Work whereevery momentmattersEvery day more than 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 systemJOB SUMMARY and RESPONSIBILITIESAuditingValidates International Classification of Diseases Tenth Edition Clinical Modification ICD CM diagnoses and ICD PCS Procedural Classification System or Current Procedural TerminologyCPT codes and resulting DRGsAPCs to ensure consistency and efficiency in claims processing data collection and quality reporting for HHCValidates Home Health CodingOASIS reviewsPrepares written reports on the results of the audits including recommendations for improvement and compliance with state and federal laws regulations and policyPresents audit reports results and action plans to coding management for discussion and plan for dissemination to codersPresents quarterly Key Performance Indicators KPI to compliance officeResponsible for managing CHIME Connecticut Health Information and Management Exchange and Premier system editsUtilize Cobius Institutional Audit Manager IAM software to streamline audits communicate findings and simplify reportsEducationTrainingProvides feedback and creates focused educationaltraining programs on the results of auditing and monitoring activities for coders CDS and providers as appropriateProvides Coder CDS staff and provider education on changes in regulations related to codingProvides coding feedback on complex casesCommunicationInsures the appropriate dissemination and communication of all regulation policy and guideline changes eg Code updates coding guidelines Local Coverage Determinations LCD Transmittals to affected personnelMaintains system folders with coding policies procedures educational articles and coding compliance materialsOtherParticipates in the development and review of HIM Coding Policy and ProceduresParticipates in general or special assignments and other duties as assignedAbides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelinesThis position reports to Manager Hospital HIM Coding Quality and EducationWork whereevery momentmattersEvery day more than 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 systemJOB SUMMARY and RESPONSIBILITIESAuditingValidates International Classification of Diseases Tenth Edition Clinical Modification ICD CM diagnoses and ICD PCS Procedural Classification System or Current Procedural TerminologyCPT codes and resulting DRGsAPCs to ensure consistency and efficiency in claims processing data collection and quality reporting for HHCValidates Home Health CodingOASIS reviewsPrepares written reports on the results of the audits including recommendations for improvement and compliance with state and federal laws regulations and policyPresents audit reports results and action plans to coding management for discussion and plan for dissemination to codersPresents quarterly Key Performance Indicators KPI to compliance officeResponsible for managing CHIME Connecticut Health Information and Management Exchange and Premier system editsUtilize Cobius Institutional Audit Manager IAM software to streamline audits communicate findings and simplify reportsEducationTrainingProvides feedback and creates focused educationaltraining programs on the results of auditing and monitoring activities for coders CDS and providers as appropriateProvides Coder CDS staff and provider education on changes in regulations related to codingProvides coding feedback on complex casesCommunicationInsures the appropriate dissemination and communication of all regulation policy and guideline changes eg Code updates coding guidelines Local Coverage Determinations LCD Transmittals to affected personnelMaintains system folders with coding policies procedures educational articles and coding compliance materialsOtherParticipates in the development and review of HIM Coding Policy and ProceduresParticipates in general or special assignments and other duties as assignedAbides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelinesThis position reports to Manager Hospital HIM Coding Quality and EducationEducationAssociates Degree or equivalent experienceExperienceFour or more years of progressive on the job coding experience in an acute care hospitalLicensure Certification RegistrationCCS or CPC certificationFor Home Health HospiceHome Health Coding Specialist ndash Diagnosis HCS D andor Home Care Coding Specialist ndash Hospice HCS HHome Health Clinical Specialist OASIS HCS O or OASIS Specialist ndash Certified COS CLanguage SkillsStrong written and verbal communication skillsSolid analytical capabilitiesGood organizational skillsCritical thinking problem solving and deductive reasoning skillsKnowledge Skills and Ability RequirementsKnowledge ofComprehensive understanding of ICD CM diagnosis and ICD PCS andor CPTHCPCS operative procedure codesUnderstands the Uniform Hospital Discharge Data Set UHDDSUnderstands MS DRGs APCs andor Outpatient Code Edits OCE and Correct Coding Initiative CCI editsIRF PAI IP RehabilitationHome Health understandsPDGM payment modelOASISWorking knowledge of clinical informationExtensive knowledge of state federal and Medicare regulations related to codingBasic knowledge of the revenue cycle for the purpose of communicating corrective action recommendationsMicrosoft Office Products Word ExcelEncoder andor Computer Assistant Coding CACHROI and CobiusAbility toFunction independentlyHandle multiple prioritiesListen and acknowledge ideas and expressions of others attentivelyConverses clearly using appropriate verbal and body languageCollaborate with others to achieve a common goal through mutual cooperationInfluence others for positive and productive outcomesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEducationAssociates Degree or equivalent experienceExperienceFour or more years of progressive on the job coding experience in an acute care hospitalLicensure Certification RegistrationCCS or CPC certificationFor Home Health HospiceHome Health Coding Specialist ndash Diagnosis HCS D andor Home Care Coding Specialist ndash Hospice HCS HHome Health Clinical Specialist OASIS HCS O or OASIS Specialist ndash Certified COS CLanguage SkillsStrong written and verbal communication skillsSolid analytical capabilitiesGood organizational skillsCritical thinking problem solving and deductive reasoning skillsKnowledge Skills and Ability RequirementsKnowledge ofComprehensive understanding of ICD CM diagnosis and ICD PCS andor CPTHCPCS operative procedure codesUnderstands the Uniform Hospital Discharge Data Set UHDDSUnderstands MS DRGs APCs andor Outpatient Code Edits OCE and Correct Coding Initiative CCI editsIRF PAI IP RehabilitationHome Health understandsPDGM payment modelOASISWorking knowledge of clinical informationExtensive knowledge of state federal and Medicare regulations related to codingBasic knowledge of the revenue cycle for the purpose of communicating corrective action recommendationsMicrosoft Office Products Word ExcelEncoder andor Computer Assistant Coding CACHROI and CobiusAbility toFunction independentlyHandle multiple prioritiesListen and acknowledge ideas and expressions of others attentivelyConverses clearly using appropriate verbal and body languageCollaborate with others to achieve a common goal through mutual cooperationInfluence others for positive and productive outcomesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment