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 systemPosition SummaryThe Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD HCPC and CPT for coding consistent with regulatory contractual professional standards and healthcare revenue cycle industry practicesPosition ResponsibilitiesKey Areas of ResponsibilityAnalyze provider documentation for appropriate assignment of Evaluation and Management EM CPT ICD and modifiers Audit charts assigned timely and efficiently providing feedback from the audit to the educatorsResearches literature from regulatory groups such as HHSOIG Medicare Medicaid NGS etc professional and peer organizations practicespoliciesguidelines to keep organization current with regulatory requirements and accepted audit practicesCommunicate with team members on findings from the chart audits to help support and create training material for the providersHelp support creating documentation templates designed for specialtyclient eg medical reports monitoringanalysis reports continuous auditing tools etc to insure appropriate documentation is captured for services renderedIdentityrsquos common documentation and coding issues and process improvement and effectively communicates with team the findingsWorking RelationshipThis Job Reports To Job TitleManager Audit 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 systemPosition SummaryThe Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD HCPC and CPT for coding consistent with regulatory contractual professional standards and healthcare revenue cycle industry practicesPosition ResponsibilitiesKey Areas of ResponsibilityAnalyze provider documentation for appropriate assignment of Evaluation and Management EM CPT ICD and modifiers Audit charts assigned timely and efficiently providing feedback from the audit to the educatorsResearches literature from regulatory groups such as HHSOIG Medicare Medicaid NGS etc professional and peer organizations practicespoliciesguidelines to keep organization current with regulatory requirements and accepted audit practicesCommunicate with team members on findings from the chart audits to help support and create training material for the providersHelp support creating documentation templates designed for specialtyclient eg medical reports monitoringanalysis reports continuous auditing tools etc to insure appropriate documentation is captured for services renderedIdentityrsquos common documentation and coding issues and process improvement and effectively communicates with team the findingsWorking RelationshipThis Job Reports To Job TitleManager Audit and EducationEducationmiddotMinimum High School DiplomamiddotPreferred Associates DegreeExperiencemiddotMinimumo yearsrsquo work experience with CPT HCPCS and ICD coding conventions requiredoChart review of documentation of Evaluation and ManagementoExperience with interpreting Medicare Medicaid and third party billing and compliance regulations necessarymiddotPreferredoExperience working with CMS health insurers strongly desiredoExperience auditing documentation preferredoExperience with Word Excel and PowerPoint requiredKnowledge of business systems eg Epic Healthicity Intel Code preferredLicensure Certification RegistrationmiddotMinimum CPC CCS P or CCS certification required and maintained thereaftermiddotPreferred CPMAKnowledge Skills and Ability RequirementsmiddotMaintain required daily productivitymiddotFunction independentlymiddotCollaborate with others to achieve a common goal through mutual cooperationmiddotCommitment to maintain complete confidentiality of patient health informationmiddotWill require remote auditing of recordsmiddotMust be able to excel in a fast paced business environment handling multiple prioritiesmiddotMust be highly effective in both written and oral communicationmiddotMust be able to exercise appropriate judgment when making decisionsmiddotGood organizational skillsmiddotProficiently read and interpret physician writingmiddotSolid analytical capabilitiesWe 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 momentEducationmiddotMinimum High School DiplomamiddotPreferred Associates DegreeExperiencemiddotMinimumo yearsrsquo work experience with CPT HCPCS and ICD coding conventions requiredoChart review of documentation of Evaluation and ManagementoExperience with interpreting Medicare Medicaid and third party billing and compliance regulations necessarymiddotPreferredoExperience working with CMS health insurers strongly desiredoExperience auditing documentation preferredoExperience with Word Excel and PowerPoint requiredKnowledge of business systems eg Epic Healthicity Intel Code preferredLicensure Certification RegistrationmiddotMinimum CPC CCS P or CCS certification required and maintained thereaftermiddotPreferred CPMAKnowledge Skills and Ability RequirementsmiddotMaintain required daily productivitymiddotFunction independentlymiddotCollaborate with others to achieve a common goal through mutual cooperationmiddotCommitment to maintain complete confidentiality of patient health informationmiddotWill require remote auditing of recordsmiddotMust be able to excel in a fast paced business environment handling multiple prioritiesmiddotMust be highly effective in both written and oral communicationmiddotMust be able to exercise appropriate judgment when making decisionsmiddotGood organizational skillsmiddotProficiently read and interpret physician writingmiddotSolid analytical capabilitiesWe 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