This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
**ESSENTIAL RESPONSIBILITIES**
+ Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
+ Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
+ Engages in RPM Coding educational meetings and annual coding Summit.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ None
**Substitutions**
+ None
**Preferred**
+ Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
**EXPERIENCE**
**Required**
+ 3 years HCC coding and/or coding and billing
**Preferred**
+ 5 years HCC coding and/or coding and billing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Certified Professional Coder (CPC)
+ Certified Risk Coder (CRC)
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Attention to Detail
+ Written and Oral Presentation Skills
+ Written Communications
+ Communication Skills
+ HCC Coding
+ MS Word, Excel, Outlook, PowerPoint
+ Microsoft Office Suite Proficient/ - MS365 & Teams
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$26.49
**Pay Range Maximum:**
$41.03
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273522
$26.5-41 hourly 30d ago
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Senior Inpatient HIM Coder
Oracle 4.6
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 medicalcoder 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 40d ago
Inpatient Coder III (24 hours PT)
Yale-New Haven Health 4.1
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.
The Inpatient Coder 3 performs activities involving expert level inpatient coding of medical records as a mechanism for indexing clinical information used for research, utilization, appropriateness of care, compilation of statistics for hospital, regional and government reporting, and accurate reimbursement. This level of coding is expected to completely code cases of any complexity/length of stay. They also support the department through a variety of project work and support the department through a variety of project work.
EEO/AA/Disability/Veteran
Responsibilities
* 1. Coding Expectations - Coders are expected to perform coding functions within departmental guidelines. Departmental guidelines include productivity expectations, goals, accurate use of coding statuses, work queues, stop bills and communication and relationship building with the Clinical Documentation Improvement department.
* 2. Quality - Coders are expected to maintain a minimum quality score of 95% in in all aspects of their coding including diagnosis code, procedure code, discharge disposition and POA status selection. Coders are evaluated by both, internal audits and third party external audits.
* 3. Professional Development/Education ? Coders are required to support the educational needs of the department and remain current with coding guidelines, ICD10 updates, regulatory changes, etc. They are also expected to collaborate closely with the CDI department in resolving coding questions or concerns. This can be demonstrated through active staff mentoring, promoting educational activities, participating in staff meetings, preparing and delivering group presentations, etc. Inpatient Coder 3?s may also support the department by participating in audit reviews, mentoring and training other coders and any other task that promotes the success of the department and fellow staff.
Qualifications
EDUCATION
High school diploma and two (2) years of college or equivalent with additional training in medical terminology, anatomy and physiology required. Certified Coding Specialist (CCS) certification required at time of hire.
EXPERIENCE
Minimum five (5) years' experience Inpatient Medical Coding at a large academic medical center required.
LICENSURE
CCS certification required.
SPECIAL SKILLS
Knowledge of medical terminology, anatomy and physiology, and disease process. Understanding of ICD-10. Good oral and written communication skills. Ability to exercise good judgment, independent logic, light typing, and excellent computer data entry skills. Computer system experience including familiarity with encoder systems.
YNHHS Requisition ID
169006
$53k-69k yearly est. 10d ago
Coder/Abstractor -Inpatient & Ambulatory
Waterbury Hospital 4.3
Medical coder job in Waterbury, CT
Assign ICD-10-CM codes, CPT and HCPC codes for inpatient, ED, Ambulatory Surgery, and other outpatient records. Assign appropriate DRG or APC based on review of the admission diagnoses, principal diagnoses and other operations and procedures. Assign ICD-10-CM, CPT4 and HCPC codes as appropriate based on documentation from the report, order or medical record following coding rules and guidelines. Ensure that outpatient ICD-10 codes are entered onto the computer within the timeframe allotted to assure accurate billing.
Requirements: High School diploma required. Minimum one year ICD-10-CM/CPT4 coding experience in hospital or related setting. Knowledge of CRT/PC and other technology as well as knowledge of APC categories required. Knowledge of medical terminology, anatomy and physiology.
$54k-70k yearly est. 26d ago
Coder Specialist III (ECB)
Saint Francis Health System 4.8
Medical coder job in New Haven, CT
Current Saint Francis Employees - Please click HERE to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records.
Minimum Education: High School Diploma or GED.
Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA.
Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam.
Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam.
Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients surgeries, observations and inpatients. Works CCI/medical necessity edits as needed. Monitors unbilled for all patient types coded on a day-to-day basis. Maintains quality equal to or greater than 95%. Maintains productivity equal to or greater than 95%. Completes continuing education as required.
Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field.
Working Relationships: Works with internal customers via telephone or face to face interaction. Works with external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Health Information Clinical Coding - Yale Campus
Location:
Tulsa, Oklahoma 74136
EOE Protected Veterans/Disability
$44k-60k yearly est. Auto-Apply 60d+ ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
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.
+ The 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 43d 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 MedicalCoder 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 9d ago
EMR Specialist
Connecticut Orthopaedic Specialists Pc 3.7
Medical coder job in Hamden, CT
Connecticut Orthopaedics has been named as the #1 Physician Practice in Orthopaedics in Connecticut, as well as ranking in the Top 3 for Surgical Care and the Top 5 for Overall Physician Practices across the state by Castle Connolly.
The Electronic Medical Record (EMR) Specialist is responsible for application training, implementation support, and post-go-live optimization process for physicians, and clinical and non-clinical staff. This position will work closely with the Operations, IT, and Human Resources department to develop and maintain EMR training as it is an integral piece of all patient related positions. This role provides comprehensive support to users across the organization for all aspects of our EHR program-including implementation, maintenance, updates, and on-site assistance across all divisions as needed.
Essential Functions
Deliver effective training in a classroom setting for all staff roles, including clinical, clerical, and billing.
Offer on-site support to ensure smooth transitions from training to real-time use.
Troubleshoot issues in accordance with established protocols.
Maintain a strong working knowledge of all program applications.
Conduct system maintenance, perform research, run tests, generate reports, and document all changes and outcomes thoroughly.
Investigate and resolve Help Desk tickets submitted by end users.
Support implementation and rollout of new software modules and updates.
Test new builds and features during both implementation and ongoing maintenance phases.
Collaborate with departments and locations to improve workflows, enhance integration, and increase efficiency.
Assist in the redesign of workflows and operational processes as needed.
Ensure data integrity by strictly adhering to IT policies and procedures.
Perform other duties as assigned by the Director.
Skills and Qualifications
Strong computer and technical skills.
Proficient in EHR systems (Epic experience preferred).
Excellent communication skills, especially in delivering training.
Thorough and detail-oriented with strong follow-through.
Clinical background (e.g., Medical Assistant or Nurse) is strongly preferred.
Collaborative mindset with a team-oriented approach.
Education and Experience
Minimum of 3-5 years of experience working with the EPIC system.
Previous experience in a medical office environment required
EPIC certification preferred.
$28k-35k yearly est. Auto-Apply 10d ago
Outpatient Coder 2 Certified / HIM Coding
Hartford Healthcare 4.6
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 and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting, research, regulatory compliance and reimbursement.
Codes complex diagnostic and procedural accounts, which includes but is not limited to the following:
· Professional Specialty Services
· Emergency Services
· Observation
· Same day surgery
· Pain Clinic
· Infusion Services
· Electrophysiology
· Cardiac Catheterizations
· LifeStar
· Orthopedic
· Critical Care
Position Responsibilities:
Key Areas of Responsibility
Coding
1. 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.
2. Analyzes medical records, interprets documentation and assigns proper 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 utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required.
3. Enters charges for procedures that are not soft coded as instructed for certain patient types.
4. Adheres to all department coding/charging procedures, policies, guidelines and quality standards.
5. Completes on a daily basis cases that have been assigned to them utilizing the appropriate work lists.
6. Codes complex diagnostic and procedural accounts, which includes but is not limited to the following:
· Professional Specialty Services
· Emergency Services
· Observation
· Same day surgery
· Pain Clinic
· Infusion Services
· Electrophysiology
· Cardiac Catheterizations
· LifeStar
· Orthopedic
· Critical Care
7. Assists manager with special projects/other tasks as assigned
8. 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.
9. Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards).
Issue Resolution
1. Reviews claim edits and revises coding/charging as appropriate for specific range of ICD-10-CM/CPT/HCPCS codes.
2. Reviews accounts returned from various departments (including Customer Service, Billing, Coding Quality, and Revenue Integrity) and processes corrections for clean claim submission or posts claim denial review for appeal.
Communication
1. Seeks clarification from physicians or other staff in cases where documentation is absent, ambiguous, or contradictory.
2. Makes corrections based on collaboration with clinician or designee.
Training
1. As assigned, assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures, and documentation guidelines.
Education
· Associate's Degree or equivalent experience
Experience
· Minimum\: Two years of progressive on-the-job experience in an acute care hospital or physician's office.
· Preferred\: Two to four years of progressive on-the-job experience in an acute care hospital or physician's office.
Licensure, Certification, Registration
· CPC, COC, or CCS certification 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 CPT/HCPCS procedure codes
· Clinical information related to areas of responsibility
· Microsoft Office Products; Word, Excel
· Encoder and/or Computer Assisted Coding product (CAC)
Skills:
· Read, write and speak English proficiently.
· Strong analytical capabilities.
· Strong organizational skills.
· Proficiently read and interpret physician documentation.
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.
· Use independent judgment to solve problems.
· 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. Auto-Apply 25d ago
Admissions and Medical Records Coordinator
Windsor Health & Rehabilitation Center LLC 4.0
Medical coder job in Windsor, CT
Job DescriptionDescription:
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. 4d ago
Medical Records Specialist I - Wallingford, CT - Onsite
Datavant
Medical coder job in Wallingford, 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 - Onsite - Wallingford CT 06492
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.
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:$15-$18.32 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 .
$15-18.3 hourly Auto-Apply 12d ago
Medical Records Clerk
Cherry Brook Health Care Center
Medical coder job in Canton, CT
Department: Nursing Services
Cherry Brook Health Care Center, a division of New Horizons, Inc., offers short-term rehabilitation, long -term respite, hospice and dementia care. Our dedicated staff provides individualized care with compassion, dignity and respect. Located in Canton, our facility has spacious private and semiprivate rooms, a well-appointed dining area, comfortable lounges and a beautiful landscaped outdoor terrace.
Cherry Brook's mission is to provide the highest quality of care and customer service to our residents and their families by using best practices, highly trained staff and innovative programs and services designed to meet their needs.
PURPOSE OF YOUR POSITION
The primary purpose of your position is to perform assigned administrative duties in accordance with established procedures, and as directed by your supervisor, to assure that a successful, viable, medical records procedure is maintained at all times.
SCOPE OF RESPONSIBILITY
As the Medical Record Clerk, you are responsible and accountable to carry out assigned duties and report directly to the Administrator/Director of Nursing.
JOB FUNCTION
Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position. The position includes other duties deemed appropriate and assigned by the DNS and/or the Administrator.
WORKING CONDITIONS
Works in office areas as well as throughout the facility.
Sits, stands, bends, lifts and moves intermittently during working hours.
Is subject to frequent interruptions.
Works beyond normal working hours, weekends, holidays, in other positions temporarily when necessary. Scheduled hours may change to meet facility needs.
Attends and participates in continuing educational programs.
Communicates with nursing personnel, and other department supervisors.
Is subject to hostile and emotionally upset residents, family members, personnel, visitors, etc.
Is involved with residents, family members, personnel, visitors, government agencies, etc., under all conditions and circumstances.
EDUCATIONAL REQUIREMENTS
Must possess, as a minimum, a high school diploma.
EXPERIENCE
Minimum one (1) year experience in clerical. On-the-job training provided in medical work with knowledge of medical terminology and record procedure.
SPECIFIC REQUIREMENTS/ESSENTIAL FUNCTIONS
Must be able to read, write, speak, and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public.
Ability to work harmoniously with other personnel.
Ability to minimize waste of supplies, misuse of equipment, etc.
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.
Be able to follow written and oral instructions.
Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents, staff, based on whatever maturity level at which they are currently functioning.
Is proficient in composition of written communication.
Must be knowledgeable in secretarial duties, use of equipment, etc., related to secretarial functions.
PHYSICAL AND SENSORY REQUIREMENTS
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.
Must function independently, have flexibility, personal integrity, and the ability to work effectively with other personnel.
Must be able to operate office, business and accounting machines.
Must be able to lift, push, pull, and move office equipment, supplies, etc., without restrictions.
Must be able to assist in the evacuation of residents.
MAJOR DUTIES AND RESPONSIBILITIES
Maintain accurate and organized nursing files, records and nursing policy books.
Maintain all regulatory required logs and records.
Coordinate and manage accurate and complete active and discharge medical records on file.
Complete discharge medical records timely and accurately, as well as ensuring the physician has signed in all appropriate sections.
Demonstrate correct safety techniques.
Respect and take care of facility equipment and not wasteful of supplies.
Contribute to effective communication and pleasant working conditions.
Contribute to and promote resident and family relations.
Knowledgeable in facility Privacy Practices and complies by protecting all residents' health information, processes the medical records requests in a timely fashion and in accordance with State, Federal and HIPAA guidelines.
Follow facility's policies and procedures.
Continue growth and expand job knowledge.
Demonstrate leadership skills.
Ensure all requests for medical records are reviewed by the Director of Nurses and/or Administrator.
If the record request is related to a Medicare/Medicaid appeal or billing issue the request should be reviewed by the Director of Finance. If the record request is from an attorney, legal representative (POA) or for an insurance audit, the request should be sent to Meg Sweeney for a review by a Clinical Specialist prior to release.
EEO STATEMENT:
New Horizons, Inc. is committed to hiring and retaining a diverse workforce. New Horizons, Inc. considers applicants for employment without regard to and does not discriminate on the basis of an individual's sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does New Horizons, Inc. discriminate on the basis of sexual orientation or gender identity or expression.
$31k-41k yearly est. 5d ago
Senior Coder - Outpatient
Highmark Health 4.5
Medical coder job in Hartford, CT
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
**ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270102
$23-35.7 hourly 33d ago
Outpatient Coder I
Yale-New Haven Health 4.1
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. 60d+ ago
Outpatient Coder 2 Certified / HIM Coding
Hartford Healthcare 4.6
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 and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting, research, regulatory compliance and reimbursement.
Codes complex diagnostic and procedural accounts, which includes but is not limited to the following:
* Professional Specialty Services
* Emergency Services
* Observation
* Same day surgery
* Pain Clinic
* Infusion Services
* Electrophysiology
* Cardiac Catheterizations
* LifeStar
* Orthopedic
* Critical Care
Position Responsibilities:
Key Areas of Responsibility
Coding
1. 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.
2. Analyzes medical records, interprets documentation and assigns proper 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 utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required.
3. Enters charges for procedures that are not soft coded as instructed for certain patient types.
4. Adheres to all department coding/charging procedures, policies, guidelines and quality standards.
5. Completes on a daily basis cases that have been assigned to them utilizing the appropriate work lists.
6. Codes complex diagnostic and procedural accounts, which includes but is not limited to the following:
* Professional Specialty Services
* Emergency Services
* Observation
* Same day surgery
* Pain Clinic
* Infusion Services
* Electrophysiology
* Cardiac Catheterizations
* LifeStar
* Orthopedic
* Critical Care
7. Assists manager with special projects/other tasks as assigned
8. 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.
9. Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards).
Issue Resolution
1. Reviews claim edits and revises coding/charging as appropriate for specific range of ICD-10-CM/CPT/HCPCS codes.
2. Reviews accounts returned from various departments (including Customer Service, Billing, Coding Quality, and Revenue Integrity) and processes corrections for clean claim submission or posts claim denial review for appeal.
Communication
1. Seeks clarification from physicians or other staff in cases where documentation is absent, ambiguous, or contradictory.
2. Makes corrections based on collaboration with clinician or designee.
Training
1. As assigned, assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures, and documentation guidelines.
Education
* Associate's Degree or equivalent experience
Experience
* Minimum: Two years of progressive on-the-job experience in an acute care hospital or physician's office.
* Preferred: Two to four years of progressive on-the-job experience in an acute care hospital or physician's office.
Licensure, Certification, Registration
* CPC, COC, or CCS certification 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 CPT/HCPCS procedure codes
* Clinical information related to areas of responsibility
* Microsoft Office Products; Word, Excel
* Encoder and/or Computer Assisted Coding product (CAC)
Skills:
* Read, write and speak English proficiently.
* Strong analytical capabilities.
* Strong organizational skills.
* Proficiently read and interpret physician documentation.
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.
* Use independent judgment to solve problems.
* 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. 27d ago
Admissions and Medical Records Coordinator
Windsor Health & Rehabilitation Center 4.0
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
Medical Records Specialist I - Wallingford, CT - Onsite
Datavant
Medical coder job in Wallingford, 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 - Onsite - Wallingford CT 06492
* 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.
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:
$15-$18.32 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 Privacy Policy.
$15-18.3 hourly Auto-Apply 12d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Hartford, CT
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J272373
$23-35.7 hourly 37d ago
Inpatient Coder 3 Certified / HIM Coding
Hartford Healthcare 4.6
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 all types of multifaceted accounts which includes, but is not limited to, interventional radiology, interventional cardiology, cardiovascular surgeries, major transplants, neurovascular surgeries, spinal fusions and coding level 1 trauma (multi significant)
Position Responsibilities:
Key Areas of Responsibility
Coding
1. 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.
2. 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.
3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment.
4. Reviews high dollar and more complex cases including but not limited to, medical, surgical, behavioral health and IP Rehabilitation.
5. Applies IRF-PAI guidelines for IP Rehabilitation coding.
6. Adheres to all department coding procedures, policies, guidelines and quality standards.
7. 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.
8. Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards).
Issue Resolution
1. Complete on a daily basis cases that have been assigned for review of edits, etc.
Communication
1. Collaborates with clinical documentation specialists (CDS) to determine appropriate DRG assignment for compliance and reimbursement purposes.
2. Collaborates with Quality Management and other departments (Billing Registration, etc.) as required.
3. Seeks clarification from attending physician in cases where documentation is absent, ambiguous, or contradictory.
Training
1. 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
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. Auto-Apply 60d+ ago
Medical Records Specialist I - Wallingford, CT - Onsite
Datavant
Medical coder job in Wallingford, 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 - Onsite - Wallingford CT 06492**
+ 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.
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:
$15-$18.32 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, (************************************************************** Id=**********48790029&layout Id=**********48795462) 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 (**************************************** .
How much does a medical coder earn in Manchester, CT?
The average medical coder in Manchester, CT earns between $33,000 and $76,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Manchester, CT
$50,000
What are the biggest employers of Medical Coders in Manchester, CT?
The biggest employers of Medical Coders in Manchester, CT are: