mission of Helping Government Serve the People® since 1975, MAXIMUS Federal Services is entirely focused on helping government agencies run programs cost-effectively and serve program constituents with improved outcomes. By being a responsible steward for government programs, we help the federal government deliver on its promises through our people, process and technology. Our focus is always on outcomes and results that connect citizens more effectively with government services.
The position will be responsible for abstracting data from a complex case file/medical record, identifying ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes based on industry standard coding guidelines (CMS, Coding and Reporting Guidelines, National Correct Coding Initiative policies and state and federal coding and reimbursement policies including NCDs and LCDs), application of the correct coding conventions, research complex coding and billing issues, completion of complex payment calculations, performing quality assurance audits on all aspects of the coding process.
Familiarity of the Outcome and Assessment Information Set (OASIS), Inpatient Rehabilitation Facility-Patient Assessment Instrument (IRF PAI), and Worker’s Compensation reimbursement fee schedules and policies preferred