Work whereevery momentmattersEvery day approximately 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 systemJOB 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 followingProfessional Specialty ServicesEmergency ServicesObservationSame day surgeryPain ClinicInfusion ServicesElectrophysiologyCardiac CatheterizationsOrthopedicJOB RESPONSIBILITIESCodingApplies strong 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 standardsCompletes on a daily basis cases that have been assigned to them utilizing the appropriate work listsCodes complex diagnostic and procedural accounts which includes but is not limited to the followingEmergency ServicesObservationSame day surgerySurgicalPain ClinicInfusion ServicesElectrophysiologyCardiac CatheterizationsOrthopedicAssists manager with special projectsother tasks as assignedAbides 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 guidelinesMeets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsIssue ResolutionReviews claim edits and revises codingcharging as appropriate for specific range of ICD CMCPTHCPCS codesReviews accounts returned from various departments and processes corrections for clean claim submission or posts claim denial review for appealCommunicationSeeks clarification from physicians or other staff in cases where documentation is absent ambiguous or contradictoryMakes corrections based on collaboration with clinician or designeeTrainingAs assigned assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures and documentation guidelinesWork whereevery momentmattersEvery day approximately 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 systemJOB 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 followingProfessional Specialty ServicesEmergency ServicesObservationSame day surgeryPain ClinicInfusion ServicesElectrophysiologyCardiac CatheterizationsOrthopedicJOB RESPONSIBILITIESCodingApplies strong 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 standardsCompletes on a daily basis cases that have been assigned to them utilizing the appropriate work listsCodes complex diagnostic and procedural accounts which includes but is not limited to the followingEmergency ServicesObservationSame day surgerySurgicalPain ClinicInfusion ServicesElectrophysiologyCardiac CatheterizationsOrthopedicAssists manager with special projectsother tasks as assignedAbides 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 guidelinesMeets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsIssue ResolutionReviews claim edits and revises codingcharging as appropriate for specific range of ICD CMCPTHCPCS codesReviews accounts returned from various departments and processes corrections for clean claim submission or posts claim denial review for appealCommunicationSeeks clarification from physicians or other staff in cases where documentation is absent ambiguous or contradictoryMakes corrections based on collaboration with clinician or designeeTrainingAs assigned assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures and documentation guidelinesEducationAssociatersquos Degree or equivalent experience requiredExperienceTwo years of progressive on the job experience in an acute care hospital or physicianrsquos office requiredTwo to four years of progressive on the job experience in an acute care hospital or physicianrsquos office preferredLicensure Certification RegistrationCPC CPCH or CCS certification required and maintained thereafter requiredLanguage SkillsStrong written and verbal communication skills requiredKnowledge Skills and Ability RequirementsStrong knowledge ofICD CM diagnostic and CPTHCPCS procedure codesClinical information related to areas of responsibilityMicrosoft Office Products Word ExcelEncoder andor CACSkillsRead write and speak English proficientlyStrong analytical capabilitiesStrong organizational skillsProficiently read and interpret physician writingStrong ability toFunction independentlyHandle multiple prioritiesListen and acknowledge ideas and expressions of others attentivelyConverse clearly using appropriate verbal and body languageCollaborate with others to achieve a common goal through mutual cooperationInfluence others for positive and productive outcomesUse independent judgment to solve problemsWork 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 isyour momentEducationAssociatersquos Degree or equivalent experience requiredExperienceTwo years of progressive on the job experience in an acute care hospital or physicianrsquos office requiredTwo to four years of progressive on the job experience in an acute care hospital or physicianrsquos office preferredLicensure Certification RegistrationCPC CPCH or CCS certification required and maintained thereafter requiredLanguage SkillsStrong written and verbal communication skills requiredKnowledge Skills and Ability RequirementsStrong knowledge ofICD CM diagnostic and CPTHCPCS procedure codesClinical information related to areas of responsibilityMicrosoft Office Products Word ExcelEncoder andor CACSkillsRead write and speak English proficientlyStrong analytical capabilitiesStrong organizational skillsProficiently read and interpret physician writingStrong ability toFunction independentlyHandle multiple prioritiesListen and acknowledge ideas and expressions of others attentivelyConverse clearly using appropriate verbal and body languageCollaborate with others to achieve a common goal through mutual cooperationInfluence others for positive and productive outcomesUse independent judgment to solve problemsWork 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 isyour moment