Tumor Registrar
Medical coder job in New Haven, CT
Highlights
Department: Cancer Center
Hours: 40.00 per week
Shift: Shift 1
The Tumor Registrar (Oncology Data Specialist) assures thorough, accurate and quality data collection as required by the Commission on Cancer (CoC), the Surveillance, Epidemiology and End Results Program (SEER) and State of Connecticut. This includes case-finding, abstraction, follow-up and reporting requirements. This role will maintain accurate cancer registry data, ensuring all cancer cases are documented and reported in compliance with national standards.
Essential Duties & Responsibilities
Under general supervision the Tumor Registrar will;
Review medical records to identify and abstract cancer cases and related information.
Collect detailed data on patient demographics, tumor characteristics, staging, treatment, and outcomes.
Maintain an accurate, up-to-date cancer registry, ensuring comprehensive and timely data entry
Perform data validation and quality checks to ensure completeness and consistency of the cancer registry.
Monitor data trends and resolve discrepancies in the dataset through communication with medical staff or external organizations.
Ensure that all data complies with industry standards and regulations, such as the American College of Surgeons (ACoS) and the Commission on Cancer (CoC) guidelines
Prepare and submit cancer registry reports to state, national, and regulatory agencies as required (e.g., SEER, National Cancer Database).
Ensure compliance with HIPAA and other confidentiality regulations when handling patient information.
Assist in preparing data for quality assurance, audits, and accreditation reviews.
Work closely with physicians, clinical staff, and healthcare providers to gather accurate and complete cancer data.
Serve as a resource for oncology teams by providing data for case reviews, performance improvement initiatives, and clinical research.
Collaborate with multidisciplinary teams to improve data collection processes and accuracy.
Participate in the analysis of cancer data to identify trends, survival rates, and outcomes for internal reporting or external research studies.
Coordinates weekly tumor boards for the interdisciplinary team, this includes preparing detailed case summaries for each case presented.
Support research initiatives by providing tumor registry data for studies and clinical trials.
Assist in tracking patient outcomes and treatment patterns to guide cancer care planning.
Stay current with changes in tumor registry standards, coding systems (e.g., ICD-10, AJCC staging), and cancer care practices.
Participate in professional development and certification programs to maintain and enhance expertise in tumor registry operations.
Adheres to all Core Values: Compassion, Pursue Excellence, Cooperation and Collaboration, Upholds Honesty, and Supports Innovation.
Adheres to all Absolutes: Privacy and Confidentiality, Professional Appearance, and Responsibility and Commitment.
Other job related duties as assigned.
Minimum Qualifications
5 years experience in Cancer Registry
3 years experience reporting to national cancer databases or registries
Experience with cancer registry software (e.g., SEER, CoC tools, and other data management systems)
Associate's Degree in Health Information Management, Medical Records or other related field
Certified Oncology Data Specialist
Preferred Qualifications
3 years experience in medical coding, healthcare data, and/or oncology terminology
Bachelors Degree in Health Information Management, Medical Records or other related field
Knowledge, Skills, Abilities:
Familiarity with research and quality improvement initiatives within oncology settings
Independent, self-directed and highly motivated
Attention to detail, strong organizational skills, and the ability to work independently.
Excellent communication and interpersonal skills for collaborating with healthcare professionals and teams.
Comprehensive Benefits Offered
Competitive and affordable benefits package
Shift Differentials
Continuing Education assistance
Tuition reimbursement
Student Loan relief through Fiducius
Quick commute access from I-84, Route 9 and surrounding areas
About Middlesex Health
The Smarter Choice for your Career!
Come join one of Connecticut's Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.
Risk Adjustment Coding Specialist II (Connecticut)
Medical coder job in Hartford, CT
Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment and will conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care.
*Occasional travel to provider sites in surrounding areas may be required
*Must reside in Connecticut, Massachusetts, Rhode Island, or New York
Our Values:
Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team
What You'll Do
Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
Qualifications
Must possess and maintain AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC
3-5+ years of experience in risk adjustment coding and/or billing experience required
Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time, if applicable.
PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
Excellent presentation, verbal and written communication skills, and ability to collaborate
Must possess the ability to educate and train provider office staff members
Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for this role if:
Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
Strong PowerPoint and public speaking experience
Strong experience with Excel - pivot tables, VLOOKUP, etc.
Ability to work independently and collaborate in a team setting
Experience with Monday.com
Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting
Environmental Job Requirements and Working Conditions
The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role.
This role follows a remote work structure where the expectation is to work at home on a daily basis, with occasional travel as needed in the surrounding areas.
The work hours are Monday through Friday, standard business hours.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at ************************************ to request an accommodation.
Coder/Abstraction- Outpt
Medical coder job in New Britain, CT
Position Location:Hospital for Special CareScheduled Weekly Hours:0Work Shift:First ShiftDepartment:Health Information Management
We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day!
QUALIFICATIONS
Required: Associate's degree in health information management or equivalent from two-year college. Minimum 3 years coding clinic/physician- based records. Years of experience in coding may be considered as substitute for education.
Required: Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire.
Required: Ability to read, analyze, interpret ICD-9, ICD-10, CPT, HCPCS and Modifier books. Ability to document and follow-up on Discharged Not Final Billed (DNFB) reports and to effectively present information and respond to questions from Administration, Physicians, and committee members. Can effectively describe when and how to use modifiers on CPT codes to physicians and other healthcare providers. Understands denials and how to solve them.
Required: Must be proficient in Anatomy and Physiology, Medical Terminology, and 3M applications. Past experience using 3M HDM report writer a plus. Must be familiar with a hybrid medical record and working with an electronic medical record. Must have experience with proper DRG assignment.
Preferred: Experience with coding inpatients records.
Preferred: Registered Health Information Technician (RHIT) certification is a plus.
JOB SUMMARY
Responsible for the coding and facility charge process for outpatient accounts, may assist from time to time with inpatient coding. Abstracts clinical information from medical records and assigns appropriate ICD 10 diagnoses and procedure codes as appropriate and CPT modifiers according to coding guidelines and established procedures. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies. Works closely with clinical documentation improvement initiatives and patient accounts to ensure documentation accurately reflects patient acuity for services rendered.
PHYSICAL DEMANDS
This position requires walking, standing, and sitting with the ability to lift/carry and push/pull weights of 11-20 pounds frequently.
This position also requires the ability to squat, kneel, balance, reach forward and above shoulders, twist, and hear frequently.
The ability to touch and see are required continuously with gross grasp and fine manipulative maneuvering required continuously.
COGNITIVE DEMANDS
This position requires solid skills in problem solving and written expression and communication, thorough skills in verbal expression/communication and extensive skills in reading and auditory comprehensive.
Ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume and distance.
Ability to solve practical problems and deal with a variety of concrete variables in situation where only limited standardizations exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
WORK DEMANDS
This position requires the ability to work independently as well as with others.
Stays current with official coding guidelines for both inpatient and outpatient coding.
Stays abreast of any regulatory changes regarding the assignment of ICD-9, ICD-10, HCPCS, CPT and modifier assignment.
Takes initiative to read relevant professional journals.
Stays current with all continuing education certification requirements relating to coding certification.
The position works a hybrid schedule
ESSENTIAL FUNCTIONS
Ensures that coding processes can be completed timely and efficiently on both outpatient and inpatient discharged accounts as assigned. Working with HIM and other staff to identify and resolve outstanding accounts through to revenue cycle.
Uses EMR, 3m HDM abstracting, coding and reference tool, along with clinical documentation tool to assign all diagnostic, procedure and facility-based charging in a timely manner. Participates on Outpatient Revenue Cycle Committee. Works in collaboration with others using Coding Guru to ensure proper use of modifier assignment to CPT codes for inpatient and outpatient procedures or services.
Resolves outstanding edits and denials for assigned case load weekly. Communicates to clinicians to resolve issues.
Follows up with providers for any records which cannot be completed for lack of documentation or clarification. Distributes coding queries as appropriate.
Provides information/training to clinical staff and providers on changes in coding practices such as ICD-10, CPT and modifiers, appropriate documentation practices, and DRG assignments as needed.
Assists with updating departmental coding policies and procedures. Serves as a resource for all hospital staff with questions related to Inpatient ICD 10 coding and CPT modifier.
Participates in training, updates and knowledge-based review on utilizing the Electronic Medical Record to maximize efficient use for coding.
Maintains knowledge of Outpatient coding practices and procedures.
Maintains knowledge of Federal, State, and JC standards of documentation regulations and guidelines. Maintains and keeps coding credentials current.
Auto-ApplyCertified Medical Coder - Manager
Medical coder job in Hauppauge, NY
Job Description
About the Role:
The Certified Medical Coder - Manager plays a pivotal role in overseeing the accuracy and efficiency of medical coding and billing operations within a healthcare organization. This position ensures that all medical records are coded correctly according to established guidelines, facilitating proper reimbursement from insurance providers and patients. The manager will lead a team of AR billing specialists, providing training, support, and quality control to maintain compliance with healthcare regulations and payer requirements.
Minimum Qualifications:
Certified Professional Coder (CPC) or equivalent certification in medical coding.
Minimum of 3 years of experience in medical coding and billing, including experience with CPT coding and healthcare reimbursement.
Proven experience managing a team or leading projects within a medical coding or billing environment.
Strong knowledge of Medicare, commercial insurance billing, and patient collections processes.
Familiarity with healthcare regulations and compliance standards related to medical coding and billing.
Preferred Qualifications:
Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
Experience with electronic health record (EHR) systems and medical billing software.
Additional certifications such as Certified Coding Specialist (CCS) or Certified Medical Reimbursement Specialist (CMRS).
Demonstrated success in process improvement initiatives within a healthcare revenue cycle.
Strong analytical skills with experience in data reporting and financial analysis related to medical billing.
Responsibilities:
Supervise and mentor a team of billing specialists to ensure accurate and timely coding and billing processes.
Review and audit medical records and coding to ensure compliance with CPT, ICD-10, and other relevant coding standards.
Develop and implement policies and procedures to improve coding accuracy and reimbursement rates.
Collaborate with healthcare providers and administrative staff to address coding discrepancies and optimize healthcare reimbursement.
Skills:
The required skills such as Medical Billing, Medical Coding, and CPT Coding are essential for ensuring that all healthcare services are accurately documented and billed according to regulatory standards. Patient Collections and Medical Insurance Billing skills are used daily to manage accounts receivable and ensure timely payments from both patients and insurance companies. Knowledge of Private Pay and Medicare billing processes allows the manager to navigate complex reimbursement environments and resolve payment issues effectively. These skills are applied in training and supervising staff to maintain high coding accuracy and compliance. Preferred skills like proficiency with EHR systems and advanced certifications enhance the ability to implement efficient workflows and improve overall revenue cycle management.
Medical Coding Specialist
Medical coder job in Shelton, CT
Join our Culture of Caring!
Mission: With every action we take, Advanced Radiology Consultants is committed to building and maintaining the trust of our referring physicians and providing our patients with exceptional care.
Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring, and friendly environment. We are looking for a Revenue Cycle Coding Specialist to join our team. The pay range for this role will depend on experience and qualifications.
Position Summary:
Under the direction of the Senior Revenue Cycle Manager, provide assistance with practice education on insurance and billing criteria with CPT and ICD-10. Chart review for proper coding and/or denial follow up or for clinical information and/or study confirmation as requested through Lyra RAI to expedite radiology claim submission and denial follow up. Assist Revenue Cycle Specialists with various A/R follow-up functions, patient dispute resolution Review AR reports for patterns/issues. Insurance carrier contract maintenance.
Essential Job Duties and Responsibilities:
Review/resolve billing company's ‘request for additional information' (RAI's)
CPT/ICD-10 review and/or confirmation prior to billing
Coding denials; review for resolution/resubmission and/or adjustment
Authorization denials: review/work, forward to appropriate dept. for correction, if needed
Patient disputes: investigate coding accuracy, clinical information, claim transactions and patient's dispute. Resolve as applicable.
Assist Revenue Cycle Manager with practice education on complying with CPT, ICD-10, and carrier guidelines. Educate staff as requested on insurance guidelines and billing criteria on examinations performed
Interventional Radiology procedure audits to ensure billing company is correctly coding/billing
Handle escalated billing calls and/or web inquiries as received. Professionally handle/resolve issues with exceptional customer service and/or assist ADRAD staff and/or patients with escalated coding/insurance questions
Review of AR Denial's, categorize & work with billing company towards claim resolution
Monthly review of current outstanding A/R report;
Provide assistance in identifying denial patterns/coding issues
Identify claims mishandled with Sr. Manager for educational review and improvement and improvement with internal ADRAD staff and/or billing company
Review insurance carrier, State and Federal resources (publications/websites) for administrative and/or medical policy changes and updates. Summarize monthly and review with manager for ADRAD staff education when applicable
Monthly charge reconciliation in EMR, when needed
Assistance with other Revenue Cycle Departments, as needed
Knowledge, Skills and Abilities:
Attention to detail, meticulously reviewing reports, charts and assigning codes with a high degree of accuracy is critical to assign accurate CPT, ICD-10, HCPCS & modifiers
Knowledge of medical terminology
Understanding of insurance carrier claim processing, rules and regulations to include payment, denial and appeal processes, authorization requirements and guidelines.
Ability to multi-task yet remain focused.
Proficient with automated radiology information systems including billing component.
Ability to handle escalated patient issues
Bi-Lingual helpful though not required.
Educational Requirements:
Current CPC and/or RCC certification. High school diploma or general education degree (GED)
5+ years' experience in healthcare billing/collections, preferably radiology or a combination of education and experience.
Work Smart, Live Well : The success of Advanced Radiology is earned every day through our dedication to quality patient care and continual improvement of the patient experience. Our success allows us to enjoy a wide range of benefits designed to support and enhance our lives, both at work and at home.
Health Benefits:
Medical and Prescription Drug Coverage
Dental Coverage
Vision Coverage
Health Savings Account (HSA) with Matching Employer Contribution
Additional Benefits:
Generous Paid Time Off (PTO)
Paid Holidays
401(k) Plan with Employer Contribution
Annual Profit-Sharing Plan Contribution
Paid Opt-Out Benefit Option
Basic Life and Accident Insurance
Advanced Radiology is an Equal Opportunity Employer, offering outstanding compensation and benefits plans designed to reward and retain exceptional employees. Apply today and join our team of dedicated and caring professionals!
Auto-ApplyCoder II (Clinic & E/M Coding)
Medical coder job in Hartford, CT
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Coder Abstractor - Per Diem
Medical coder job in Derby, CT
Main Function: Griffin Health is seeking a detail-oriented and dedicated Coder/Abstractor (with inpatient experience) to join our Medical Records team. The primary responsibility of this role is to assign accurate diagnosis and procedure codes for inpatient and outpatient hospital records. These codes are essential for research, hospital operations, and reimbursement, and must comply with all local, state, and federal regulations. This position also includes abstracting key data to support clinical and administrative functions.
Key Responsibilities:
Assign ICD-9-CM, CPT-4, and HCPCS codes to hospital outpatient and inpatient medical records.
Ensure coding accuracy and compliance with current regulations and guidelines.
Abstract pertinent information from medical records into the hospital information system.
Collaborate with clinical staff and other departments to clarify documentation when needed.
Maintain confidentiality and security of patient health information at all times.
Qualifications:
Education:
High School Diploma or equivalent required.
Completion of an approved medical coding program is required.
Experience:
Must have inpatient experience
Minimum of 2 years of coding experience in a hospital setting
OR
Credentialed (RHIT, CCS, CPC-H) upon completion of an approved coding program.
Preferred Certifications:
Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS)
Certified Professional Coder - Hospital (CPC-H)
Additional Skills:
Strong knowledge of medical terminology, anatomy, and physiology.
High level of accuracy and attention to detail.
Proficiency in coding software and electronic health records (EHR) systems.
Strong organizational and communication skills.
Why Join Griffin Health?
Griffin Health is committed to providing a supportive and collaborative work environment where your expertise will contribute to our mission of delivering exceptional care. We offer competitive compensation, comprehensive benefits, and ongoing opportunities for professional development.
Apply Today!
Join a team where your skills in coding and data abstraction play a crucial role in supporting quality healthcare delivery.
Coder, Edits/Denials
Medical coder job in Brentwood, NY
Duties and Responsibilities: * Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims.
* Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals.
* Researches payer policies and processes.
* Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment.
* Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed. Identifies invoices or claims that have been rejected per billing edits/criteria.
Knowledge, Skills, and Abilities:
* Knowledge of ICD-10 and CPT Coding
* Must be comfortable working with AR teams to resolve issues.
* Must be able to pass a coding assessment.
* Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
* Ability to multi-task and have excellent communication skills.
* Must meet and maintain a 95% quality accuracy rate and productivity standards.
* Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
* Must have experience working in a remote environment.
Auto-ApplyMedical Coder
Medical coder job in Branford, CT
Job Description
Salary Range: $26.00 to $31.00 an hour
By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.
Flu Vaccine Considerations
Proof of annual flu vaccination is required for all employees.
PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position.
Summary
The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider documentation to ensure accurate reimbursement and tracking of services provided. The coding function ensures compliance with established coding guidelines, third party reimbursement policies, and regulations for a busy Multi-Specialty Practice.
Essential Functions
• Thorough understanding of the contents of medical records in order to identify information to support coding.
• Extracts pertinent information from patient medical records. Assigns ICD10CM, CPT/HCPCS codes and modifiers.
• Reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters within a Multispecialty Practice.
• Translates/extracts diagnostic and procedural phrases into coded form - the accurate translation process requires understanding and interpretation of medical reports, industry standard and payer specific coding conventions and guidelines.
• Reviews denials for coding lapses and suggests coding changes for corrective and preventive action.
• Notifies a Manager/Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs.
• Keeps updates of coding guidelines, federal reimbursement requirements, and changes to third party reimbursement policies.
• Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC} and American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Performs other related duties as required.
Skills and Knowledge
• Demonstrate expertise in coding Evaluation and Management (E/M) visits across multiple specialties, ensuring accurate level selection based on documentation guidelines and supporting providers in optimizing clinical notes for compliance and reimbursement.
• Maintain up-to-date knowledge of billing and coding regulations across multiple specialties by actively engaging in continuing education, certifications, and industry updates to ensure accurate and compliant coding practices.
• Identify and facilitate educational opportunities for billing and clinical staff, tailoring training to address specialty-specific documentation and coding challenges.
• Research new procedures and clinical documentation requirements, providing clear coding guidelines and educational resources to support accurate billing and improve provider documentation across specialties.
• Thorough understanding of the contents of multi-specialty medical records in order to identify information to support coding.
• Thorough knowledge and experience in EHR, preferably EPIC.
• Basic knowledge of anatomy and physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded.
• Basic understanding of claims form and reimbursement process
• Understanding of local medical policies of carriers and Medicare.
Education and Experience
• Education: High School degree or equivalent required, Associates preferred.
• Must possess and maintain coding certification from the American Academy of Professional Coders (CPC).
• Experience: Minimum 3 years' experience as a coder in a multi-specialty physician group.
• Experience: Strong coding and reimbursement background.
Medical Coder
Medical coder job in Rocky Hill, CT
Job Details Rocky Hill, CT Hybrid Full Time
At First Fertility, we are driven by our vision, mission, and values, which help us exceed expectations throughout our patients' experience. We partner with the best fertility clinics across the country that align with our standards of care. Clinics in the First Fertility network provide high-quality care and focus on patient outcomes. Our physicians, nurses, and patient support staff will listen and work directly with patients to find the right path to parenthood.
As a Medical Coder, you will play a vital role in ensuring efficient operations and fostering positive relationships with patients and providers. Your responsibilities will include managing billing inquiries, enhancing processes, and maintaining confidentiality, all while striving to provide exceptional service.
Responsibilities
Ensure timely billing, respond to patient inquiries, and follow up on claims.
Engage with insurance carriers to resolve non-payment issues promptly, review and rectify claim errors before re-submission, and provide timely responses to inquiries via phone and written communication.
Oversee follow-up processes for insurance claim appeals to ensure timely resolutions.
Conduct thorough research on patient benefit eligibility and claim status using insurance carrier websites.
Assist with incoming billing calls, addressing inquiries or forwarding them to the appropriate department or individual.
Professionally diffuse and manage difficult patient interactions, providing effective resolutions to complaints.
Provide accurate, complete, and clear information to patients regarding procedures and instructions, ensuring their understanding.
Adhere to HIPAA guidelines and maintain a high level of confidentiality when handling patient information.
Serve as the primary point of contact for providers and administration, addressing inquiries, resolving issues, and fostering strong relationships within the billing department.
Demonstrate initiative by suggesting enhancements to existing processes and policies to improve collections and cash flow.
Collaborate effectively as a team player.
Qualifications
Minimum of 3 years of medical billing experience in a healthcare setting (experience in women's health or fertility preferred but not required).
Strong knowledge of CPT and ICD coding.
Exceptional customer service skills, demonstrating professionalism in all interactions.
Ability to handle stressful situations calmly and effectively.
Excellent written and verbal communication skills.
At First Fertility, you'll be part of a mission-driven organization dedicated to making a meaningful impact. We offer competitive compensation, comprehensive benefits, and a collaborative team environment.
Compensation: $25- $27
Experienced Inpatient Medical Record Coder
Medical coder job in Commack, NY
Experienced Inpatient Medical Record Coder At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder may include the following, but are not limited to:Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follows all HIPAA regulations and upholds a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures.
Supports and promotes the HIM department by participating in special projects.
Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines.
Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record.
Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
Other duties as assigned.
QualificationsRequired: Associate's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience, OR in lieu of degree, at least 8 years of facility inpatient coding experience.
CCS certification.
Preferred: Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field.
10 or more years facility inpatient coding experience.
Experience coding facility inpatient encounters for an academic medical center.
Special Notes: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days.
An initial review of all applicants will occur two weeks from the posting date.
Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date.
Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
______________________________________________________________________________________________________________________________________ Stony Brook Medicine is a smoke free environment.
Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as “essential.
” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4 panel drug screen*Meet Regulatory Requirements for pre employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
_____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at *************.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all full time UUP positions have a $4,000 location pay.
Your total compensation goes beyond the number in your paycheck.
SBUH provides generous leave, health plans, and state pension that add to your bottom line.
Job Number: 2502642Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM EST Pass Days: Sat, SunPosting Start Date: Dec 1, 2025Posting End Date: Jan 1, 2026, 4:59:00 AMSalary:$65,824 - $79,349 / year Salary Grade:SL2SBU Area:Stony Brook University Hospital
Auto-ApplyExperienced Inpatient Medical Record Coder
Medical coder job in Commack, NY
Experienced Inpatient Medical Record Coder At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder may include the following, but are not limited to:Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follows all HIPAA regulations and upholds a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures.
Supports and promotes the HIM department by participating in special projects.
Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines.
Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record.
Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
Other duties as assigned.
QualificationsRequired: Associate's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics, or related field and at least 5 years of facility inpatient coding experience, OR in lieu of degree, at least 8 years of facility inpatient coding experience.
CCS certification.
Preferred: Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field.
10 or more years facility inpatient coding experience.
Experience coding facility inpatient encounters for an academic medical center.
Special Notes: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days.
An initial review of all applicants will occur two weeks from the posting date.
Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date.
Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
______________________________________________________________________________________________________________________________________ Stony Brook Medicine is a smoke free environment.
Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as “essential.
” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4 panel drug screen*Meet Regulatory Requirements for pre employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
_____________________________________________________________________________________________________________________________________ Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at *************.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all full time UUP positions have a $4,000 location pay.
Your total compensation goes beyond the number in your paycheck.
SBUH provides generous leave, health plans, and state pension that add to your bottom line.
Job Number: 2502642Official Job Title: TH Medical Records SpecialistJob Field: Administrative & Professional (non-Clinical) Primary Location: US-NY-CommackDepartment/Hiring Area: Revenue IntegritySchedule: Full-time Shift :Day Shift Shift Hours: 8:00 AM - 4:00 PM EST Pass Days: Sat, SunPosting Start Date: Dec 1, 2025Posting End Date: Jan 1, 2026, 4:59:00 AMSalary:$65,824 - $79,349 / year Salary Grade:SL2SBU Area:Stony Brook University Hospital
Auto-ApplyExperienced Inpatient Medical Record Coder
Medical coder job in Commack, NY
At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes.
Duties of a Coder may include the following, but are not limited to:
Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.
Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follows all HIPAA regulations and upholds a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Maintains a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Ensures the confidentiality of data contained in the medical records as outlined in institutional policies and procedures. Supports and promotes the HIM department by participating in special projects.
Assigns and sequences ICD-10CM-PCS diagnostic and procedural codes for designated service lines. Working knowledge of MS-DRG and NYS APR DRG grouping logic to accurately reflect the diagnosis, procedures documented in the medical record. Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements.
Other duties as assigned.
Qualifications
Required:
Associate's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics, or related field
and
at least 5 years of facility inpatient coding experience,
OR in lieu of degree, at least 8 years of facility inpatient coding experience.
CCS certification.
Preferred:
Bachelor's degree in a non-clinical Healthcare related field such as HIM, Health Sciences, Health Informatics or related field.
10 or more years facility inpatient coding experience.
Experience coding facility inpatient encounters for an academic medical center.
Special Notes\: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
______________________________________________________________________________________________________________________________________
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions may be subject to changes in pass days and shifts as necessary.
This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
This function/position may be designated as “essential.” This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4 panel drug screen*
Meet Regulatory Requirements for pre employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
_____________________________________________________________________________________________________________________________________
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at *************.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed
here
.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as $62,424 - $75,949 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all full time UUP positions have a $4,000 location pay.
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.
Auto-ApplyCertified Coder
Medical coder job in Setauket-East Setauket, NY
Certified Coder - Neurology Associates of Stony Brook, UFPC
Schedule: Full Time
Days/Hours: Monday - Friday; 8:30 AM - 5 PM
Pay: $27.91 - $34.87
Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee.
The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting
Responsibilities
SUMMARY: This incumbent is responsible for reviewing and analyzing physicians' documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
Job Duties & Essential Functions:
Provide a variety of complex and technical assignments relating to medical coding.
Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement.
Resolve discrepancies on coding related issues.
Review and correct rejected claims from various third party carriers.
CPMP account notification/accounts receivable report (IDX), ICD-10 coding.
Account maintenance - IDX pending report.
Track all IDX record requests.
Maintain PK files for validity, coding/billing errors.
Monitor TES Open Encounter file.
CLIA renewals for all sites.
Perform all other duties as assigned by management.
Qualifications
Required Qualifications:
Certified Professional Coder (CPC) Certification.
Associate's Degree.
In lieu of an Associate's degree, 5 years of experience is required.
Working knowledge of coding requirements
Must have excellent expressive and written communication skills.
Must be highly organized.
Must be proficient in Microsoft Office Word and Excel.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management.
The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.
StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.
Given StaffCo's employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.
CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.
CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP's employees to perform their job duties may result in discipline up to and including discharge.
Auto-ApplyMedical Records Specialist I - Onsite
Medical coder job in Bridgeport, CT
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
You will:
Schedule: Monday-Friday 8am-4:30pm EST. This is an onsite position located in Danbury, CT 06810
Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company's and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
Must meet productivity expectations as outlined at specific site.
May schedules pick-ups.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED
Must be at least 18 years old.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Bonus points if:
Experience in a healthcare environment.
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy.
Auto-ApplyInpatient Coder 2 Certified / HIM Coding
Medical coder job in Farmington, CT
Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.
Position Summary:
Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement.
Codes high dollar and more complex accounts including but not limited to, medical, surgical behavioral health, IP Rehabilitation and others.
Position Responsibilities:
Key Areas of Responsibility
Coding
* Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts.
* Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to included Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material.
* Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment.
* Reviews high dollar and more complex cases including but not limited to, medical, surgical, behavioral health and IP Rehabilitation.
* Applies IRF-PAI guidelines for IP Rehabilitation coding.
* Adheres to all department coding procedures, policies, guidelines and quality standards.
* Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.
* Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards).
Issue Resolution
* Complete on a daily basis cases that have been assigned for review of edits, etc.
Communication
* Collaborates with clinical documentation specialists (CDS) to determine appropriate DRG assignment for compliance and reimbursement purposes.
* Collaborates with Quality Management and other departments (Billing Registration, etc.) as required.
* Seeks clarification from attending physician in cases where documentation is absent, ambiguous, or contradictory.
Training
* Assists in training and mentoring new coders to become acclimated to new environment, and understand internal coding policies and procedures
Working Relationships:
This position reports to Inpatient Coding Manager
Requirements and Specifications:
Education
* Associate's Degree or equivalent experience
Experience
* Minimum: Two to three years of progressive on-the-job experience in an acute care hospital.
* Preferred: Two to four years of progressive on-the-job experience in an acute hospital.
Licensure, Certification, Registration
* Certified Coding Specialist (CCS) required and maintained thereafter.
Language Skills
* Strong written and verbal communication skills.
Knowledge, Skills and Ability Requirements:
Strong knowledge of:
* ICD‑10-CM diagnostic and ICD-10-PCS procedure codes
* UHDDS
* Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.)
* IP Rehabilitation coding rules for IRF-PAI
* Clinical information related to areas of responsibility
* Microsoft Office Products; Word, Excel
* Encoder and/or CAC
Skills:
* Read, write and speak English proficiently.
* Strong analytical capabilities.
* Strong organizational skills.
* Proficiently read and interpret physician writing.
Strong ability to:
* Function independently.
* Handle multiple priorities.
* Listen and acknowledge ideas and expressions of others attentively.
* Converse clearly using appropriate verbal and body language.
* Collaborate with others to achieve a common goal through mutual cooperation.
* Influence others for positive and productive outcomes
* Work across the Hartford HealthCare System.
We take great care of careers.
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.
PGA Certified STUDIO Performance Specialist
Medical coder job in Commack, NY
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyAdmissions and Medical Records Coordinator
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.
Coder, PRN
Medical coder job in Brentwood, NY
Duties and Responsibilities: * Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. * Submit necessary provider queries to resolve documentation discrepancies. * Perform quality assessment of records, including verification of medical record documentation.
* Review appropriate charges and make changes or recommendations based on the documentation.
* Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
* Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.
Knowledge, Skills, and Abilities:
* Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment.
* Must be able to pass a coding assessment.
* Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
* Ability to multi-task and have excellent communication skills.
* Must meet and maintain a 95% quality accuracy rate and productivity standards.
* Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
* Must have experience working in a remote environment.
Auto-ApplyMedical Record Specialist II- On-Site
Medical coder job in Danbury, CT
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
You will:
Schedule: Monday-Friday 8:00am-4:30pm (Danbury, CT)
ROI Experience Preferred
Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company's and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
Must meet productivity expectations as outlined at specific site.
May schedules pick-ups.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED.
Must be 18 years or older.
1-year Health Information related experience.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Bonus points if:
Experience in a healthcare environment.
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:$17.35-$22.34 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our .
Auto-Apply