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Medical coder jobs in Hartford, CT

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  • Tumor Registrar

    Middlesex Health 4.7company rating

    Medical coder job in New Haven, CT

    Highlights Department: Cancer Center Hours: 40.00 per week Shift: Shift 1 The Tumor Registrar (Oncology Data Specialist) assures thorough, accurate and quality data collection as required by the Commission on Cancer (CoC), the Surveillance, Epidemiology and End Results Program (SEER) and State of Connecticut. This includes case-finding, abstraction, follow-up and reporting requirements. This role will maintain accurate cancer registry data, ensuring all cancer cases are documented and reported in compliance with national standards. Essential Duties & Responsibilities Under general supervision the Tumor Registrar will; Review medical records to identify and abstract cancer cases and related information. Collect detailed data on patient demographics, tumor characteristics, staging, treatment, and outcomes. Maintain an accurate, up-to-date cancer registry, ensuring comprehensive and timely data entry Perform data validation and quality checks to ensure completeness and consistency of the cancer registry. Monitor data trends and resolve discrepancies in the dataset through communication with medical staff or external organizations. Ensure that all data complies with industry standards and regulations, such as the American College of Surgeons (ACoS) and the Commission on Cancer (CoC) guidelines Prepare and submit cancer registry reports to state, national, and regulatory agencies as required (e.g., SEER, National Cancer Database). Ensure compliance with HIPAA and other confidentiality regulations when handling patient information. Assist in preparing data for quality assurance, audits, and accreditation reviews. Work closely with physicians, clinical staff, and healthcare providers to gather accurate and complete cancer data. Serve as a resource for oncology teams by providing data for case reviews, performance improvement initiatives, and clinical research. Collaborate with multidisciplinary teams to improve data collection processes and accuracy. Participate in the analysis of cancer data to identify trends, survival rates, and outcomes for internal reporting or external research studies. Coordinates weekly tumor boards for the interdisciplinary team, this includes preparing detailed case summaries for each case presented. Support research initiatives by providing tumor registry data for studies and clinical trials. Assist in tracking patient outcomes and treatment patterns to guide cancer care planning. Stay current with changes in tumor registry standards, coding systems (e.g., ICD-10, AJCC staging), and cancer care practices. Participate in professional development and certification programs to maintain and enhance expertise in tumor registry operations. Adheres to all Core Values: Compassion, Pursue Excellence, Cooperation and Collaboration, Upholds Honesty, and Supports Innovation. Adheres to all Absolutes: Privacy and Confidentiality, Professional Appearance, and Responsibility and Commitment. Other job related duties as assigned. Minimum Qualifications 5 years experience in Cancer Registry 3 years experience reporting to national cancer databases or registries Experience with cancer registry software (e.g., SEER, CoC tools, and other data management systems) Associate's Degree in Health Information Management, Medical Records or other related field Certified Oncology Data Specialist Preferred Qualifications 3 years experience in medical coding, healthcare data, and/or oncology terminology Bachelors Degree in Health Information Management, Medical Records or other related field Knowledge, Skills, Abilities: Familiarity with research and quality improvement initiatives within oncology settings Independent, self-directed and highly motivated Attention to detail, strong organizational skills, and the ability to work independently. Excellent communication and interpersonal skills for collaborating with healthcare professionals and teams. Comprehensive Benefits Offered Competitive and affordable benefits package Shift Differentials Continuing Education assistance Tuition reimbursement Student Loan relief through Fiducius Quick commute access from I-84, Route 9 and surrounding areas About Middlesex Health The Smarter Choice for your Career! Come join one of Connecticut's Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.
    $40k-48k yearly est. 3d ago
  • Risk Adjustment Coding Specialist II (Connecticut)

    Astrana Health, Inc.

    Medical coder job in Hartford, CT

    Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment and will conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. *Occasional travel to provider sites in surrounding areas may be required *Must reside in Connecticut, Massachusetts, Rhode Island, or New York Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements. Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I Qualifications Must possess and maintain AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC 3-5+ years of experience in risk adjustment coding and/or billing experience required Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time, if applicable. PC skills and experience using Microsoft applications such as Word, Excel, and Outlook Excellent presentation, verbal and written communication skills, and ability to collaborate Must possess the ability to educate and train provider office staff members Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. You're great for this role if: Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage Strong PowerPoint and public speaking experience Strong experience with Excel - pivot tables, VLOOKUP, etc. Ability to work independently and collaborate in a team setting Experience with Monday.com Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting Environmental Job Requirements and Working Conditions The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role. This role follows a remote work structure where the expectation is to work at home on a daily basis, with occasional travel as needed in the surrounding areas. The work hours are Monday through Friday, standard business hours. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at ************************************ to request an accommodation.
    $75k-85k yearly 12d ago
  • Outpatient Coder (Temp)-FlexStaff

    Northwell Health 4.5company rating

    Medical coder job in Danbury, CT

    Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. * Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. * Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. * Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record. * Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers. * Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for ambulatory payment classification and for medical necessity. * Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book. * Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%. * Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. * Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. * Achieves the organization's established expectations with regard to customer service, teamwork and safety. * Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. * Fulfills all compliance responsibilities related to the position. * Performs other duties as assigned. Education, Skills, Experience: * Essential: CPC, COC, CCS, or CCS-P certification * Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPT procedure and E/M coding. * Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes. * Experience in acute care coding with outpatient records. * Minimum Experience: 2 years demonstrated coding experience in appropriate application of coding and documentation guidelines * Desired: Course work in Anatomy and Physiology. Education-HS Graduate or Equivalent * Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
    $61k-81k yearly est. 60d+ ago
  • Coder/Abstraction- Outpt

    Hospital for Special Care 4.2company rating

    Medical coder job in New Britain, CT

    Position Location:Hospital for Special CareScheduled Weekly Hours:0Work Shift:First ShiftDepartment:Health Information Management We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day! QUALIFICATIONS Required: Associate's degree in health information management or equivalent from two-year college. Minimum 3 years coding clinic/physician- based records. Years of experience in coding may be considered as substitute for education. Required: Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire. Required: Ability to read, analyze, interpret ICD-9, ICD-10, CPT, HCPCS and Modifier books. Ability to document and follow-up on Discharged Not Final Billed (DNFB) reports and to effectively present information and respond to questions from Administration, Physicians, and committee members. Can effectively describe when and how to use modifiers on CPT codes to physicians and other healthcare providers. Understands denials and how to solve them. Required: Must be proficient in Anatomy and Physiology, Medical Terminology, and 3M applications. Past experience using 3M HDM report writer a plus. Must be familiar with a hybrid medical record and working with an electronic medical record. Must have experience with proper DRG assignment. Preferred: Experience with coding inpatients records. Preferred: Registered Health Information Technician (RHIT) certification is a plus. JOB SUMMARY Responsible for the coding and facility charge process for outpatient accounts, may assist from time to time with inpatient coding. Abstracts clinical information from medical records and assigns appropriate ICD 10 diagnoses and procedure codes as appropriate and CPT modifiers according to coding guidelines and established procedures. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies. Works closely with clinical documentation improvement initiatives and patient accounts to ensure documentation accurately reflects patient acuity for services rendered. PHYSICAL DEMANDS This position requires walking, standing, and sitting with the ability to lift/carry and push/pull weights of 11-20 pounds frequently. This position also requires the ability to squat, kneel, balance, reach forward and above shoulders, twist, and hear frequently. The ability to touch and see are required continuously with gross grasp and fine manipulative maneuvering required continuously. COGNITIVE DEMANDS This position requires solid skills in problem solving and written expression and communication, thorough skills in verbal expression/communication and extensive skills in reading and auditory comprehensive. Ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume and distance. Ability to solve practical problems and deal with a variety of concrete variables in situation where only limited standardizations exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. WORK DEMANDS This position requires the ability to work independently as well as with others. Stays current with official coding guidelines for both inpatient and outpatient coding. Stays abreast of any regulatory changes regarding the assignment of ICD-9, ICD-10, HCPCS, CPT and modifier assignment. Takes initiative to read relevant professional journals. Stays current with all continuing education certification requirements relating to coding certification. The position works a hybrid schedule ESSENTIAL FUNCTIONS Ensures that coding processes can be completed timely and efficiently on both outpatient and inpatient discharged accounts as assigned. Working with HIM and other staff to identify and resolve outstanding accounts through to revenue cycle. Uses EMR, 3m HDM abstracting, coding and reference tool, along with clinical documentation tool to assign all diagnostic, procedure and facility-based charging in a timely manner. Participates on Outpatient Revenue Cycle Committee. Works in collaboration with others using Coding Guru to ensure proper use of modifier assignment to CPT codes for inpatient and outpatient procedures or services. Resolves outstanding edits and denials for assigned case load weekly. Communicates to clinicians to resolve issues. Follows up with providers for any records which cannot be completed for lack of documentation or clarification. Distributes coding queries as appropriate. Provides information/training to clinical staff and providers on changes in coding practices such as ICD-10, CPT and modifiers, appropriate documentation practices, and DRG assignments as needed. Assists with updating departmental coding policies and procedures. Serves as a resource for all hospital staff with questions related to Inpatient ICD 10 coding and CPT modifier. Participates in training, updates and knowledge-based review on utilizing the Electronic Medical Record to maximize efficient use for coding. Maintains knowledge of Outpatient coding practices and procedures. Maintains knowledge of Federal, State, and JC standards of documentation regulations and guidelines. Maintains and keeps coding credentials current.
    $58k-77k yearly est. Auto-Apply 60d+ ago
  • Senior Inpatient HIM Coder

    Oracle 4.6company rating

    Medical coder job in Hartford, CT

    **About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. **Requirements and Qualifications:** + A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. + In-depth understanding of supporting evidence requirements for accurate coding. + Practical experience using grouper software for MS-DRG and APR-DRG assignment. + Strong communication skills to interact effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA or RHIT certification is mandatory. + Associate's or Bachelor's degree in Health Information Management (HIM) is required. **Responsibilities** **Job Responsibilities:** + Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding. + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation. + Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement. + Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
    $75k-178.1k yearly 5d ago
  • Outpatient Coder I

    Yale-New Haven Health 4.1company rating

    Medical coder job in New Haven, CT

    To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 1 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/Veteran Responsibilities * 1. Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. * 2. Reviews medical record documentation and accurately selects the appropriate CPT codes, modifiers, and ICD-10-PCS, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. * 3. Maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection. * 4. Maintains the productivity expectations as defined by the department for the coding service line. * 5. Capable of coding a minimum of one complex OP service line, which would include: Cardiology, Interventional Radiology, Observation, Oncology, or Same Day Surgery at proficiency. * 6. Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and actively participates in learning circles. * 7. Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet CFB (candidate for billing) goals. * 8. Resolves cases returned coder for education and/or errors, and uses feed back to improve ongoing performance. * 9. Handles coding DNBs and stop bills (if assigned), or other projects and/or coding initiatives as assigned. * 10. Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures. * 11. Exhibits enthusiasm for the profession, embraces educational opportunities and department support offered and remains engaged in the goals and vision of the department. Qualifications EDUCATION Bachelors degree preferred. Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process. EXPERIENCE Requires a minimum of 2 years of outpatient or professional coding experience in a complex service line. Coding experience may be partly substituted for a college degree with an RHIT/RHIA credential or CCS/CCS-P coding credential. Prior experience in Epic and 3M encoder is preferred. LICENSURE CCS, CCS-P, or RHIT credential preferred. Must possess a valid coding credential through AAPC and/or AHIMA. CPC-A or CCA not accepted. SPECIAL SKILLS Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM/PCS, and CPT coding with the ability to acclimate and apply knowledge in a fast-paced OP Coding department setting. Knowledge of professional E/M leveling preferred. Must possess excellent communications skills orally and in writing, strong critical thinking and reasoning skills, in addition to time management skills. Must be able to perform functions independently and under limited supervision. YNHHS Requisition ID 161127
    $53k-69k yearly est. 30d ago
  • Medical Coding Specialist

    Adrad

    Medical coder job in Shelton, CT

    Join our Culture of Caring! Mission: With every action we take, Advanced Radiology Consultants is committed to building and maintaining the trust of our referring physicians and providing our patients with exceptional care. Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring, and friendly environment. We are looking for a Revenue Cycle Coding Specialist to join our team. The pay range for this role will depend on experience and qualifications. Position Summary: Under the direction of the Senior Revenue Cycle Manager, provide assistance with practice education on insurance and billing criteria with CPT and ICD-10. Chart review for proper coding and/or denial follow up or for clinical information and/or study confirmation as requested through Lyra RAI to expedite radiology claim submission and denial follow up. Assist Revenue Cycle Specialists with various A/R follow-up functions, patient dispute resolution Review AR reports for patterns/issues. Insurance carrier contract maintenance. Essential Job Duties and Responsibilities: Review/resolve billing company's ‘request for additional information' (RAI's) CPT/ICD-10 review and/or confirmation prior to billing Coding denials; review for resolution/resubmission and/or adjustment Authorization denials: review/work, forward to appropriate dept. for correction, if needed Patient disputes: investigate coding accuracy, clinical information, claim transactions and patient's dispute. Resolve as applicable. Assist Revenue Cycle Manager with practice education on complying with CPT, ICD-10, and carrier guidelines. Educate staff as requested on insurance guidelines and billing criteria on examinations performed Interventional Radiology procedure audits to ensure billing company is correctly coding/billing Handle escalated billing calls and/or web inquiries as received. Professionally handle/resolve issues with exceptional customer service and/or assist ADRAD staff and/or patients with escalated coding/insurance questions Review of AR Denial's, categorize & work with billing company towards claim resolution Monthly review of current outstanding A/R report; Provide assistance in identifying denial patterns/coding issues Identify claims mishandled with Sr. Manager for educational review and improvement and improvement with internal ADRAD staff and/or billing company Review insurance carrier, State and Federal resources (publications/websites) for administrative and/or medical policy changes and updates. Summarize monthly and review with manager for ADRAD staff education when applicable Monthly charge reconciliation in EMR, when needed Assistance with other Revenue Cycle Departments, as needed Knowledge, Skills and Abilities: Attention to detail, meticulously reviewing reports, charts and assigning codes with a high degree of accuracy is critical to assign accurate CPT, ICD-10, HCPCS & modifiers Knowledge of medical terminology Understanding of insurance carrier claim processing, rules and regulations to include payment, denial and appeal processes, authorization requirements and guidelines. Ability to multi-task yet remain focused. Proficient with automated radiology information systems including billing component. Ability to handle escalated patient issues Bi-Lingual helpful though not required. Educational Requirements: Current CPC and/or RCC certification. High school diploma or general education degree (GED) 5+ years' experience in healthcare billing/collections, preferably radiology or a combination of education and experience. Work Smart, Live Well : The success of Advanced Radiology is earned every day through our dedication to quality patient care and continual improvement of the patient experience. Our success allows us to enjoy a wide range of benefits designed to support and enhance our lives, both at work and at home. Health Benefits: Medical and Prescription Drug Coverage Dental Coverage Vision Coverage Health Savings Account (HSA) with Matching Employer Contribution Additional Benefits: Generous Paid Time Off (PTO) Paid Holidays 401(k) Plan with Employer Contribution Annual Profit-Sharing Plan Contribution Paid Opt-Out Benefit Option Basic Life and Accident Insurance Advanced Radiology is an Equal Opportunity Employer, offering outstanding compensation and benefits plans designed to reward and retain exceptional employees. Apply today and join our team of dedicated and caring professionals!
    $42k-65k yearly est. Auto-Apply 3d ago
  • Outpatient Coder II

    Nuvance Health 4.7company rating

    Medical coder job in Danbury, CT

    Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV. Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. Responsibilities: * Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. • Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. • Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable) and all charges as documented in the medical record. • Applies knowledge of ambulatory payment classification reimbursement for procedure coding, current procedural terminology guidelines, knowledge of local coverage determination's for medical necessity, and appropriate use of modifiers. • Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures for ambulatory payment classification and for medical necessity. • Ability to code using either 3M encoder or ICD-9-CM/ICD-10-CM book. • Performs E/M (Evaluation Management) coding for physician and facility with a minimum accuracy of 95%. • Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. • Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. • Achieves the organization's established expectations with regard to customer service, teamwork and safety. • Responds to all questions regarding diagnoses and procedures with the billing office in a timely manner. • Fulfills all compliance responsibilities related to the position. • Performs other duties as assigned. Other Information: Required: CPC, COC, CCS, or CCS-P certification Required: Specialized training in medical terminology, ICD-10-CM Diagnosis, CPT procedure and E/M coding. Able to decipher operative reports, medical orders, and various medical records in the appropriate selection of codes. Experience in acute care coding with outpatient records. Minimum Experience: 2 years demonstrated coding experience in appropriate application of coding and documentation guidelines Desired: Course work in Anatomy and Physiology. Education: HS Graduate or Equivalent Must have profee coding experience in one of the following areas: Vascular Surgery Thoracic Surgery Neuro Surgery OBGYN Surgery Company: Nuvance Health Org Unit: 1826 Department: Patient Accounting Med Practic Exempt: No Salary Range: $22.94 - $42.61 Hourly Share: Share with Email Share on Twittershare to twitter Share on Facebookshare to facebook Share on LinkedInshare to linkedin
    $22.9-42.6 hourly 60d+ ago
  • Medical Coding Specialist

    Advanced Radiology Consultants 3.7company rating

    Medical coder job in Shelton, CT

    Join our Culture of Caring! Mission: With every action we take, Advanced Radiology Consultants is committed to building and maintaining the trust of our referring physicians and providing our patients with exceptional care. Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring, and friendly environment. We are looking for a Revenue Cycle Coding Specialist to join our team. The pay range for this role will depend on experience and qualifications. Position Summary: Under the direction of the Senior Revenue Cycle Manager, provide assistance with practice education on insurance and billing criteria with CPT and ICD-10. Chart review for proper coding and/or denial follow up or for clinical information and/or study confirmation as requested through Lyra RAI to expedite radiology claim submission and denial follow up. Assist Revenue Cycle Specialists with various A/R follow-up functions, patient dispute resolution Review AR reports for patterns/issues. Insurance carrier contract maintenance. Essential Job Duties and Responsibilities: Review/resolve billing company's ‘request for additional information' (RAI's) CPT/ICD-10 review and/or confirmation prior to billing Coding denials; review for resolution/resubmission and/or adjustment Authorization denials: review/work, forward to appropriate dept. for correction, if needed Patient disputes: investigate coding accuracy, clinical information, claim transactions and patient's dispute. Resolve as applicable. Assist Revenue Cycle Manager with practice education on complying with CPT, ICD-10, and carrier guidelines. Educate staff as requested on insurance guidelines and billing criteria on examinations performed Interventional Radiology procedure audits to ensure billing company is correctly coding/billing Handle escalated billing calls and/or web inquiries as received. Professionally handle/resolve issues with exceptional customer service and/or assist ADRAD staff and/or patients with escalated coding/insurance questions Review of AR Denial's, categorize & work with billing company towards claim resolution Monthly review of current outstanding A/R report; Provide assistance in identifying denial patterns/coding issues Identify claims mishandled with Sr. Manager for educational review and improvement and improvement with internal ADRAD staff and/or billing company Review insurance carrier, State and Federal resources (publications/websites) for administrative and/or medical policy changes and updates. Summarize monthly and review with manager for ADRAD staff education when applicable Monthly charge reconciliation in EMR, when needed Assistance with other Revenue Cycle Departments, as needed Knowledge, Skills and Abilities: Attention to detail, meticulously reviewing reports, charts and assigning codes with a high degree of accuracy is critical to assign accurate CPT, ICD-10, HCPCS & modifiers Knowledge of medical terminology Understanding of insurance carrier claim processing, rules and regulations to include payment, denial and appeal processes, authorization requirements and guidelines. Ability to multi-task yet remain focused. Proficient with automated radiology information systems including billing component. Ability to handle escalated patient issues Bi-Lingual helpful though not required. Educational Requirements: Current CPC and/or RCC certification. High school diploma or general education degree (GED) 5+ years' experience in healthcare billing/collections, preferably radiology or a combination of education and experience. Work Smart, Live Well : The success of Advanced Radiology is earned every day through our dedication to quality patient care and continual improvement of the patient experience. Our success allows us to enjoy a wide range of benefits designed to support and enhance our lives, both at work and at home. Health Benefits: Medical and Prescription Drug Coverage Dental Coverage Vision Coverage Health Savings Account (HSA) with Matching Employer Contribution Additional Benefits: Generous Paid Time Off (PTO) Paid Holidays 401(k) Plan with Employer Contribution Annual Profit-Sharing Plan Contribution Paid Opt-Out Benefit Option Basic Life and Accident Insurance Advanced Radiology is an Equal Opportunity Employer, offering outstanding compensation and benefits plans designed to reward and retain exceptional employees. Apply today and join our team of dedicated and caring professionals!
    $62k-82k yearly est. Auto-Apply 3d ago
  • Coder Abstractor - Per Diem

    Griffin Health Services 4.0company rating

    Medical coder job in Derby, CT

    Main Function: Griffin Health is seeking a detail-oriented and dedicated Coder/Abstractor (with inpatient experience) to join our Medical Records team. The primary responsibility of this role is to assign accurate diagnosis and procedure codes for inpatient and outpatient hospital records. These codes are essential for research, hospital operations, and reimbursement, and must comply with all local, state, and federal regulations. This position also includes abstracting key data to support clinical and administrative functions. Key Responsibilities: Assign ICD-9-CM, CPT-4, and HCPCS codes to hospital outpatient and inpatient medical records. Ensure coding accuracy and compliance with current regulations and guidelines. Abstract pertinent information from medical records into the hospital information system. Collaborate with clinical staff and other departments to clarify documentation when needed. Maintain confidentiality and security of patient health information at all times. Qualifications: Education: High School Diploma or equivalent required. Completion of an approved medical coding program is required. Experience: Must have inpatient experience Minimum of 2 years of coding experience in a hospital setting OR Credentialed (RHIT, CCS, CPC-H) upon completion of an approved coding program. Preferred Certifications: Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS) Certified Professional Coder - Hospital (CPC-H) Additional Skills: Strong knowledge of medical terminology, anatomy, and physiology. High level of accuracy and attention to detail. Proficiency in coding software and electronic health records (EHR) systems. Strong organizational and communication skills. Why Join Griffin Health? Griffin Health is committed to providing a supportive and collaborative work environment where your expertise will contribute to our mission of delivering exceptional care. We offer competitive compensation, comprehensive benefits, and ongoing opportunities for professional development. Apply Today! Join a team where your skills in coding and data abstraction play a crucial role in supporting quality healthcare delivery.
    $38k-56k yearly est. 60d+ ago
  • Senior Medical Coder

    Cytel 4.5company rating

    Medical coder job in Hartford, CT

    The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. **Medical Coding** + Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. + Review and validate coding performed by other coders to ensure consistency and accuracy. + Identify ambiguous or unclear terms and query clinical sites or data management for clarification. + Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. **Data Quality & Review** + Conduct ongoing coding checks during data cleaning cycles and prior to database lock. + Lead the resolution of coding discrepancies, queries, and coding-related data issues. + Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams. + Assist in the preparation of coding-related metrics, reports, and quality documentation. **Process Leadership & Subject Matter Expertise** + Serve as the primary point of contact for coding questions across studies or therapeutic areas. + Provide guidance and training to junior medical coders, data management staff, and clinical teams. + Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines. + Participate in vendor oversight activities when coding tasks are outsourced. + Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. **Cross-Functional Collaboration** + Work closely with clinical data management to ensure proper term collection and standardization. + Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. + Support biostatistics and medical writing with queries related to coded terms for analyses and study reports. **Education & Experience** + Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred. + **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments. + Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management. + Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required. **Technical & Professional Skills** + Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar). + Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines. + Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously. + Effective communication skills and experience collaborating in matrixed research environments. Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
    $65k-80k yearly est. 9d ago
  • Medical Coder

    Charter Oak Health Center 4.3company rating

    Medical coder job in Hartford, CT

    Part-time, Temporary Description Charter Oak Health Center is seeking a Medical Coder to join our team. In this role, you will be responsible for reviewing and verifying outpatient clinical documentation and diagnostic results. Extracts relevant data and assigns alphanumeric codes for billing, as well as for internal and external statistical reporting, research, regulatory compliance, and reimbursement purposes. The ideal candidate will have a strong background in in healthcare administration, with particular emphasis on medical coding. Knowledge of medical terminology, anatomy, and healthcare compliance is essential for effectively carrying out the roles and responsibilities. Familiarity with coding software is also critical. This position offers an exciting opportunity to make a difference in the community while advancing your career in healthcare. Key Responsibilities: Advises billing and finance staff as well as Providers regarding changes to CPT-4 codes and ICD-10 codes, and any procedure changes from Medicare, Medicaid, and private insurance carriers. Comprehensive understanding of anatomy, along with diagnostic and procedural terminology, to accurately determine the correct assignment of diagnosis and procedure codes. Analyzes medical records, interprets documentation, and assigns the appropriate International Classification of Diseases, Tenth Edition Clinical Modification (ICD-10-CM), Current Procedural Terminology /HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes using specialized software. Utilize the ICD-10-CM coding system for accurate diagnosis coding. This requires thorough knowledge of coding conventions and the ability to select the most appropriate codes based on the patient's medical history and presenting conditions. Proficiently apply the Current Procedural Terminology (CPT) coding system to document services rendered. This includes both evaluation and management (E/M) services and other diagnostic or therapeutic procedures. Adheres to all departmental coding and charging procedures, policies, guidelines, and quality standards. Completes daily cases that have been assigned, utilizing the appropriate work queue. Communicate with the third-party billing team (EMR vendor) to identify issues and solve billing problems. Knowledge of Federally Qualified Health Center (FQHC) coding. Requirements Professional Experience/Educational Requirements Associate's degree or equivalent experience. Four years+ of medical billing experience, and strong knowledge of business processes, accounting theory, and methods Certification/Licensure CPC Certification Charter Oak Health Center Offers Outstanding Benefits That Include: Health Insurance: Comprehensive medical, dental, and vision coverage Generous Paid Time Off (PTO): PTO, Personal, and eight paid holidays Retirement Plans: 403 B plan with company vesting HRSA and Public Service Loan Forgiveness
    $38k-45k yearly est. 60d+ ago
  • Medical Coder

    First Fertility

    Medical coder job in Rocky Hill, CT

    Job Details Rocky Hill, CT Hybrid Full Time At First Fertility, we are driven by our vision, mission, and values, which help us exceed expectations throughout our patients' experience. We partner with the best fertility clinics across the country that align with our standards of care. Clinics in the First Fertility network provide high-quality care and focus on patient outcomes. Our physicians, nurses, and patient support staff will listen and work directly with patients to find the right path to parenthood. As a Medical Coder, you will play a vital role in ensuring efficient operations and fostering positive relationships with patients and providers. Your responsibilities will include managing billing inquiries, enhancing processes, and maintaining confidentiality, all while striving to provide exceptional service. Responsibilities Ensure timely billing, respond to patient inquiries, and follow up on claims. Engage with insurance carriers to resolve non-payment issues promptly, review and rectify claim errors before re-submission, and provide timely responses to inquiries via phone and written communication. Oversee follow-up processes for insurance claim appeals to ensure timely resolutions. Conduct thorough research on patient benefit eligibility and claim status using insurance carrier websites. Assist with incoming billing calls, addressing inquiries or forwarding them to the appropriate department or individual. Professionally diffuse and manage difficult patient interactions, providing effective resolutions to complaints. Provide accurate, complete, and clear information to patients regarding procedures and instructions, ensuring their understanding. Adhere to HIPAA guidelines and maintain a high level of confidentiality when handling patient information. Serve as the primary point of contact for providers and administration, addressing inquiries, resolving issues, and fostering strong relationships within the billing department. Demonstrate initiative by suggesting enhancements to existing processes and policies to improve collections and cash flow. Collaborate effectively as a team player. Qualifications Minimum of 3 years of medical billing experience in a healthcare setting (experience in women's health or fertility preferred but not required). Strong knowledge of CPT and ICD coding. Exceptional customer service skills, demonstrating professionalism in all interactions. Ability to handle stressful situations calmly and effectively. Excellent written and verbal communication skills. At First Fertility, you'll be part of a mission-driven organization dedicated to making a meaningful impact. We offer competitive compensation, comprehensive benefits, and a collaborative team environment. Compensation: $25- $27
    $25-27 hourly 60d+ ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Hartford, CT

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 8d ago
  • Medical Coder

    Pact MSO, LLC

    Medical coder job in Branford, CT

    Job Description Salary Range: $26.00 to $31.00 an hour By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company. Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees. PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position. Summary The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider documentation to ensure accurate reimbursement and tracking of services provided. The coding function ensures compliance with established coding guidelines, third party reimbursement policies, and regulations for a busy Multi-Specialty Practice. Essential Functions • Thorough understanding of the contents of medical records in order to identify information to support coding. • Extracts pertinent information from patient medical records. Assigns ICD10CM, CPT/HCPCS codes and modifiers. • Reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters within a Multispecialty Practice. • Translates/extracts diagnostic and procedural phrases into coded form - the accurate translation process requires understanding and interpretation of medical reports, industry standard and payer specific coding conventions and guidelines. • Reviews denials for coding lapses and suggests coding changes for corrective and preventive action. • Notifies a Manager/Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs. • Keeps updates of coding guidelines, federal reimbursement requirements, and changes to third party reimbursement policies. • Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC} and American Health Information Management Association (AHIMA) and adheres to official coding guidelines. • Performs other related duties as required. Skills and Knowledge • Demonstrate expertise in coding Evaluation and Management (E/M) visits across multiple specialties, ensuring accurate level selection based on documentation guidelines and supporting providers in optimizing clinical notes for compliance and reimbursement. • Maintain up-to-date knowledge of billing and coding regulations across multiple specialties by actively engaging in continuing education, certifications, and industry updates to ensure accurate and compliant coding practices. • Identify and facilitate educational opportunities for billing and clinical staff, tailoring training to address specialty-specific documentation and coding challenges. • Research new procedures and clinical documentation requirements, providing clear coding guidelines and educational resources to support accurate billing and improve provider documentation across specialties. • Thorough understanding of the contents of multi-specialty medical records in order to identify information to support coding. • Thorough knowledge and experience in EHR, preferably EPIC. • Basic knowledge of anatomy and physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded. • Basic understanding of claims form and reimbursement process • Understanding of local medical policies of carriers and Medicare. Education and Experience • Education: High School degree or equivalent required, Associates preferred. • Must possess and maintain coding certification from the American Academy of Professional Coders (CPC). • Experience: Minimum 3 years' experience as a coder in a multi-specialty physician group. • Experience: Strong coding and reimbursement background.
    $26-31 hourly 3d ago
  • Medical Records Manager

    United Community & Family Services 3.8company rating

    Medical coder job in Norwich, CT

    UCFS is looking for candidates who are passionate about making a difference in the lives of others! We are currently seeking an on-site Medical Records Manager to oversee the management and security of patient health information. This role is vital in ensuring the accuracy, confidentiality, and accessibility of medical records in compliance with healthcare regulations and organizational policies. Oversee the maintenance, organization, and security of all patient medical records Ensure compliance with legal, regulatory, and organizational standards related to health information management Coordinate all requests for medical records from patients, legal entities, and insurance companies in a timely and secure manner Coordinate with healthcare providers, administrative staff, and external agencies to facilitate accurate record keeping Train and supervise staff involved in medical records management Develops, implements and maintains policies and procedures related to medical records management, privacy and security. Conduct regular audits to ensure record accuracy and completeness Why UCFS? Our team is passionate about the services we provide and is committed to making a difference for our clients and community. At UCFS, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the complex needs of those we serve. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more. If you are committed to improving the health and well-being of our community, we encourage you to apply for this exciting opportunity. Requirements Associates degree with at least 3-5 years of experience in healthcare administration, with at least 2 years in a supervisory role. Proficiency with electronic health records (EHR) systems a must; knowledge of EPIC electronic health record is a plus. Strong knowledge of healthcare regulations, including HIPAA and other privacy laws Ability to write and run various workbench reports and dashboards to monitor activity and identify trends. Excellent communication, interpersonal skills, and problem-solving skills. Strong leadership presence and highly motivated team member who easily cultivates effective relationships with senior executives and staff both inside and outside of the organization. This position will be located at our office in Norwich, CT. UCFS offers a comprehensive benefits package including: Flexible hybrid remote & on-site schedules Competitive salaries Generous paid time off including 4 weeks' vacation, 4 floating holidays, paid company holidays and 10 sick days each year Medical, dental and vision insurance 401(k) plan with 6% employer contribution Paid life and disability insurance National Health Services Corp. Loan Repayment UCFS is committed to providing equal employment opportunities to all applicants and employees as protected by applicable federal and/or state law.
    $68k-100k yearly est. 60d+ ago
  • Admissions and Medical Records Coordinator

    Windsor Health & Rehabilitation Center 4.0company rating

    Medical coder job in Windsor, CT

    Coordinates all admissions activities Ensures compliance with applicable standards Triage and accepts referrals from the hospitals, Assisted Livings, and communities Verify insurance information pending admission Confirms Medical Insurance coverage of patients and assign beds Meet with patients admitted to complete paperwork for admissions Responds to medical records requests from sources such as patient, regulatory bodies and insurance companies. Coordinates with Medical, Nursing and accounting staff to ensure appropriate patient placement. Coordinates transfer of medical records to and from the facility Conduct business development activity to generate leads for referrals Requirements High school will be considered with at least 3 years of experiences; Associates degree with 2 years of experience preferred.
    $30k-39k yearly est. 60d+ ago
  • Inpatient Coder 2 Certified / HIM Coding

    Hartford Healthcare 4.6company rating

    Medical coder job in Farmington, CT

    Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and more complex accounts including but not limited to, medical, surgical behavioral health, IP Rehabilitation and others. Position Responsibilities: Key Areas of Responsibility Coding * Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. * Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to included Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material. * Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment. * Reviews high dollar and more complex cases including but not limited to, medical, surgical, behavioral health and IP Rehabilitation. * Applies IRF-PAI guidelines for IP Rehabilitation coding. * Adheres to all department coding procedures, policies, guidelines and quality standards. * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines. * Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards). Issue Resolution * Complete on a daily basis cases that have been assigned for review of edits, etc. Communication * Collaborates with clinical documentation specialists (CDS) to determine appropriate DRG assignment for compliance and reimbursement purposes. * Collaborates with Quality Management and other departments (Billing Registration, etc.) as required. * Seeks clarification from attending physician in cases where documentation is absent, ambiguous, or contradictory. Training * Assists in training and mentoring new coders to become acclimated to new environment, and understand internal coding policies and procedures Working Relationships: This position reports to Inpatient Coding Manager Requirements and Specifications: Education * Associate's Degree or equivalent experience Experience * Minimum: Two to three years of progressive on-the-job experience in an acute care hospital. * Preferred: Two to four years of progressive on-the-job experience in an acute hospital. Licensure, Certification, Registration * Certified Coding Specialist (CCS) required and maintained thereafter. Language Skills * Strong written and verbal communication skills. Knowledge, Skills and Ability Requirements: Strong knowledge of: * ICD‑10-CM diagnostic and ICD-10-PCS procedure codes * UHDDS * Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) * IP Rehabilitation coding rules for IRF-PAI * Clinical information related to areas of responsibility * Microsoft Office Products; Word, Excel * Encoder and/or CAC Skills: * Read, write and speak English proficiently. * Strong analytical capabilities. * Strong organizational skills. * Proficiently read and interpret physician writing. Strong ability to: * Function independently. * Handle multiple priorities. * Listen and acknowledge ideas and expressions of others attentively. * Converse clearly using appropriate verbal and body language. * Collaborate with others to achieve a common goal through mutual cooperation. * Influence others for positive and productive outcomes * Work across the Hartford HealthCare System. We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.
    $45k-63k yearly est. 60d+ ago
  • Medical Records Specialist I - Onsite

    Datavant

    Medical coder job in Bridgeport, CT

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. You will: Schedule: Monday-Friday 8am-4:30pm EST. This is an onsite position located in Danbury, CT 06810 Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. Maintain confidentiality and security with all privileged information. Maintain working knowledge of Company and facility software. Adhere to the Company's and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes. Assist with additional work duties or responsibilities as evident or required. Consistent application of medical privacy regulations to guard against unauthorized disclosure. Responsible for managing patient health records. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. Ensures medical records are assembled in standard order and are accurate and complete. Creates digital images of paperwork to be stored in the electronic medical record. Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/outbound calls. May assist with patient walk-ins. May assist with administrative duties such as handling faxes, opening mail, and data entry. Must meet productivity expectations as outlined at specific site. May schedules pick-ups. Other duties as assigned. What you will bring to the table: High School Diploma or GED Must be at least 18 years old. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written communication skills in the English language. Bonus points if: Experience in a healthcare environment. Previous production/metric-based work experience. In-person customer service experience. Ability to build relationships with on-site clients and customers. Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.
    $31k-40k yearly est. Auto-Apply 31d ago
  • Medical Record Specialist II- On-Site

    Datavant

    Medical coder job in Danbury, CT

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. You will: Schedule: Monday-Friday 8:00am-4:30pm (Danbury, CT) ROI Experience Preferred Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. Maintain confidentiality and security with all privileged information. Maintain working knowledge of Company and facility software. Adhere to the Company's and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes. Assist with additional work duties or responsibilities as evident or required. Consistent application of medical privacy regulations to guard against unauthorized disclosure. Responsible for managing patient health records. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. Ensures medical records are assembled in standard order and are accurate and complete. Creates digital images of paperwork to be stored in the electronic medical record. Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/outbound calls. May assist with patient walk-ins. May assist with administrative duties such as handling faxes, opening mail, and data entry. Must meet productivity expectations as outlined at specific site. May schedules pick-ups. Other duties as assigned. What you will bring to the table: High School Diploma or GED. Must be 18 years or older. 1-year Health Information related experience. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written communication skills in the English language. Bonus points if: Experience in a healthcare environment. Previous production/metric-based work experience. In-person customer service experience. Ability to build relationships with on-site clients and customers. Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is:$17.35-$22.34 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our .
    $17.4-22.3 hourly Auto-Apply 60d+ ago

Learn more about medical coder jobs

How much does a medical coder earn in Hartford, CT?

The average medical coder in Hartford, CT earns between $33,000 and $77,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Hartford, CT

$50,000

What are the biggest employers of Medical Coders in Hartford, CT?

The biggest employers of Medical Coders in Hartford, CT are:
  1. Humana
  2. Cytel
  3. Charter Oak Health Center
  4. Baylor Scott & White Health
  5. Connecticut Children's Medical Center
  6. Highmark
  7. Cognizant
  8. Hospital for Special Care
  9. Astrana Health, Inc.
  10. Datavant
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