32 jobs found in Hartford

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

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: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

J. Morrissey is seeking a Medical Coding Specialist in Farmington, CT to perform highly technical coding of medical records and ensure accurate reimbursement. The role supports a fast-paced healthcare environment with strong emphasis on coding accuracy and compliance. Qualifications include extensive ICD-10 and CPT-4 knowledge, robust medical terminology understanding, and the ability to collaborate with providers and billing staff. #J-18808-Ljbffr

Laboratory Supervisor – Medical Oncology 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 Hartford HealthCare Cancer Institute focuses on offering our cancer patients an unparalleled network of coordinated services– all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology. The Laboratory Supervisor – Medical Oncology is responsible for delivering direct patient care while providing frontline operational and supervisory support within the Medical Oncology department. This role serves as an essential extension of departmental leadership, supporting daily workflows, staff coordination, and patient while balancing clinical responsibilities. •...

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...

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.

East Hartford, Connecticut Clerical , Healthcare Organizations 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...

Mascoma Bank is seeking an IT Audit & Compliance Analyst to join its Information Technology team in Hartford, Vermont. The role involves supporting risk, audit, and access governance programs, reviewing user access, and ensuring compliance with regulatory requirements. Ideal candidates will have a Bachelor's degree in a related field and 3-5+ years of IT audit experience. The position offers a salary range of $80,000 - $90,000 depending on experience, and emphasizes a commitment to diversity and inclusion. #J-18808-Ljbffr

Job Type Full-time Description 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...

Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary: Reviews and validates outpatient and professional clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting,...

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,...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will audit records to ensure coding accuracy and compliance with CPT/HCPCS, ICD-10, and CMS 1500/UB04 elements. This full-time role requires 3+ years in medical coding or documentation auditing, CPC certification, strong attention to detail, and the ability to communicate findings to investigators and leadership. #J-18808-Ljbffr

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

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

A leading healthcare provider is seeking a Certified Coding Specialist to work 100% remotely. The role involves reviewing inpatient clinical documentation for accurate coding assignments, utilizing strong knowledge in ICD-10-CM and ICD-10-PCS codes. The ideal candidate should have an Associate’s Degree and a minimum of two years' experience in an acute care hospital. This opportunity emphasizes the importance of high accuracy and compliance in coding practices. Join a team where every moment matters. #J-18808-Ljbffr

Overview 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. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and...

Athena Health Care Systems is looking for a part-time Billing Specialist in Farmington. This role includes managing daily billing operations and ensuring compliance with financial regulations. The ideal candidate possesses a minimum of two years of experience in Medicare billing in a home health or hospice setting. We offer competitive pay between $22 to $24 an hour, along with benefits such as 401(k) matching and paid time off for eligible team members. #J-18808-Ljbffr