31 program manager certified coder jobs found

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

DRG Coder 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...

Coding & Documentation Compliance Auditor 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 Coding & Documentation 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 Coding & Documentation 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. Responsibilities include but, are not limited to the following: Conducts audits in accordance with the approved Revenue Compliance Work Plan...

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 Coding & Documentation 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 Coding & Documentation 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. Responsibilities include but, are not limited to the following: · Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director. ·...

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 Coding & Documentation 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 Coding & Documentation 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. Responsibilities include but, are not limited to the following: • Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or...

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 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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Work where every moment matters. Every day,more than 40,000Hartford 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...

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,...

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 position until fully trained. Training will be full-time onsite. 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...

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. 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 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, allowing...

W ork 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...

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 inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is...

Join Datavant, the trusted data collaboration platform for healthcare. Our mission is to make health data secure, accessible, and actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. From assisting with individual patient requests to advancing AI in healthcare, our team is dedicated to shaping the future of health data. By becoming a Datavanter, you will be part of a dynamic and collaborative team committed to transformative change in the healthcare landscape. What We’re Looking For We are seeking experienced and certified inpatient coders to join our team. The ideal candidate will have exceptional attention to detail and a solid understanding of medical terminology. This fully remote position offers a flexible schedule, allowing you to influence the future of healthcare from wherever you work best! Key Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS...

Professional Review Specialist II (Certified Professional Medical Coder) 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 position until fully trained. Training will be full-time onsite. 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...

Certified Professional Coder- Medical Biller Certified Professional Coder- Medical Biller 2 days ago Be among the first 25 applicants Women's Health Connecticut provided pay range This range is provided by Women's Health Connecticut. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr Direct message the job poster from Women's Health Connecticut Talent Acquisition Specialist II at Women's Health Connecticut Women’s Health Connecticut is seeking to hire a Full-time, Certified Professional Coder (CPC)- Medical Biller at our corporate business office in Rocky Hill, CT. Position : Certified Professional Coder (CPC)- Medical Biller Location : Women's Health CT- HQ Working arrangement : Hybrid, 2-3 days per week in-office Employment Type : Full-time, 40 hours per week Schedule : Monday- Friday Reports to : Director of Revenue Cycle Management Position Summary: The CPC-Medical Biller is...

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...

Connecticut Institute for Communities, Inc. Description Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent 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 Responsible for working with colleagues (ie: providers, front desk) to resolve all denials....

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent 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...

Billing Coordinator/Coder Ambulatory Physician Practice (FT-Glen Ridge) Recruitment began on February 10, 2026 and the job listing Expires on March 13, 2026 Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better – advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International...

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent 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...

Job Type Temporary Description Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent 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....

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

Connecticut Institute for Communities, Inc. Description: Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) temporary to permanent 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...