Farmington, Connecticut, USA
9 hours ago
Outpatient Coder 2 Certified / HIM Coding
Work where every moment mattersEvery 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 system Position SummaryReviews and validates outpatient and professional clinical documentation and diagnostic results Extracts data and assigns alpha numeric codes for billing internal and external statistical reporting research regulatory compliance and reimbursementCodes complex diagnostic and procedural accounts which includes but is not limited to the followingmiddot Professional Specialty Servicesmiddot Emergency Servicesmiddot Observationmiddot Same day surgerymiddot Pain Clinicmiddot Infusion Servicesmiddot Electrophysiologymiddot Cardiac Catheterizationsmiddot LifeStarmiddot Orthopedicmiddot Critical Care Position ResponsibilitiesKey Areas of ResponsibilityCoding Applies strong knowledge of anatomy and physiology clinical disease processes pharmacology and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes Analyzes medical records interprets documentation and assigns proper International Classification of Diseases Tenth Edition Clinical Modification ICDCM Current Procedural TerminologyHealthCare Common Procedure Coding System CPTHCPCS modifiers and Evaluation Management codes utilizing designated software to include Computer Assisted Coding CAC andor encoder coding manuals and other reference material as required Enters charges for procedures that are not soft coded as instructed for certain patient types Adheres to all department codingcharging procedures policies guidelines and quality standards Completes on a daily basis cases that have been assigned to them utilizing the appropriate work lists Codes complex diagnostic and procedural accounts which includes but is not limited to the followingmiddot Professional Specialty Servicesmiddot Emergency Servicesmiddot Observationmiddot Same day surgerymiddot Pain Clinicmiddot Infusion Servicesmiddot Electrophysiologymiddot Cardiac Catheterizationsmiddot LifeStarmiddot Orthopedicmiddot Critical Care Assists manager with special projectsother tasks as assigned Abides by the Standards of Ethical Coding as set forth by the American Health Information Management AssociationAmerican Association of Procedural Coders and adheres to official coding guidelines Meets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsIssue Resolution Reviews claim edits and revises codingcharging as appropriate for specific range of ICD CMCPTHCPCS codes Reviews accounts returned from various departments including Customer Service Billing Coding Quality and Revenue Integrity and processes corrections for clean claim submission or posts claim denial review for appealCommunication Seeks clarification from physicians or other staff in cases where documentation is absent ambiguous or contradictory Makes corrections based on collaboration with clinician or designeeTraining As assigned assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures and documentation guidelinesWork where every moment mattersEvery 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 system Position SummaryReviews and validates outpatient and professional clinical documentation and diagnostic results Extracts data and assigns alpha numeric codes for billing internal and external statistical reporting research regulatory compliance and reimbursementCodes complex diagnostic and procedural accounts which includes but is not limited to the followingmiddot Professional Specialty Servicesmiddot Emergency Servicesmiddot Observationmiddot Same day surgerymiddot Pain Clinicmiddot Infusion Servicesmiddot Electrophysiologymiddot Cardiac Catheterizationsmiddot LifeStarmiddot Orthopedicmiddot Critical Care Position ResponsibilitiesKey Areas of ResponsibilityCoding Applies strong knowledge of anatomy and physiology clinical disease processes pharmacology and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes Analyzes medical records interprets documentation and assigns proper International Classification of Diseases Tenth Edition Clinical Modification ICDCM Current Procedural TerminologyHealthCare Common Procedure Coding System CPTHCPCS modifiers and Evaluation Management codes utilizing designated software to include Computer Assisted Coding CAC andor encoder coding manuals and other reference material as required Enters charges for procedures that are not soft coded as instructed for certain patient types Adheres to all department codingcharging procedures policies guidelines and quality standards Completes on a daily basis cases that have been assigned to them utilizing the appropriate work lists Codes complex diagnostic and procedural accounts which includes but is not limited to the followingmiddot Professional Specialty Servicesmiddot Emergency Servicesmiddot Observationmiddot Same day surgerymiddot Pain Clinicmiddot Infusion Servicesmiddot Electrophysiologymiddot Cardiac Catheterizationsmiddot LifeStarmiddot Orthopedicmiddot Critical Care Assists manager with special projectsother tasks as assigned Abides by the Standards of Ethical Coding as set forth by the American Health Information Management AssociationAmerican Association of Procedural Coders and adheres to official coding guidelines Meets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsIssue Resolution Reviews claim edits and revises codingcharging as appropriate for specific range of ICD CMCPTHCPCS codes Reviews accounts returned from various departments including Customer Service Billing Coding Quality and Revenue Integrity and processes corrections for clean claim submission or posts claim denial review for appealCommunication Seeks clarification from physicians or other staff in cases where documentation is absent ambiguous or contradictory Makes corrections based on collaboration with clinician or designeeTraining As assigned assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures and documentation guidelinesEducationmiddot Associatersquos Degree or equivalent experienceExperiencemiddot Minimum Two years of progressive on the job experience in an acute care hospital or physicianrsquos officemiddot Preferred Two to four years of progressive on the job experience in an acute care hospital or physicianrsquos officeLicensure Certification Registrationmiddot CPC COC or CCS certification required and maintained thereafterLanguage Skillsmiddot Strong written and verbal communication skillsKnowledge Skills and Ability RequirementsStrong knowledge ofmiddot ICD CM diagnostic and CPTHCPCS procedure codesmiddot Clinical information related to areas of responsibilitymiddot Microsoft Office Products Word Excelmiddot Encoder andor Computer Assisted Coding product CACSkillsmiddot Read write and speak English proficientlymiddot Strong analytical capabilitiesmiddot Strong organizational skillsmiddot Proficiently read and interpret physician documentationStrong ability tomiddot Function independentlymiddot Handle multiple prioritiesmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converse clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through mutual cooperationmiddot Influence others for positive and productive outcomesmiddot Use independent judgment to solve problemsmiddot Work across the Hartford HealthCare System We take great care of careers With 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 Educationmiddot Associatersquos Degree or equivalent experienceExperiencemiddot Minimum Two years of progressive on the job experience in an acute care hospital or physicianrsquos officemiddot Preferred Two to four years of progressive on the job experience in an acute care hospital or physicianrsquos officeLicensure Certification Registrationmiddot CPC COC or CCS certification required and maintained thereafterLanguage Skillsmiddot Strong written and verbal communication skillsKnowledge Skills and Ability RequirementsStrong knowledge ofmiddot ICD CM diagnostic and CPTHCPCS procedure codesmiddot Clinical information related to areas of responsibilitymiddot Microsoft Office Products Word Excelmiddot Encoder andor Computer Assisted Coding product CACSkillsmiddot Read write and speak English proficientlymiddot Strong analytical capabilitiesmiddot Strong organizational skillsmiddot Proficiently read and interpret physician documentationStrong ability tomiddot Function independentlymiddot Handle multiple prioritiesmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converse clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through mutual cooperationmiddot Influence others for positive and productive outcomesmiddot Use independent judgment to solve problemsmiddot Work across the Hartford HealthCare System We take great care of careers With 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
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