Newington, Connecticut, USA
1 day ago
Outpatient Coder 3 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 systemPosition SummaryReviews and validates outpatient clinical documentation and diagnostic resultsExtracts data and assigns alpha numeric codes for billing internal and external statistical reporting research regulatory compliance and reimbursementHematologyOncology Infusion Coding experience is required for this positionCHONC certification preferredPosition ResponsibilitiesKey Areas of ResponsibilityCodingApplies knowledge of anatomy and physiology clinical disease processes pharmacology and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codesAnalyzes 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 requiredEnters charges for procedures that are not soft coded as instructed for certain patient typesAdheres to all department codingcharging procedures policies guidelines and quality standardsComplete on a daily basis cases that have been assigned to them utilizing the appropriate work listsComplexity of skills includes but is not limited to the followingmiddotInterventional radiologymiddotInterventional cardiologymiddotEndovascularAbides by the Standards of Ethical Coding as set forth by the American Health Information Management AssociationIssue ResolutionReview claim edits and revise codingcharging as appropriate for specific range of ICD CMCPTHCPCS codesReview accounts returned from various departments and process corrections for clean claim submission or post claim denial review for appealMeet revenue cycle goals Key Performance Indicators KPIsand Productivity StandardsCommunicationSeeks clarification from physicians or other staff in cases where documentation is absent ambiguous or contradictoryMakes corrections based on collaboration with clinician or designeeTrainingLeadershipIf required trains new coders to become acclimated to the environment and understanding internal coding policies and procedures and documentation guidelinesTrains and mentors coders who wish to progress to more specialize coding of the most complicated types of accountsAdvances the team by influencing desired HW Leadership BehaviorsSupports and participates in special projects and assignmentsWork 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 SummaryReviews and validates outpatient clinical documentation and diagnostic resultsExtracts data and assigns alpha numeric codes for billing internal and external statistical reporting research regulatory compliance and reimbursementHematologyOncology Infusion Coding experience is required for this positionCHONC certification preferredPosition ResponsibilitiesKey Areas of ResponsibilityCodingApplies knowledge of anatomy and physiology clinical disease processes pharmacology and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codesAnalyzes 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 requiredEnters charges for procedures that are not soft coded as instructed for certain patient typesAdheres to all department codingcharging procedures policies guidelines and quality standardsComplete on a daily basis cases that have been assigned to them utilizing the appropriate work listsComplexity of skills includes but is not limited to the followingmiddotInterventional radiologymiddotInterventional cardiologymiddotEndovascularAbides by the Standards of Ethical Coding as set forth by the American Health Information Management AssociationIssue ResolutionReview claim edits and revise codingcharging as appropriate for specific range of ICD CMCPTHCPCS codesReview accounts returned from various departments and process corrections for clean claim submission or post claim denial review for appealMeet revenue cycle goals Key Performance Indicators KPIsand Productivity StandardsCommunicationSeeks clarification from physicians or other staff in cases where documentation is absent ambiguous or contradictoryMakes corrections based on collaboration with clinician or designeeTrainingLeadershipIf required trains new coders to become acclimated to the environment and understanding internal coding policies and procedures and documentation guidelinesTrains and mentors coders who wish to progress to more specialize coding of the most complicated types of accountsAdvances the team by influencing desired HW Leadership BehaviorsSupports and participates in special projects and assignmentsEducationAssociatersquos Degree or equivalent experienceExperienceMinimumTwo to four years of progressive on the job experience in an acute care hospital or physicianPreferredFour years or more of progressive on the job experience in an acute care hospital or physician officeLicensure Certification RegistrationMinimumCPC CPCH or CCS certification required and maintained thereafterPreferredmiddotCPC CPCH or CCS certification required and maintained thereaftermiddotCertified Interventional Radiology Cardiovascular Coder CIRCC certificationKnowledge Skills and Ability RequirementsKnowledge ofmiddotICD CM diagnostic and CPTHCPCS procedure codesmiddotWorking knowledge of clinical informationmiddotMicrosoft Office Products Word ExcelmiddotEncoder andor CACSkillsmiddotRead write and speak English proficientlymiddotSolid analytical capabilitiesmiddotGood organizational skillsmiddotProficiently read and interpret physician writingAbility tomiddotFunction independentlymiddotHandle multiple prioritiesmiddotListen and acknowledge ideas and expressions of others attentivelymiddotConverse clearly using appropriate verbal and body languagemiddotCollaborate with others to achieve a common goal through mutual cooperationmiddotInfluence others for positive and productive outcomesmiddotUtilize coding subject matter expertise to support new specialized coders and other projectsmiddotAbility to work across the Hartford HealthCare SystemWe 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 isyourmomentEducationAssociatersquos Degree or equivalent experienceExperienceMinimumTwo to four years of progressive on the job experience in an acute care hospital or physicianPreferredFour years or more of progressive on the job experience in an acute care hospital or physician officeLicensure Certification RegistrationMinimumCPC CPCH or CCS certification required and maintained thereafterPreferredmiddotCPC CPCH or CCS certification required and maintained thereaftermiddotCertified Interventional Radiology Cardiovascular Coder CIRCC certificationKnowledge Skills and Ability RequirementsKnowledge ofmiddotICD CM diagnostic and CPTHCPCS procedure codesmiddotWorking knowledge of clinical informationmiddotMicrosoft Office Products Word ExcelmiddotEncoder andor CACSkillsmiddotRead write and speak English proficientlymiddotSolid analytical capabilitiesmiddotGood organizational skillsmiddotProficiently read and interpret physician writingAbility tomiddotFunction independentlymiddotHandle multiple prioritiesmiddotListen and acknowledge ideas and expressions of others attentivelymiddotConverse clearly using appropriate verbal and body languagemiddotCollaborate with others to achieve a common goal through mutual cooperationmiddotInfluence others for positive and productive outcomesmiddotUtilize coding subject matter expertise to support new specialized coders and other projectsmiddotAbility to work across the Hartford HealthCare SystemWe 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 isyourmoment
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