26 jobs found in New Haven

Professional Senior Coder To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Professional Senior Coder is a vital multifaceted role within the Coding Department. This position provides support as Professional coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on Pre-A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The Professional Senior Coder is also required to mentor other team members and also prepare them for the role of Senior Coder. This individual possesses a strong level of Professional clinical coding expertise, expansive knowledge of professional coding guidelines, and has the ability to handle multiple...

Coding And Billing Assistant 1Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations. May review and analyze documented medical services to verify accurate documentation and coding of services performed.Required Skills and Abilities:General/intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to...

Certified Professional Coder This posting is only for current Southern New England ENT employees. Positions will be offered in New Haven, Middletown, Cheshire, and Guilford. Position Highlights Department: Middlesex Health ENT and Facial Plastic Surgery Hours: Full-Time & Part-Time Positions Summary Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing. Responsibilities Review of electronic medical...

Yale University is seeking a Compliance Specialist III to support development and implementation of compliance programs and trainings across departments. The role conducts audits, recommends system improvements, and collaborates with leaders to enhance compliance while adapting processes to new regulations. Requires CPC licensure, knowledge of Medicare billing, and experience with training programs. Remote work options apply; Bachelor’s degree with 5 years’ experience required. #J-18808-Ljbffr

CPa Medical Billing LLC is seeking a detail-oriented Medical Biller to join our team in Connecticut. The role focuses on scrubbing claims and correcting denials to ensure accurate billing and regulatory compliance. The ideal candidate will have strong knowledge of ICD-10, CPT, and HCPCS, excellent attention to detail, and be capable of collaborating with providers and staff to resolve coding issues. Experience with Epic is preferred, and FQHC plus Medicare follow-up familiarity is a plus. #J-18808-Ljbffr

We are seeking a detail-oriented and experienced Medical Biller to join our team. The ideal candidate will be responsible for scrubbing claims and correcting coding denials to ensure accurate billing and compliance with healthcare regulations. This role is essential in maintaining the integrity of our coding processes and optimizing revenue cycle management. Key Responsibilities: Review and scrub medical claims for accuracy and completeness before submission. Correct coding denials by analyzing the reasons for denial and making necessary adjustments. Ensure compliance with all relevant coding guidelines and regulations. Collaborate with healthcare providers and billing staff to resolve coding issues and improve processes. Maintain up-to-date knowledge of coding updates, regulations, and best practices. Generate reports on coding denials and trends to assist in identifying areas for improvement. Provide training and support to staff on coding practices and procedures as...

Job Purpose Remote in Connecticut, must be able to commute onsite. Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection. Duties and Responsibilities Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials Prepares and submits clean claims to various insurance companies either electronically or by paper. Handle the follow-up of outstanding A/R all-payers, including self-pay and/or the resolution of denials. Answers question from patients, FHCHC staff and insurance companies. Identifies and resolves patient billing complaints. Prepares reviews and send patient statements and manage correspondence. Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability. Take call...

Outpatient Coder ITo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.Under the general direction of the OP Coding Supervisor, the Outpatient Coder I is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks, resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/VeteranResponsibilitiesReviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines.Reviews medical record...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Reporting to the Supervisor of Outpatient Coding, The OP Senior Coder is a vital multifaceted role within the Outpatient Coding Department. This position provides support to the Outpatient Coding Department as a OP coding subject matter expert, educator, QA reviewer, and also focuses daily efforts on A/R management and oversight. Additionally, this person works with partner departments to problem solve issues and streamline processes. The OP Senior Coder is also required to mentor other team members and also prepare them for the role of OP Senior Coder. The OP Senior Coder possesses a strong level of OP clinical coding expertise, and has the ability to handle multiple priorities....

Fair Haven Community Health Care  For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Job purpose Responsible for maintaining the professional reimbursement program. Ensure...

A community health center in New Haven, CT is seeking a Remote Medical Billing Coder to manage billing processes and ensure compliance with reimbursement programs. The ideal candidate will have experience in medical billing, strong interpersonal skills, and be detail-oriented. Responsibilities include filing claims to insurance companies and resolving billing inquiries. This position requires a high school diploma or GED and a certified professional coding certificate. #J-18808-Ljbffr

GeBBS Healthcare Solutions in East Haven, CT is hiring a full-time Medical Billing Specialist to manage charging, claim submission, follow-up, and AR aging across payer systems. The role requires strong CPT/ICD-10 knowledge, experience with EHR/PM systems, and denial management to ensure timely reimbursement. Responsibilities include reviewing charges, correcting modifiers, tracking edits, and communicating with payers and internal teams. HIPAA compliance and excellent Excel skills are essential. #J-18808-Ljbffr

GeBBS Healthcare Solutions is seeking a detail-oriented Medical Biller to join our team in East Haven, CT. The role focuses on scrubbing claims, correcting denials, and ensuring compliance with coding regulations to optimize revenue cycle management. The ideal candidate will have strong ICD-10, CPT, and HCPCS knowledge, experience with NextGen, and the ability to work both independently and with teams. Prior FQHC and Medicare follow-up experience is a plus. #J-18808-Ljbffr

Fair Haven Community Health Care is seeking a Medical Billing Coder to maintain our reimbursement program and ensure compliant billing practices. The role involves handling patient and third-party billing, posting encounters, and addressing denials across all payers. Strong communication and teamwork are essential in this position. Qualified candidates will have a High School diploma or GED, CPC AAPC certification, and knowledge of ICD/CPT codes; bilingual English/Spanish is highly preferred. #J-18808-Ljbffr

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 1 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/Veteran Responsibilities 1.Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. 2.Reviews medical record...

Yale NewHaven Health in New Haven, CT is seeking an Outpatient Coder 1 to review medical record documentation and assign accurate ICD-10-CM/PCS and CPT codes in a fast-paced outpatient setting. Under the supervision of the OP Coding Supervisor, you will maintain high-quality coding and productivity, participate in education activities, and collaborate with clinicians to ensure compliant coding and claims processing. #J-18808-Ljbffr

Overview Coordinate and conduct medical billing audits for the Yale Medicine Administration. Evaluate medical billing, coding and documentation for 18 clinical departments under the direction of the Compliance Officer. Provide training and feedback to physicians and departmental personnel who have responsibilities with billing activities. This opportunity is currently remote (work from home, in or outside CT) for a position located in CT. CPC required. If the candidate does not currently hold a CPC certification, it is expected to be obtained within 6 months to 1 year after hire. Required Skills and Abilities Demonstrated knowledge of ICD-10 and CPT-4 coding and billing practices. Ability to interpret operative and procedural reports. Well-developed oral and written communication skills. Strong attention to detail with the ability to analyze data. Proficient in Microsoft Word, Excel, and Access. Preferred Skills and Abilities CPC credentials preferred. Computer skills...

Yale Cancer Center seeks a Medical Billing Auditor to coordinate audits for Yale Medicine Administration. This remote position requires expertise in ICD-10 and CPT-4 coding, strong communication skills, and data analysis capabilities. A Bachelor’s degree and 5 years’ experience in a relevant field are mandatory. Responsibilities include conducting audits, evaluating billing compliance, and training staff in accurate coding. CPC certification is required or must be obtained within the first year. #J-18808-Ljbffr

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance. At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare. GeBBS Healthcare Solutions is seeking a detail-oriented, Full and part-time , remote Primary Care Validation Coder to support coding quality and compliance initiatives. In this role, you will...

Medical Billing CoderFair Haven Community Health CareFor over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care.Job purpose Responsible for maintaining the professional reimbursement...