25 jobs found in Hartford, CT

Job Description The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. The DRG coder creates consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services. Responsibilities The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the standards of Ethical Coding as set forth by the American Health Information Management...

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 transition 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 Requires regular and consistent attendance Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) Additional duties as assigned...

Opportunity Description Growing Healthcare system is seeking a remote Inpatient Coder II 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 Rehabilitation...

Work where every moment matters. Every day, approximately 38,000 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. JOB 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, research,...

As the *Remote Inpatient Medical Coder* *If you're ready to explore the next step in your career:* *You'll enjoy...* *Career Opportunities* - Tons of growth opportunities for your career *Standard Hours* - 100% Remote. Monday-Friday * Flexible start times between 7:00am - 8:30am EST. (8-hour shift, 40 hours per week) *Competitive Pay* - $40.00-45.00/hr (depending on years of experience) *Expedited Interviews* - Access to additional Resume support and pre-interview questions * * *A day in the role...* * Leads Inpatient coding team as assigned and backs up manager in their absence. Trains and mentors new and existing coders. * Reviews and investigates issues sent to IP Coding team and collaboration with coders and other departments to resolve. * Codes all types of Inpatients accounts to assist with backlog as necessary by reviewing inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Diagnosis Related Groups (DRG) -...

Job Description Job Description First Choice Health Centers is looking for a Medical Billing and Collections Specialist to perform billing and claim processing and resolution activities for assigned providers, patients and insurance accounts. This individual will be responsible for coordinating all aspects of the billing process for multiple lines of service - medical, dental behavioral health, optometry, podiatry and OB/GYN. This position is located in East Hartford, CT. Status: Full Time, 40 hours per week, onsite Flexible schedule available; Primarily Monday through Friday, 8:00 am to 4:30 pm (Can work a late night on Tuesday, 8:00 am to 6:00 pm and work 8:00 am to 3:00 pm on Friday, if desired). Why First Choice? We are committed to you! We offer great training, great benefits, career growth and employee well-being! Medical, Dental and Vision Insurance for employees working 30 hours or more 20 days of Vacation, 8 Paid Holidays, and 2 Floating Holidays per year...

Work where every moment matters. Every day, over 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 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...

Work where every moment matters. Every day, over 38,000 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...

The Credit Specialist in hospital billing ensures accurate and timely processing of patient and insurance credits, refunds, and resolves credit balance issues, while maintaining patient confidentiality and adhering to regulations. *This is a fully remote role, however to be considered, candidates MUST RESIDE IN CONNECTICUT. * *Key Responsibilities:* * Credit Balance Resolution: Identify, investigate, and resolve credit balances, including overpayments from insurance or patients. * Refund Processing: Process refunds for confirmed patient and insurance credits in a timely manner. * Payment Posting: Ensure accurate posting of payments and third-party reimbursements. * Data Accuracy: Maintain the accuracy of patient accounts and billing records. * Patient Communication: Address patient inquiries and concerns regarding credit balances and refunds. *Pay and Benefits* The pay range for this position is $25.00 - $27.00/hr. Eligibility requirements apply to some benefits and may depend on...

Job Description Job Description $5,000 Sign on Bonus Eligible! Medical Record Coding Compliance Auditor & Educator At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. Perform ongoing chart audits of new and established provider medical records and billing documentation along timelines established by Billing Manager....

$5,000 Sign on Bonus Eligible! Medical Record Coding Compliance Auditor & Educator At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. Perform ongoing chart audits of new and established provider medical records and billing documentation along timelines established by Billing Manager. •Point person for any payer audit...

Job Description Job Description Join Midstate Radiology Associates (MRA) as a Full Time Medical Coding Specialist in our Business Office in Wallingford. Candidates must be in commuting proximity to Wallingford - this positon is fully on-site. Position Schedule: Mon - Fri, 8:00 AM - 4:30 PM or 8:30 AM - 5:00 PM (subject to change based on operational need). Compensation: MRA offers competitive starting compensation based on qualifications and experience. The starting rate for this position is between $19.50 and $26.67 per hour. Key Accountabilities: Reviews report in PACS/Epic/Imagine and appropriately links ICD-10 diagnosis codes with procedure codes following American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) guidelines. Monitors incoming/submitted billing, reviewing order verification, and tracks deficiencies therein. Interprets and applies Local Coverage Determinations (LCD)/ CCI edits...

Fair Haven Community Health Care FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is "To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive." For 53 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to...

1. Coding Expectations - Coders are expected to perform coding functions within departmental guidelines. Departmental guidelines include productivity expectations, goals, accurate use of coding statuses, work queues, stop bills and communication and Coder, Patient, Remote, Healthcare, Education

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 3 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in three (3) 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/DNBs, conducting QA reviews and sending queries, as needed, to clinical staff. Mentors Coder 1 and Coder 2 coders, and participates in cross-training initiatives such as the coder buddy program and learning circle initiatives. Acts as an expert coding resource to...

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. The Inpatient Coder 3 performs activities involving expert level inpatient coding of medical records as a mechanism for indexing clinical information used for research, utilization, appropriateness of care, compilation of statistics for hospital, regional and government reporting, and accurate reimbursement. This level of coding is expected to completely code cases of any complexity/length of stay. They also support the department through a variety of project work and support the department through a variety of project work. EEO/AA/Disability/Veteran Responsibilities: 1. Coding Expectations - Coders are expected to perform coding functions within departmental guidelines....

Job Description Job Description Surgical Coder General Description Responsibilities include surgical coding for a large Orthopaedic practice. Maintains and expands knowledge of coding and sequencing guidelines to ensure that all healthcare information is accurately assigned the appropriate CPT and ICD-10CM codes, according to coding and reimbursement guidelines. Responsibilities : · Manages Orthopaedic surgical coding, ensuring that all phases of the medical billing process are completed in a timely manner according to Company standards. · Stays current on all orthopaedic coding guidelines and maintains professional licensure and credentials as necessary. · Handles confidential information regarding patient records with knowledge of release of information policies. · Contacts physicians as needed to clarify documentation to ensure coding and billing accuracy. · Assist Surgical Coordinators on coding practices and conventions in order to provide detailed coding...

Surgical Coder General Description Responsibilities include surgical coding for a large Orthopaedic practice. Maintains and expands knowledge of coding and sequencing guidelines to ensure that all healthcare information is accurately assigned the appropriate CPT and ICD-10CM codes, according to coding and reimbursement guidelines. Responsibilities : •Manages Orthopaedic surgical coding, ensuring that all phases of the medical billing process are completed in a timely manner according to Company standards. •Stays current on all orthopaedic coding guidelines and maintains professional licensure and credentials as necessary. •Handles confidential information regarding patient records with knowledge of release of information policies. •Contacts physicians as needed to clarify documentation to ensure coding and billing accuracy. •Assist Surgical Coordinators on coding practices and conventions in order to provide detailed coding information. •Participate in the development of...

Looking for a next step in your career as a CNA? Passionate about helping seniors? This is a rare opportunity to leverage all your great skills as someone who has worked with seniors in their homes! We are in need of a field supervisor for our growing non-medical homecare company. Our ideal candidate has at least 5 years experience working with seniors in their homes, has great communications skills and enjoys coaching and mentoring other aides so we can deliver the best care to our clients. The job includes: Customer Quality Assurance Conduct weekly client visits to ensure up-to-date care plans are on file and effectively communicated among all appropriate parties. Ensuring that clients are satisfied with Always Best Care. Troubleshoot any caregiver or client issues or concerns - including helping out when extra services may be needed. Conduct agency’s Start of Cares (SOC) and new caregiver introductions. Provide feedback on client needs and personality, as well as...

Description Up to $5,000 sign on bonus included! Summary: Appropriately analyzes and codes complex inpatient records for facility. Position requires high-level expertise in coding and documentation guidelines, coding clinics, and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance. Responsibilities: Performs ICD-10-CM diagnostic and ICD-10 PCS procedural coding to maintain an accurate database & ensure accurate coding at minimum accuracy rate of 95%. � Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. � Applies knowledge of diagnosis related group assignment, official Coding guidelines, comorbidity/complication coding, Hospital acquired conditions, accurate present on admission assignment, and current American Hospital Association coding clinic guidance. � Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and...

Description Position at Western CT Health Network Inc Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA. Summary: Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. Responsibilities: •Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. •Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. •Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's...

Description Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist. This high volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: Responsible for working with colleagues (i.e., providers, front desk) to resolve all denials. Responsible for understanding computerized billing...

Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally. Essential Job Responsibilities: 1. Responsible for working with colleagues (ie: providers, front desk) to resolve all denials. 2. Responsible for understanding computerized billing software. 3. Process...