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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Outpatient Coder (Temp)-FlexStaff
Northwell Health 4.5
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. Auto-Apply 7d ago
Outpatient Coder (Temp)-FlexStaff
Flexstaff 4.0
Medical coder job in Danbury, CT
**Req Number** 163253 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, CPTprocedure 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).
The salary range for this position is $40-$45/hour
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of age, race, creed/religion, color, national origin, immigration status, or citizenship status, military or veteran status, sexual orientation, sex/gender, gender identity, gender expression, height, weight, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, their or their dependent's sexual or other reproductive health decisions, or other characteristics protected by applicable law.
$40-45 hourly 6d 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
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. 25d ago
Outpatient Coder II
Nuvance Health 4.7
Medical coder job in Danbury, CT
at Nuvance Health
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.Summary: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 EquivalentMust 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 Practice
Exempt: No
Salary Range: $22.94 - $42.61 Hourly
$22.9-42.6 hourly 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
Medical Records Coordinator
Us Oncology, Inc. 4.3
Medical coder job in West Hartford, CT
Join RCCA as a Scheduling Coordinator and play a vital role in ensuring a seamless patient experience! As a Scheduling Coordinator, you'll assist with organizing, sorting, and filing all incoming and outgoing patient information. Files, locates, retrieves, and delivers medical records and/or electronic medical records as assigned.
Become a crucial link in our healthcare team, helping us deliver exceptional care every day.
Employment Type: Full Time
Location: West Hartford, CT
Compensation: $20.00 - $25.00 Per Hour
Compensation packages based on your unique skills, experience, and qualifications
As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide: Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities.
We believe these benefits underscore our commitment to the well-being and professional growth of our employees.
Responsibilities
* Scan and attach all internal and external correspondence and electronic medical reports into patient medical record chart according to filing system.
* Assists with answering phones, taking messages and documenting process.
* Prints, mails, and/or faxes patient chart information as requested and authorized. Documents all processes.
* Releases medical records information to persons or agencies according to State and Federal regulations.
* Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
* Submits request for chart retrieval from storage if needed to comply with a medical records request.
* Follows policies and procedures to contribute to the efficiency of the front office Provides back-up assistance as needed by front office staff.
* Sends out dictations to referring providers via manual faxing, right fax, or electronically "Direct Message" (direct message via EMR is required for MIPS.
* Sends outgoing faxes and distributes incoming faxes.
* Prepares correspondence, memos, forms and other typing as requested by supervisor.
Qualifications
* High school diploma or equivalent required.
* Position is entry level and requires 0-3 years' experience, preferably in a medical office setting.
* Previous experience in a medical records' experience preferred.
* Knowledge of electronic health record systems.
* Time Management, Organization, Attention to Detail, and Quality Focus skills needed.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves contact with patients and public.
$20-25 hourly 39d 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. 26d 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 11d 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
DCF Records Coordinator
State of Vermont 4.1
Medical coder job in Waterbury, CT
DCF Family Services is recruiting for a DCF Records Coordinator to join our team. This role serves as the primary point of contact for records requests submitted under Act 173 and plays a critical role in ensuring timely, accurate, and compliant responses to requests from the public and internal partners.
The Records Coordinator is responsible for receiving, reviewing, routing, and responding to Act 173 and internal records requests with a high level of professionalism and compassionate customer service. Given the sensitive nature of DCF records, this position requires strong attention to detail, sound judgment, and a commitment to protecting confidentiality while ensuring lawful access to records.
This position also collaborates closely with Vermont State Archives and Records Administration (VSARA) archivist staff to ensure proper handling, archival, and preservation of records, including those damaged by fire, water, or other environmental factors.
Who May Apply
This position, DCF Records Coordinator (Job Requisition #54124), is open to all State employees and external applicants.
If you would like more information about this position, please contact Amanda Churchill Kipp at ********************************.
Resumes will not be accepted via e-mail. You must apply online to be considered.
AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.
Environmental Factors
Work is performed in a standard office setting or remotely as approved by supervisor. May be required to lift boxes 20 to 30 pounds. Record content reviewed will include regular exposure to child abuse or neglect investigations, injury photographs, abuse or neglect intake reports, police reports, medical exams, and stories of traumatic events. The successful employee must be resilient and able to cope with routine exposure to secondary trauma. Communications with traumatized people making records requests should be expected.
Minimum Qualifications
Associate's degree or higher in a field related to human services.
OR
Two (2) or more years of administrative experience in a human services program.
Preferred Qualifications
College coursework in a related field.
Total Compensation
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
80% State paid medical premium
Dental Plan at no cost for employees and their families
Flexib
le Spending healthcare and childcare reimbursement accounts
Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
Work/Life balance: 11 paid holidays each year and a generous leave plan; many jobs also allow for a flexible schedule
Low cost group life insurance
Tuition Reimbursement
Incentive-based Wellness Program
Qualified Employer for Public Service Student Loan Forgiveness Program
Want the specifics? Explore the Benefits of State Employment on our website.
Equal Opportunity Employer
The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State's employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.
$43k-54k yearly est. 4d 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. 4d ago
Surgical Coordinator & Special Testing - Ophthalmology
Refocus Eye Health
Medical coder job in Meriden, CT
Full-time Description
Join Our Surgical Team as a Key Surgical Scheduler and Special Tester!
Our established multi-specialty Ophthalmology group is seeking a highly organized and patient-focused Surgical Coordinator to manage our surgical bookings and schedules. If you excel in a fast-paced environment and are passionate about ensuring seamless patient experiences, we want you on our team!
REQUIRES TRAVEL: Between Meriden and Bloomfield
Your Impact:
Expert surgical scheduling: Coordinate and schedule surgical procedures with precision and efficiency.
Clear communication: Communicate effectively with patients, surgeons, and healthcare professionals, ensuring all parties are well-informed.
Patient advocacy: Provide compassionate support and guidance to patients throughout the surgical process.
Efficient call handling: Manage surgical scheduling inquiries with professionalism and accuracy.
Accurate documentation: Obtain and maintain accurate patient information and surgical records.
Team collaboration: Work seamlessly with the surgical team to ensure optimal resource allocation.
Compliance & confidentiality: Adhere to HIPAA regulations and maintain patient confidentiality.
Administrative support: Contribute to clinic efficiency through assigned administrative tasks.
What You'll Bring/Requirements:
Proven experience in a healthcare setting, ideally surgical scheduling or coordination.
Strong understanding of medical terminology and surgical procedures.
Exceptional communication and interpersonal skills.
Excellent organizational and multitasking abilities.
Proficiency in computer systems and electronic medical records.
Ability to remain calm and professional under pressure.
Ability to perform indirect activities, administrative tasks and any other duties as assigned that contribute to the efficient and high quality performance of the medical practice.
High school diploma or equivalent required.
Bonus Points:
Familiarity with insurance verification processes.
4-year degree
Perks & Benefits:
Competitive 401(k) with matching.
Comprehensive health, dental, and vision insurance.
Disability and life insurance.
Flexible spending account.
Generous paid time off.
We Care: We prioritize patients, colleagues, and families with compassionate, leading care and treat all with dignity and respect.
We Collaborate: We work together with patients, seeking diverse input to share and grow innovative ideas.
We Elevate: Committed to excellence, we exceed expectations by delivering leading eye care research, innovation, education, and outreach.
Refocus is an equal opportunity employer and we value diversity.
Ophthalmology Ophthalmology Ophthalmology Ophthalmology
$47k-75k yearly est. 3d ago
AD IT Patient Engagement Digital Health
Boehringer Ingelheim 4.6
Medical coder job in Ridgefield, CT
As the **AD IT Lead Business Consultant - Patient Engagement** , you will play a pivotal role in shaping and delivering innovative digital solutions that enhance the patient experience across the healthcare journey. Embedded within a dynamic and forward-thinking IT organization, this role bridges business strategy and technology execution, driving impactful outcomes in patient support, education, and engagement. You will collaborate closely with cross-functional teams including Commercial, Medical, and Patient Excellence to translate business needs into scalable, user-centric solutions that empower patients and improve health outcomes. This is a unique opportunity to lead strategic initiatives in a purpose-driven environment where technology meets compassion.
As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies´ success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim´s high regard for our employees.
This role is based in our Ridgefield, Ct office with employees working at least 2-3 days on site to support the business.
**Compensation Data**
This position offers a base salary typically between $140,000 to $222,000. This position may be eligible for a role specific variable or performance based bonus and or other compensation elements. For an overview of our benefits please click here. (*****************************************************************
**Duties & Responsibilities**
+ **Define and Evolve Capability Roadmap** : Lead the development and continuous evolution of the Patient Engagement digital capability roadmap, ensuring alignment with business objectives, IT strategy, and patient experience goals.
+ **Ensure Compliance and Architectural Alignment** : Collaborate with enterprise architects and platform owners to ensure solutions adhere to enterprise architecture standards, data privacy regulations (e.g., HIPAA, GDPR), and compliance frameworks.
+ **Drive Cross-Functional Collboration** : Partner with key stakeholders across Patient Services, Brand, Medical, and other capability owners to understand business priorities and translate them into actionable digital initiatives.
+ **Lead Masterpiece Team Execution** : Form and lead a high-performing "masterpiece team" including Pillar Leads, Global Capability Owners, Validation Managers, Business Analysts, and Vendor Managers to ensure cohesive delivery, governance, and value realization.
+ **Optimize System Integration and Scalability** : Work closely with technical teams to ensure seamless integration of patient engagement platforms and tools, with a focus on scalability, performance, and user experience.
+ **Champion Innovation and Best Practices** : Stay abreast of emerging technologies and industry trends in patient engagement, bringing forward innovative ideas and best practices to enhance digital capabilities.
**Requirements**
+ Bachelors´ and/or /Masters´ degree (or equivalent); progressive IT and business experience of five (5) to ten (10) years is preferred.
+ Ability to design and implement patient-facing applications that support segmentation, consent, and preference management on cloud infrastructure such as AWS.
+ Deep understanding of enterprise architecture, data privacy (patient data), and compliance frameworks (e.g., HIPAA, GDPR, SaMD)
+ Experience with AI/ML, omnichannel engagement, and consent management technologies
+ Deep understanding of Mobile App tech stack (React Native, Node.js etc.) and experience with SDLC and DevOps.
+ Hands-on experience with data warehouse technologies (e.g., Snowflake, Databricks, or similar), including MDM, data modeling, ETL processes, and analytics enablement.
+ Track record of identifying and integrating emerging technologies to enhance patient experience. (ex: Digital Therapeutics)
+ Ability to benchmark against industry peers and drive differentiation through digital capabilities
+ Expertise in personalized engagement strategies using behavioral data and predictive analytics
**Eligibility Requirements**
Must be legally authorized to work in the United States without restriction.
Must be willing to take a drug test and post-offer physical (if required).
Must be 18 years of age or older.
**Desired Skills, Experience and Abilities**
+ 10+ years of experience in Lifesciences industry supporting Commercial and Medical applications.
+ 5+ years of experience with patient facing applications, digital health, DTx
+ 5+ years of experience with CRM systems (Salesforce Health Cloud, Veeva CRM), Salesforce Marketing Cloud, patient management platforms, and data analytics tools
+ Certified Patient Experience Professional (CPXP) or similar credentials
+ Bachelor's degree in information technology or a related field, Advanced degree is a plus
All qualified applicants will receive consideration for employment without regard to a person's actual or perceived race, including natural hairstyles, hair texture and protective hairstyles; color; creed; religion; national origin; age; ancestry; citizenship status, marital status; gender, gender identity or expression; sexual orientation, mental, physical or intellectual disability, veteran status; pregnancy, childbirth or related medical condition; genetic information (including the refusal to submit to genetic testing) or any other class or characteristic protected by applicable law.
$36k-50k yearly est. 60d+ ago
Surgical Coordinator - Ophthalmology
Summit Health 4.5
Medical coder job in Wethersfield, CT
About Our Company
We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, ********************.
Job Description
Position Summary
The Surgical Coordinator plays a critical role in ensuring seamless patient care and operational efficiency within the surgical scheduling process. This position requires strong organizational skills, attention to detail, and compassionate communication with patients. The coordinator is responsible for guiding patients through the surgical journey, from initial scheduling to postoperative follow‑up, while maintaining compliance with Starling Physicians' policies and workflows.
In addition, candidates with ophthalmic technician experience are expected to provide clinical support when needed. This flexibility ensures continuity of patient care and strengthens collaboration across the ophthalmology team.
Key Responsibilities
Scheduling & Workflow Management
Meet with patients immediately following provider consultation when surgery is warranted.
Schedule the following at the initial visit:
Surgery date
1‑day postoperative appointment
1‑week postoperative appointment
Preoperative re‑evaluation with provider and preoperative testing (scheduled 3-4 weeks prior to surgery).
Monitor surgery schedules 4 weeks in advance to ensure:
Patients have seen the provider within 90 days of surgery.
Preoperative testing has been completed within 1 year (or sooner if directed).
Documentation & Compliance
Scan all required documents into iMedic (consents, ABNs, etc.).
Maintain accurate and timely patient records in compliance with organizational and regulatory standards.
Patient Education & Premium IOL Counseling
Continue discussions with patients regarding premium IOLs (multifocal, toric, EDOF lenses) if the provider has deemed them candidates.
Ensure patients are well informed about the capabilities and limitations of premium lenses.
Clearly communicate out‑of‑pocket costs associated with premium IOLs.
Medication Coordination
Send preoperative drop prescriptions to the correct pharmacy 2-3 weeks prior to surgery.
Follow up with patients to confirm prescriptions are filled and that patients understand proper usage.
Team Collaboration & Coverage
Maintaining an open-door policy, closing only when meeting privately with patients.
Provide full coverage for other surgical coordinators when needed, including:
Scheduling surgeries
Returning patient calls
Retrieving and responding to voicemails
Adhere closely to new workflow protocols as directed by the Practice Manager.
Qualifications
A High School Degree or GED
Ophthalmic Assistant Certification by JCAHPO or Certified Ophthalmic Technician (COT) preferred.
Strong organizational and multitasking skills.
Excellent communication and patient‑education abilities.
Knowledge of surgical workflows, ophthalmology procedures, and EMR systems preferred.
Ability to work collaboratively with providers, staff, and patients.
Commitment to maintaining a positive and professional departmental culture.
Performance Expectations
Ensure timely and accurate scheduling of all surgical and postoperative appointments.
Maintain compliance with documentation and workflow protocols.
Provide clear, compassionate communication to patients regarding procedures, costs, and medications.
Support departmental culture by focusing on teamwork, respect, and patient‑centered care.
Demonstrate flexibility by assisting in clinic as needed, leveraging ophthalmic technician skills to support patient care and provider needs.
About Our CommitmentTotal Rewards at VillageMD
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD's benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, ************************************* or file a complaint at ***************************************
$46k-63k yearly est. Auto-Apply 10d ago
Surgical Coordinator
Health Plus Ortho Management 4.5
Medical coder job in Danbury, CT
Somers Orthopaedic Surgery & Sports Medicine Group has been providing expert diagnosis and treatment of musculoskeletal conditions and injuries in Carmel, Newburgh, Mount Kisco, Fishkill, New York, and Danbury, Connecticut. Somers Orthopaedic Surgery & Sports Medicine Group physicians specialize in all aspects of orthopaedic care. Somers has partnered with HealthPlus Management, a Physician Support Organization, to provide best-in-class administrative support as they continue to expand their practice. HPM currently provides practice management services to 40+ locations in NY, NJ and CT.
The surgical scheduling coordinator is responsible for answering incoming calls and requests. As a Surgical Scheduling Coordinator you will be primarily responsible for obtaining patient information and scheduling their appointments for the 5 locations as well as responding to online inquiries.
Responsibilities:
Answer incoming calls, take messages, and complete outreach to patients in a courteous and professional manner
Maintain the daily operations of the office by following standard operating procedures and guidelines
Contribute to team effort by smoothly transitioning into daily roles as needed
Protect patient's privacy by maintaining confidentiality of personal information (HIPAA compliant)
Respond to inquiries, resolves risen issues, schedule patient appointments
Other administrative tasks as needed
Knowledge and Experience
1+ years of relevant medical administrative experience, preferred
Experience with medical insurance/verification is a plus
Knowledge of medical terminology & procedures, and the ability to intelligently and confidently converse with patients and referring doctors regarding treatment is preferred
Experience with EMR, preferred
Strong computer knowledge and windows program including Microsoft word/excel
Skills and Abilities
Excellent verbal and written communication
Outstanding customer service skills
Exceptional organizational and time-managements skills - the ability to multi-task is a must
Adaptability and flexibility while working in a fast-paced environment
Problem-solving ability and aptitude
Outcome-focused, with an ability to work under pressure
A solution-oriented mindset
A strong sense of urgency and focus in accomplishing tasks
Schedule: Monday-Friday, 8:00am-4:30pm
Pay: $25-27/hour
$25-27 hourly 60d+ ago
Tumor Registrar
Middlesex Health 4.7
Medical coder job in New Haven, CT
The Tumor Registrar is responsible for accurately collecting, maintaining, and reporting cancer data in compliance with national and state standards. This role involves abstraction from medical records, data validation, preparation of reports for regulatory agencies, and collaboration with clinical teams to support oncology research and quality improvement. The Registrar must maintain confidentiality, adhere to coding standards, and participate in professional development to stay current in tumor registry practices.
Position Highlights
• Department: Cancer Center
• Hours: 40.00 per week
• Shift: Shift 1
Position Summary
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 registrydata, 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.
Keywords:
Tumor registrar, oncology data specialist, cancer registry, medical records abstraction, cancer data reporting, SEER database, Commission on Cancer, health information management, oncology data, clinical data management
How much does a medical coder earn in New Britain, CT?
The average medical coder in New Britain, 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 New Britain, CT
$51,000
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