Outpatient Coder 2 Certified / PB Coding Hartford HealthCare CorpOutpatient Coder 2 Certified / PB CodingFarmington, CTli>Analyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD‑10‑CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required. 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.
Medical Coding and Billing Assistant 1 Yale UniversityMedical Coding and Billing Assistant 1ConnecticutPerforms work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate’s degree, or an equivalent combination of experience and education.
Director, Client Coding Integrations Ensemble Health PartnersDirector, Client Coding IntegrationsConnecticutp>Given the scale, complexity, and academic nature of the environment, this role requires a strategic, highly visible leader capable of navigating multi-site operations, managing high clinical volumes, and driving consistent coding excellence across the system. Employment Disclaimers – Ensemble.
Mgr CDI Quality & Educ / HIM Clinical Document Mgmt Hartford HealthCare CorpMgr CDI Quality & Educ / HIM Clinical Document MgmtFarmington, CTThis position also supports denials and appeals specialists as a subject matter expert (SME) and collaborates with Revenue Cycle Medical Director to provide provider, CDI and coding education for DRG downgrade denials prevention and management. Validates CDI reviews related to their review process, documentation clarifications/queries and resulting Diagnosis Related Groups (DRGs) to ensure severity of illness and quality of care consistency and efficiency in data collection and quality outcomes reporting for Hartford HealthCare (HHC).
Manager, Revenue Integrity - 40hrs Connecticut Children's Medical CenterManager, Revenue Integrity - 40hrsEast Hartford, CTp>Reporting to the Revenue Integrity Director, the Manager of Revenue Integrity works collaboratively with others to optimize workflows and related information systems to help ensure accurate, complete, timely documentation, charges and coding of services. Works collaboratively with Professional Coding, Facility Coding and Compliance (when indicated) with performing appropriate reviews, investigating trends and patterns, and providing education regarding documentation, charge capture, charge reconciliation, billing/coding guidelines and denials.
Quality Improvement Specialist II Baystate HealthQuality Improvement Specialist IISpringfield, MA$66,081–$75,982 / yearActively pursues effective and efficient operations of their respective areasin accordance withHealth New England’s Values, its Code ofConductand the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct. + Usingmedical record and clinical qualityexpertise, performs HEDIS clinical abstraction in both directelectronic medical record (EMR) and physical medical records to auditprovider compliance with HEDIStechnical specifications.
Supv Clinical Documentation / HIM Clinical Document Mgmt Hartford HealthCare CorpSupv Clinical Documentation / HIM Clinical Document MgmtFarmington, CTli>Responsible for regional/facility accurate Case Mix Index (CMI), mortality observed to expected ratio (O:E), capture of appropriate severity of illness (SOI) and risk of mortality (ROM), risk adjustment and hierarchal condition capture (HCC) codes and other high quality documentation outcome measures. The Clinical Documentation Supervisor will work in collaboration with the clinical documentation specialists (CDS), coding professionals, physicians, nursing staff and other patient care givers to ensure accurate and timely clinical documentation in the medical record.
Medical Coding Automation Senior Associate athenahealth IncMedical Coding Automation Senior AssociateCT$77,000–$131,000 / yearThe Medical Coding Services team partners closely with Product, Operations, Commercial, Revenue Cycle, and R&D stakeholders to improve coding quality, reduce denials, optimize claim adjudication outcomes, and strengthen service integrity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.