29 jobs found in Hartford

Company Description *Candidate should ideally be located in Hartford, CT or New Haven, CT* Monro's family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company's regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry....

Coding Specialist I Your job is more than a job The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider-based clinics. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing...

Professional Review Specialist II (Certified Professional Medical Coder) The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This position will be in our Hartford, CT office during training, and once fully trained transitioned to a hybrid work arrangement. 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...

Coding Specialist Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. Minimum Qualifications: 1. Graduate of Health Information Technology (HIT) or equivalent program AND Five (5) years of coding experience; OR Medical Coding Certification Program AND Five (5) years of coding experience; OR High School Diploma or Equivalent AND Eight (8) years of coding experience. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), COC (Certified Outpatient Coder), CCS (Certified Coding...

Hcc Coder Position 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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Contract Assignment Healthcare System (Epic Ehr) This is a remote position. We're seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health system's day-to-day coding workflows. This contractor will perform professional coding activities directly within Epic's end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture. Responsibilities: Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies. Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals. Validate medical necessity and modifier usage; correct charge router/charge session issues before billing. Collaborate with revenue cycle, clinic...

A healthcare services company seeks a Medical Coder - Inpatient Hospital for a remote position. The ideal candidate will have 2-5 years of inpatient coding experience and hold a CCS credential. Responsibilities include reviewing medical records and coding them accurately using ICD-10-CM and ICD-10-PCS standards while maintaining high productivity. The hourly rate is competitive, and the role includes benefits such as medical insurance and a 401(k) plan. #J-18808-Ljbffr

A leading health data exchange company is seeking an Inpatient Auditing Specialist to perform coding audits, provide education, and ensure compliance. This fully remote role offers flexibility and competitive pay, with an estimated hourly range of $35-$45. The ideal candidate should have over 5 years of inpatient coding experience, strong customer service skills, and be proficient in various coding tools and software. #J-18808-Ljbffr

A healthcare organization is hiring a Medical Coder to perform detailed medical record reviews and abstract data accurately. The role involves using ICD coding systems to determine correct diagnoses and procedures while collaborating with the healthcare team. Candidates must have a High School diploma or GED and relevant certification. Minimum pay starts at $23.03, with a potential maximum of $35.70, depending on qualifications and experience. #J-18808-Ljbffr

Overview Join to apply for the Revenue Compliance Auditor role at Hartford HealthCare . Location: 100 Pearl Street Hartford (10484) Shift: Monday-Friday 8:00am-4:30pm Work Location Type: In Person Work where every moment matters. Hartford HealthCare is 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 that corrective action plans are implemented as intended. Stays up to date on...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Normal office environment. Typically...

Job Title: Medical Coder - Inpatient Hospital – ICD 10 CM/PCS (Remote) - CCS AHIMA Certified Location: Remote Employment Type: Full-time M-F flexible hours An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 16–24 encounters per day or 2–3 encounters per...

A leading healthcare services firm is seeking an experienced Inpatient Medical Coding Auditor to extract clinical information and assign medical codes for inpatient hospital claims. This remote role involves reviewing claims for reimbursement accuracy and handling provider disputes. The ideal candidate will have coding certification and experience in healthcare settings, along with strong communication skills and attention to detail. This position offers a competitive salary and includes benefits for personal wellness. #J-18808-Ljbffr

A leading pharmaceutical company is seeking a US Associate Director, Medical Affairs, to establish and maintain relationships within pediatric neurology and epilepsy. Responsibilities include managing Key External Experts, disseminating clinical information, and implementing educational strategies. Candidates should have at least 5 years of pharmaceutical industry experience in a field-based medical role and an advanced scientific degree is preferred. The position demands excellent communication, project management, and data analysis skills, with a minimum of 60% fieldwork involved. #J-18808-Ljbffr

A leading healthcare organization is searching for a Payment Integrity Coding Professional to support cost reduction and ensure accurate claim payments. This remote position involves monitoring operational processes and collaborating across departments. The ideal candidate must have AAPC or AHIMA coding certification, at least 3 years of related experience, and strong attention to detail. This role also requires excellent communication skills and the ability to handle multiple priorities in a fast-paced environment. The organization offers competitive benefits and a supportive working culture. #J-18808-Ljbffr

Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. Duties & Responsibilities Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. Arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number. Reviews and processes re-submits. Works closely with the...

Assembler Language Coder Location- Remote Clearance- IRS MBI This program requires US Citizenship Description of Assignment: Work in an Agile team to support back-end mainframe systems and provide interfaces to front-end systems. This means that they can develop mainframe applications (with databases and mainframe systems): Work with development teams and product managers to ideate software solutions. Analyze existing software as well as incoming business rules and conversion details, producing application requirements and detailed design documents. Working knowledge of mainframe tools including TSO, JCL, Control-M Develop and manage well-functioning databases and applications. Write effective interfaces to system applications and services. Troubleshoot, debug and upgrade software and assist in defect resolution. Create security and data protection settings. Build features and applications with a high...

Work where every moment matters. Every day, more than 30,000 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 Revenue Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. The Revenue Compliance Auditor may be asked to assist in other compliance audits from time to time at the direction of his/her manage OCI leadership.Responsibilities include but, are not limited to the following: · Conducts...

Description The US Associate Director, Medical Affairs Northeast will serve as a liaison to the medical/scientific community and will be responsible for establishing, developing, and maintaining relationships with prominent experts in pediatric neurology and in epilepsy within the geographic area of coverage. This position reports to the Medical Director, Orphan Drug Division. RESPONSIBILITIES: Build, maintain, and manage professional relationships with Key External Experts (KEEs) to organize networks at state levels within their designated region Ensure the appropriate dissemination of clinical and scientific information regarding marketed and pipeline compounds in a timely, ethical and health care provider (HCP)-focused manner Implement clinical and educational strategies in collaboration with other company colleagues for designated HCPs/KEEs. This includes organizing medical and scientific training sessions, conferences and symposiums in medical centers and...

Work where every moment matters. Every day, more than 30,000 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 Revenue Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. The Revenue Compliance Auditor may be asked to assist in other compliance audits from time to time at the direction of his/her manage OCI leadership. Responsibilities include but, are not limited to the following: •...

Become a part of our caring community and help us put health first 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. 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...

About Otsuka We defy limitation, so that others can too. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka’s opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing machine...

Growing Healthcare system is seeking a remote Inpatient Coder III for a long term contract role with great growth potential. . Qualified applicants must have CCS (AHIMA) and a min of 2 years' Inpatient Coding experience. Job Duties 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 include 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...

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. (60%) 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 implementing these updates in daily...