76 jobs found in Connecticut

Coder/Abstractor Day Kimball Health is hiring a Coder/Abstractor for our Ambulatory Location: Putnam, CT Shift: Day Shift, 40 Hours Coder/Abstractor Job Summary Under the general supervision of the Coding, Reimbursement & Quality Assurance Supervisor; performs all phases of abstracting, diagnosis coding, and transmission of diagnosis codes to the Business Office, charge capture and posting through record analysis. Coder/Abstractor Key Responsibilities Reviews medical records for completeness in order to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems and DKH Facility Coding Guidelines. Documents all coding discrepancies Reviews for and enters charges for outpatient service locations as applicable related to documentation to ensure that the documentation supports the billed services. Works with Revenue Integrity, CDI, Denials Management, and Case Management departments to clarify...

Laboratory Supervisor Medical Oncology 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 Hartford HealthCare Cancer Institute focuses on offering our cancer patients an unparalleled network of coordinated services all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology. The Laboratory Supervisor Medical Oncology is responsible for delivering direct patient care while providing frontline operational and supervisory support within the Medical Oncology department. This role serves as an essential extension of departmental leadership, supporting daily workflows, staff coordination, and patient while balancing clinical responsibilities. Provides...

Connecticut Institute for Communities, Inc. Description: The Team Lead will oversee key components of the revenue cycle including Internal and Outsourced Billing Services and Financial & Insurance Assistance. Serves as the organizations internal lead for oversight of both outsourced billing vendor and internal patient billing activities, including self-pay and sliding fee accounts. This role ensures patients have timely access to insurance enrollment and financial assistance services while maintaining strong internal controls, accurate patient billing processes, vendor accountability, and compliance with healthcare billing and payer requirements. ESSENTIAL JOB RESPONSIBILITIES: Revenue Cycle Oversight: Serve as the primary internal liaison between CIFC Health and the outsourced billing vendor. Monitor revenue cycle performance metrics, including claim submission timeliness, denial trends, accounts receivable aging, and collections. Review billing and...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Make a Meaningful Impact Every Day At GT Independence, people are at the heart of everything we do. If you thrive in a collaborative environment, love what you do, and are eager to grow, you're in the right place. Discover a career where your work genuinely improves lives and supports a mission that matters. Our Mission To help people live a life of their choosing, regardless of age or ability. GT Independence has earned multiple awards for being an exceptional workplace, including being named a 2026 National "Best and Brightest Companies to Work For." We are also proudly certified as a Great Place to Work® for 2025/2026 —a distinction reserved for top employers committed to outstanding employee experiences. The Medical Billing (Claims) Supervisor is responsible for the supervision, training and development of a team of Medical Claims Specialists. The Medical Billing (Claims) Supervisor manages the submission of claims data, payments and works with team members and...

GeBBS Healthcare Solutions is seeking an experienced Facility Inpatient Coding Auditor to perform prebill audits for inpatient facility coders, focusing on accuracy, compliance, and education. The role requires RHIA/RHIT/CCS, 3+ years inpatient auditing, strong ICD-10-CM/PCS and CMS knowledge, and the ability to collaborate with remote teams across time zones; US-based and full-time with remote option. #J-18808-Ljbffr

Coder/Abstractor Day Kimball Health is hiring a Coder/Abstractor for our Ambulatory Location: Putnam, CT Shift: Day Shift, 40 Hours Coder/Abstractor Job Summary Under the general supervision of the Coding, Reimbursement & Quality Assurance Supervisor; performs all phases of abstracting, diagnosis coding, and transmission of diagnosis codes to the Business Office, charge capture and posting through record analysis. Coder/Abstractor Key Responsibilities Reviews medical records for completeness in order to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems and DKH Facility Coding Guidelines. Documents all coding discrepancies Reviews for and enters charges for outpatient service locations as applicable related to documentation to ensure that the documentation supports the billed services. Works with Revenue Integrity, CDI, Denials Management, and Case Management departments to clarify...

Humana Inc. is seeking an experienced and Certified Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement and resolve provider disputes. The role focuses on accuracy of DRG assignments and payer system integrity to support cost reduction. You will extract clinical information, assign ICD-10-CM/PCS codes, audit coding quality, and collaborate across teams to ensure precise payments while upholding high standards of compliance and data integrity. #J-18808-Ljbffr

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and identify opportunities for...

Job Description Job Description Great Employment opportunity for a Certified Professional Coder or Professional Specialist Location: East Hartford, CT; Hybrid Interview: Virtual, 2 rounds. Coding test Hourly pay rate up to $27/hour We are seeking a highly skilled and detail-oriented Certified Professional Coder to join our healthcare coding team. In this vital role, you will be responsible for accurately translating medical diagnoses, procedures, and services into standardized codes used for billing, reimbursement, and statistical purposes. The ideal candidate will possess comprehensive knowledge of medical coding guidelines, anatomy, physiology, and medical terminology, ensuring compliance with industry standards and payer requirements. This position offers an excellent opportunity to contribute to efficient revenue cycle management while supporting high-quality patient care documentation. The Professional Review Specialist analyzes medical services and...

Amazing Outpatient Surgery Organization is Looking to Hire an Outpatient Medical Coder (Surgical Coding)! This Jobot Consulting Job is hosted by: Joshua Tacke Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $32 - $35 per hour A bit about us: We are an award winning outpatient surgery group with a locations throughout the Tri-State Area. This is a fantastic temp-to-perm opportunity in the Revenue Cycle Department - you'll be working HYBRID out of any office in Long Island, Manhattan, Jersey, or Staten. Do you have 3+ years of medical coding experience in an outpatient setting (ideally surgery)? Are you CPC certified? Are you open to a temp-to-perm role, with an opportunity to work with a great Rev Cycle/Billing Leader? If interested reach out to me TODAY: joshua@jobot.com 347-424-4699 Why join us? 401k with 4% Employer Match! Strong Career Growth and Development with Established RCM Leader....

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...

NOW HIRING - Medical Biller Hiring in: Easton, CT and Newtown, CT Pay Range: $18-$28/hour Full-time Hours: Monday-Friday | 9:00 AM - 5:00 PM Part-time Hours: 2-3 days/week | 9:00 AM - 5:00 PM Adecco Healthcare & Life Sciences is seeking an experienced and detail-oriented Medical Biller to join a growing mental health practice in Easton, CT. This is a great opportunity for candidates who enjoy working in a collaborative healthcare environment and are passionate about accuracy, organization, and patient support. We are looking for someone who is proactive, dependable, and comfortable managing billing processes from claim submission through payment follow-up. What You'll Do Review appointment documentation and billing details to ensure claim accuracy Apply appropriate CPT, ICD-10, and modifier coding to ensure accurate claim submission and reimbursement Answer client billing questions via phone and email correspondence Assist patients with billing inquiries...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Orthopedic Medical Biller & Self-Pay Speciali Full Time Billing Rocky Hill, Rocky Hill, CT, US 2 days ago Requisition ID: 1093 About Us Orthopedic Surgical Partners is a leading orthopedic healthcare group dedicated to providing exceptional patient care. Our mission is to deliver the highest standards of quality, efficiency, and compassionate service while achieving the best possible outcomes for our patients. We are committed to excellence in every aspect of our practice and are seeking a motivated, detail-oriented Medical Biller & Self-Pay Accounts Receivable Specialist to join our growing team. Position Overview We are seeking an experienced Medical Biller & Self-Pay Accounts Receivable Specialist to support our revenue cycle operations. This individual will be responsible for managing patient self-pay...

Datavant is seeking a Profee Auditing & Education Specialist to address coding quality, compliance assessments, payer reviews, and education programs. This fully remote role offers a flexible schedule and a chance to shape healthcare data quality from your home office. You will perform audits, develop training materials, and collaborate with clients to improve coding accuracy and compliance. Requires 5+ years in professional fee coding/auditing, 3+ years creating and presenting education, and #J-18808-Ljbffr

Baylor Scott & White Health in Hartford, CT is seeking a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and other references. You will ensure accurate code assignment and support internal customers with compliant documentation. The role requires 5 years of coding experience with one year as a coding auditor and professional certifications (RHIA/RHIT/CCS/CCS-P/CPC/COC/CIC/CIRCC). #J-18808-Ljbffr

Job TitleValidates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.Job ResponsibilitiesLeverages clinical expertise to identify and validate DRG code assignment.Full review of CDI suggested code changes.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.Applies coding rules and regulations to the validation review process.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.Communicates DRG changes and rationale to the coding and CDI staff.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.Operates under general guidance and work assignments are varied and...

Stonington Institute, a division of Universal Health Services, Inc. (UHS), seeks a full-time Medical Records Technician in North Stonington, CT. The role maintains and audits health information, ensures HIPAA compliance, and handles release of information requests. Responsibilities include record audits, retention, and timely reporting on backlogs, with standard 30-day close-out for discharge records. This position supports quality care across UHS facilities. #J-18808-Ljbffr

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...