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 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 practices Position ResponsibilitiesKey Areas of Responsibility Analyze 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 educators Researches 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 practices Communicate with team members on findings from the chart audits to help support and create training material for the providers Help support creating documentation templates designed for specialtyclient eg medical reports monitoringanalysis reports continuous auditing tools etc to insure appropriate documentation is captured for services rendered Identityrsquos common documentation and coding issues and process improvement and effectively communicates with team the findingsWorking RelationshipThis Job Reports To Job Title Manager Audit and Education 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 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 practices Position ResponsibilitiesKey Areas of Responsibility Analyze 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 educators Researches 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 practices Communicate with team members on findings from the chart audits to help support and create training material for the providers Help support creating documentation templates designed for specialtyclient eg medical reports monitoringanalysis reports continuous auditing tools etc to insure appropriate documentation is captured for services rendered Identityrsquos common documentation and coding issues and process improvement and effectively communicates with team the findingsWorking RelationshipThis Job Reports To Job Title Manager Audit and Education Educationmiddot Minimum High School Diplomamiddot Preferred Associates DegreeExperience middot Minimumo yearsrsquo work experience with CPT HCPCS and ICD coding conventions required o Chart review of documentation of Evaluation and Management o Experience with interpreting Medicare Medicaid and third party billing and compliance regulations necessary middot Preferredo Experience working with CMS health insurers strongly desired o Experience auditing documentation preferredo Experience with Word Excel and PowerPoint required Knowledge of business systems eg Epic Healthicity Intel Code preferredLicensure Certification Registration middot Minimum CPC CCS P or CCS certification required and maintained thereafter middot Preferred CPMAKnowledge Skills and Ability Requirementsmiddot Maintain required daily productivitymiddot Function independentlymiddot Collaborate with others to achieve a common goal through mutual cooperationmiddot Commitment to maintain complete confidentiality of patient health information middot Will require remote auditing of recordsmiddot Must be able to excel in a fast paced business environment handling multiple priorities middot Must be highly effective in both written and oral communication middot Must be able to exercise appropriate judgment when making decisions middot Good organizational skillsmiddot Proficiently read and interpret physician writingmiddot Solid 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 momentEducationmiddot Minimum High School Diplomamiddot Preferred Associates DegreeExperience middot Minimumo yearsrsquo work experience with CPT HCPCS and ICD coding conventions required o Chart review of documentation of Evaluation and Management o Experience with interpreting Medicare Medicaid and third party billing and compliance regulations necessary middot Preferredo Experience working with CMS health insurers strongly desired o Experience auditing documentation preferredo Experience with Word Excel and PowerPoint required Knowledge of business systems eg Epic Healthicity Intel Code preferredLicensure Certification Registration middot Minimum CPC CCS P or CCS certification required and maintained thereafter middot Preferred CPMAKnowledge Skills and Ability Requirementsmiddot Maintain required daily productivitymiddot Function independentlymiddot Collaborate with others to achieve a common goal through mutual cooperationmiddot Commitment to maintain complete confidentiality of patient health information middot Will require remote auditing of recordsmiddot Must be able to excel in a fast paced business environment handling multiple priorities middot Must be highly effective in both written and oral communication middot Must be able to exercise appropriate judgment when making decisions middot Good organizational skillsmiddot Proficiently read and interpret physician writingmiddot Solid 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