83 cpc certified professional coder jobs found in New Haven, CT

Outpatient Coder 2 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 2 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in two 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. Responsibilities: Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. Reviews medical record documentation and...

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

Outpatient Coder 3 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...

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: Job Location/Working Conditions Normal...

A leading cancer treatment facility in Connecticut is seeking an experienced Inpatient Coder 3. This role involves expert level coding of medical records for indexing clinical information, with a strong emphasis on quality and professional development. The ideal candidate will have at least 5 years of inpatient coding experience, hold a CCS certification, and demonstrate a knowledge of medical terminology and ICD-10 guidelines. Join our team to contribute to patient care and departmental success. #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. 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. EEO/AA/Disability/Veteran Responsibilities Coding Expectations – Coders are expected to perform coding functions within departmental guidelines. Departmental guidelines include productivity expectations, goals, accurate...

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 an 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 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. This...

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...

A healthcare organization in Connecticut is seeking an Outpatient Coder 1 to review medical records and assign appropriate codes with a focus on quality and accuracy. The ideal candidate has at least 2 years of coding experience and knowledge of ICD-10-CM and CPT coding standards. A Bachelor's degree is preferred, and candidates with relevant certifications will be favored. This role demands strong attention to detail and excellent communication skills. #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 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 lines. 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...

Job Description Job Description 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. Remote in New Haven, Connecticut Job purpose...

A leading healthcare provider in Connecticut is seeking an Inpatient Coder 2 to perform inpatient coding of medical records. This position requires a high school diploma, CCS certification, and at least two years of coding experience at an academic medical center. The coder will maintain quality standards and support departmental education. This role demands knowledge of medical terminology and ICD-10 guidelines. #J-18808-Ljbffr

A leading healthcare provider in Connecticut seeks an experienced Outpatient Coder 3 to review and code complex outpatient cases. This role demands a minimum of four years of outpatient coding experience and includes mentoring junior coders. Candidates should possess strong knowledge of ICD-10-CM and CPT coding, with relevant credentials. Join a dedicated team committed to patient-centered care and excellence in coding. #J-18808-Ljbffr

A healthcare organization in New Haven is seeking an Outpatient Coder 1 responsible for coding and reviewing medical record documentation ensuring compliance with official guidelines. The ideal candidate will have at least 2 years of outpatient coding experience and hold relevant coding credentials. Strong critical thinking and communication skills are essential. This position promises career development opportunities in a dynamic healthcare environment. #J-18808-Ljbffr

A leading health organization is seeking an experienced Inpatient Coder 3 to perform expert level inpatient coding of medical records at its facility in New Haven, Connecticut. The role involves ensuring accurate coding for clinical information and requires a minimum of five years' experience in inpatient medical coding, alongside a CCS certification. Ideal candidates will have strong knowledge of ICD-10 and excellent communication skills. Join our dedicated team and contribute to our mission of providing high-quality patient care. #J-18808-Ljbffr

A prominent healthcare institution in New Haven seeks an experienced Inpatient Coder 3 to perform expert-level inpatient coding of medical records. This role requires at least five years of inpatient medical coding experience at a large academic medical center and a Certified Coding Specialist (CCS) certification upon hiring. Responsibilities include maintaining high coding quality, mentoring staff, and participating in educational activities. Ideal candidates must have a strong understanding of medical terminology and ICD-10, along with excellent communication skills. #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. The Inpatient Coder 2 performs activities involving moderate 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 moderate complexity with lengths of stay greater than six days and continue to challenge themselves to code more complex cases with longer lengths 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...

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....

Compliance Auditor Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Salary Range $68,000.00 - $120,500.00 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 or similar certification needed within 12-18 months. Required Skills and Abilities 1. Demonstrated knowledge of ICD-10 and...

Coder III Specialist Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients surgeries, observations and inpatients. Works CCI/medical necessity edits as needed. Monitors unbilled for all patient types coded on a day-to-day basis. Maintains quality equal to or greater than 95%. Maintains productivity equal to or greater than 95%. Completes continuing...

Job Description Job Description Description: Pro-Fee Multispecialty Medical Coder/Editor (Temporary - Potential to Convert Long Term) Part-Time Opportunities We are seeking an experienced Pro-Fee Medical Coder with strong multispecialty coding and editing expertise. This is a remote opportunity open to U.S.-based applicants only . Position Overview The ideal candidate will have extensive professional fee (pro-fee) hospital coding experience and be comfortable working in a fast-paced, quality-driven environment. You will be responsible for accurately coding and editing provider charges across multiple specialties while maintaining high productivity and quality standards. Requirements: Requirement Details Active certification: AAPC CPC or AHIMA CCS, RHIT, or RHIA Minimum 3 years of pro-fee hospital coding experience, including editing Specialty Experience: OB-GYN, Gastroenterology (GI), Urology, General Surgery, & Internal Medicine Proven ability to...

Job Description Job Description Description: Responsibilities This position will provide high quality ICD-10, E/M, procedure and surgery coding for both orthopedic and urology specialties. This position also provides education to providers related to coding, and acts as a resource for the billing team. Qualifications Coder must have coding credential through the AAPC or AHIMA and a minimum three years of active E/M coding experience, to include orthopedic IP E/M visits, as well as urology surgeries and IP E/M visits. Coders must be able to maintain a 95% accuracy rate. Requirements: · Current CPC or equivalent through the AAPC or AHIMA required. · Must have at least three years of active E/M coding experience. This experience must include coding POS 11, 21, 22, and coding of in-office procedures, and x-rays. · Must have at least three years of active orthopedic IP E/M visits, as well as urology surgeries and IP E/M visits. · Must be able to maintain a 95% accuracy...

Job Description Job Description Salary Range : $26.00 to $31.00 an hour By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company. Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees. PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position. Summary The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider...

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.