37 jobs found in Hartford

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

Job Description Job Description Great Employment opportunity for a Certified Professional Coder or Professional Specialist Location: East Hartford, CT; Hybrid Interview: Virtual, 2 rounds. Coding test Hourly pay rate up to $27/hour We are seeking a highly skilled and detail-oriented Certified Professional Coder to join our healthcare coding team. In this vital role, you will be responsible for accurately translating medical diagnoses, procedures, and services into standardized codes used for billing, reimbursement, and statistical purposes. The ideal candidate will possess comprehensive knowledge of medical coding guidelines, anatomy, physiology, and medical terminology, ensuring compliance with industry standards and payer requirements. This position offers an excellent opportunity to contribute to efficient revenue cycle management while supporting high-quality patient care documentation. The Professional Review Specialist analyzes medical services and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 1,500 Sign on Bonus We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule,...

Baylor Scott & White Health in Hartford, CT is seeking a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and other references. You will ensure accurate code assignment and support internal customers with compliant documentation. The role requires 5 years of coding experience with one year as a coding auditor and professional certifications (RHIA/RHIT/CCS/CCS-P/CPC/COC/CIC/CIRCC). #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.  Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient...

JOB SUMMARY Under the Supervision of the Business Office Manager is responsible for the timely submission of claims as well as accurate follow–up of claims submitted to the assigned insurance payers. Responsible for notifying Governmental payers of all overpayments per Federal guidelines. Will assist the provider office(s) with any requested benefit verifications. Will keep current of all assigned payer newsletters and bulletins. DUTIES & RESPONSIBILITIES Responsible for ensuring the timely filing of insurance claims through the use of the claim edit work queue as well the follow–up 277 payer rejection work queue. Responsible for follow–up of insurance claims through the use of payer web sites, portals, and other mechanisms as directed by management. Responsible for general knowledge of payer rules and contract guidelines and billing procedures in order to accomplish follow–up activity. Responsible to keep current on all assigned payer newsletters and bulletins for medical...

Slocum-Dickson-Medical-Group in New York seeks a Billing Specialist to ensure timely submission of claims and follow-up with payers. You will notify governmental overpayments and assist with benefit verifications while staying current on payer newsletters. You will review and correct denied claims, support the Collection Unit with patient inquiries, and perform other office duties. OSHA training is required annually. #J-18808-Ljbffr

Location Detail: 100 Pearl Street Hartford (10484) Shift Detail: Monday-Friday 8:00am-4:30pm Work Location Type: In Person 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. Responsibilities Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director. Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner. Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit. Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

Benefits : Medical, Dental, and Vision coverage Duration : Long term contract (12 months with possible renewal) In-office requirements : Travel 50%-75% (will be visiting dealerships for compliance reviews) Location : North East – Philadelphia area Corestaff is the official MSP resourcing partner for Porsche Cars North America for contractor positions operating and managing their nationwide contingent workforce program. The candidate selected for this role will be an employee of Corestaff with a placement at Porsche Cars North America in Atlanta, GA. Position Overview : Monitor and ensure dealer compliance with PAG/PCNA’s policies and procedures. Responsible to perform Dealer warranty, parts, labor and part rate, sales, and CPO and related service operational audits; recommend corrective action where needed within policy guidelines and direction from Manager, Warranty and Compliance for the U.S. Provide cost/volume statistical analysis and administer cost containment...

Corestaff Services is seeking a compliance auditor for Porsche Cars North America. This role involves monitoring dealership compliance with policies, conducting audits, and providing training. The candidate will travel frequently (50%-75%) to various dealerships. Applicants should possess a college degree in Automotive Technology or Business Administration and have at least 5 years of automotive experience. ASE certification is recommended. #J-18808-Ljbffr

A comprehensive healthcare network in Hartford, Connecticut is seeking an auditor to conduct compliance audits and collaborate with business owners on corrective actions. Candidates should possess a bachelor's degree and a minimum of two years of health care compliance experience, preferably within a large healthcare system. CPC certification is strongly preferred. The position offers opportunities for career growth and features a competitive benefits program ensuring work/life balance. #J-18808-Ljbffr

Job Description: 40 hours per week Four years or more of progressive on-the-job experience in an acute care hospital setting as an Inpatient coder. Certified Coding Specialist (CCS) is required. Associate's Degree or equivalent experience. Extensive knowledge of: • ICD 10-CM diagnostic and ICD-10-PCS procedure codes • UHDDS • Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) • IP Rehabilitation IRF-PAI coding requirement • Clinical information related to areas of responsibility • Microsoft Office Products; Word, Excel • Encoder and/or CAC.

Humana is seeking a detail‑oriented coder to review medical records and map diagnoses to HCCs using ICD‑10 codes. This role requires certification through AAPC or AHIMA and comfort working in a production‑driven environment. Training is virtual for 3 weeks, then 40 hours per week with potential overtime. Strong proficiency in Microsoft Word and Excel is preferred, as is experience with risk adjustment and HCC coding. #J-18808-Ljbffr

East Hartford, Connecticut Direct Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us you'll have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a hybrid role. Training is onsite Full Time, then Hybrid once trained. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office...

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records and support clients with coding accuracy and compliance. You will review diagnoses and procedures, mentor client staff, and participate in peer reviews, maintaining high quality standards. Remote position open to qualified applicants in the United States, with a focus on accurate ICD-10-CM and ICD-10-PCS coding; Solventum (3M) experience and AHIMA credentials preferred. #J-18808-Ljbffr