Outpatient Coder 2 Certified / HIM Coding Hartford HealthCare CorpOutpatient Coder 2 Certified / HIM CodingFarmington, CTAnalyzes 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. 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 appeal.
Outpatient Coder 2 Certified / PB Coding Hartford HealthCare CorpOutpatient Coder 2 Certified / PB CodingFarmington, CTAnalyzes 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.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorCT$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Inpatient Coder 3 Certified / HIM Coding Hartford HealthCare CorpInpatient Coder 3 Certified / HIM CodingFarmington, CTPrimary Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566). Job: Administrative Assistant Organization: Hartford HealthCare Corp.
Medical Coding and Billing Assistant 1 Yale UniversityMedical Coding and Billing Assistant 1Connecticut1. Performs 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.
Coding and Billing Analyst Yale UniversityCoding and Billing AnalystConnecticut3. Well-developed problem-solving skills with the ability to be innovative, ability to compile comprehensive analysis of data with complex and professional reporting of results, analyze and interpret detailed reports, develop clear conclusions and summarize findings. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Coding & Documentation Compliance Auditor Hartford HealthCare CorpCoding & Documentation Compliance AuditorHartford, CThealthcare administration, medical coding, or a related field) • 2+ years of experience in coding and billing, or a related field • Strong knowledge of coding and documentation practices, including ICD-10-CM and CPT coding systems • Excellent analytical and problem-solving skills • Strong communication and interpersonal skills • Ability to work in a fast-paced environment and prioritize multiple tasks and projects. Job Description Primary Location: Connecticut-Hartford-100 Pearl Street Hartford (10484) Job: Coding and Billing Organization: Hartford HealthCare Corp.
Coding Analyst RIVER VALLEY COUNSELING CENTER INCCoding AnalystHolyoke, MAThe Coding Analyst collects appropriate, timely, and accurate health information about services provided including demographic data, appropriate length of stay, third-party payer and continued stay reviews, and other related data concerning patients. If less than 2 years on the job experience, should have one of the following credentials: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCA (Certified Coding Associate) or CPC-A (Certified Professional Coder).
HIM - Professional Coding Educator - 40hrs Connecticut Children's Medical CenterHIM - Professional Coding Educator - 40hrsHartford, CTProvides annual coding education and ad-hoc education and reference materials to CCMC and CCSG providers and departments related to chart documentation, coding guidelines, CPT charges, ICD diagnoses, and payer policy. Experience: 5+ years Professional Coding Experience, 2+ years with one or more of the following: delivering presentations, conducting one on one education with providers, teaching a coding class, speaking at coding seminars, or related activity.
Inpatient Coding Specialist / Abstraction (Full Time or Per Diem) Hybrid Work Hospital for Special CareInpatient Coding Specialist / Abstraction (Full Time or Per Diem) Hybrid WorkNew Britain, ConnecticutRequired: Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Hartford, CTIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Registered Nurse - HCC/RAF Coding Specialist Baystate Health SystemRegistered Nurse - HCC/RAF Coding SpecialistSpringfield, MA$89,606–$103,001 / yearWorking collaboratively with providers and clinical staff, the HCC/RAF Coding Nurse identifies documentation opportunities, promotes coding accuracy, improves the completeness of patient problem lists, and supports appropriate reimbursement through Medicare Risk Adjustment (RAF) and quality initiatives, including Healthcare Effectiveness Data and Information Set (HEDIS). This role supports the organization's Population Health and Value-Based Care initiatives by ensuring complete, accurate, and compliant documentation of chronic conditions in accordance with Centers for Medicare & Medicaid Services (CMS) and Hierarchical Condition Category (HCC) guidelines.
Registered Nurse – HCC/RAF Coding Specialist Baystate HealthRegistered Nurse – HCC/RAF Coding SpecialistSpringfield, MassachusettsWorking collaboratively with providers and clinical staff, the HCC/RAF Coding Nurse identifies documentation opportunities, promotes coding accuracy, improves the completeness of patient problem lists, and supports appropriate reimbursement through Medicare Risk Adjustment (RAF) and quality initiatives, including Healthcare Effectiveness Data and Information Set (HEDIS) . This role supports the organization's Population Health and Value-Based Care initiatives by ensuring complete, accurate, and compliant documentation of chronic conditions in accordance with Centers for Medicare & Medicaid Services (CMS) and Hierarchical Condition Category (HCC) guidelines.
NewCoding Manager, 40hrs, Hybrid TaraVista Behavioral Health CenterCoding Manager, 40hrs, HybridHolyoke, MA$83,000–$103,000 / yearThe Coding Manager oversees coding staff productivity and quality, develops departmental policies and procedures, coordinates coding education, partners with Clinical Documentation Improvement (CDI), Revenue Cycle, and Finance, and ensures compliance with AHIMA, AAPC, CMS, and other regulatory requirements. The position ensures accurate, compliant, and timely assignment of ICD-10-CM, ICD-10-PCS, and CPT codes for inpatient hospital and professional services.
NewCoding Manager, 40hrs, Hybrid TaraVistaCoding Manager, 40hrs, HybridHolyoke, MA$83,000–$103,000 / yearThe Coding Manager oversees coding staff productivity and quality, develops departmental policies and procedures, coordinates coding education, partners with Clinical Documentation Improvement (CDI), Revenue Cycle, and Finance, and ensures compliance with AHIMA, AAPC, CMS, and other regulatory requirements. The position ensures accurate, compliant, and timely assignment of ICD-10-CM, ICD-10-PCS, and CPT codes for inpatient hospital and professional services.
Urgent Care - Associate Veterinarian - Middletown , {State_Code UsvtaUrgent Care - Associate Veterinarian - Middletown , {State_CodeMiddletown, ConnecticutAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. This hospital is open to considering veterinarians who are experienced, as well as new graduates who are interested in exploring Urgent Care practice.
NewMed Bill Examiner III The HartfordMed Bill Examiner IIIHartford, ConnecticutThe Hartford will make a direct contribution of $125 per month – with a lifetime maximum up to $10,000 – as a supplemental payment towards your student loan in order to help you manage the stress of student debt and help you pay down your student loan faster. Candidates who live near one of our offices ( San Antonio, TX; Lake Mary, FL; Naperville, IL; Hartford, CT, Alpharetta, GA, Scottsdale, AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
NewMed Bill Examiner III The Hartford Insurance Group IncMed Bill Examiner IIIHartford, CT$47,147–$70,720 / yearThe Hartford will make a direct contribution of $125 per month - with a lifetime maximum up to $10,000 - as a supplemental payment towards your student loan in order to help you manage the stress of student debt and help you pay down your student loan faster. Candidates who live near one of our offices (San Antonio, TX; Lake Mary, FL; Naperville, IL; Hartford, CT, Alpharetta, GA, Scottsdale, AZ) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Medical Billing Specialist Mi Familia & Summit Home Health and HospiceMedical Billing SpecialistHartford, CTRemote$58,000–$74,000The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceHartford, CTThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorCT$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewCust Svc Rep Single Bill Offic / PA Customer Service Hartford HealthCare CorpCust Svc Rep Single Bill Offic / PA Customer ServiceFarmington, CTDepartment Description: The SBO Customer Service Department works with patients, insurance companies, attorney offices, etc with regard to their Hartford HealthCare medical bills. The 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 organization.
Manager, Revenue Integrity - 40hrs Connecticut Children's Medical CenterManager, Revenue Integrity - 40hrsEast Hartford, CTReporting 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.
Manager, Office (31422) GI AllianceManager, Office (31422)CT$67,500–$90,000 / yearOur team of clinical and administrative support staff work collaboratively with our physicians and advanced practitioners to provide our patients with the most comprehensive and compassionate care. Solid knowledge and understanding of revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid and third-party payers.
Medical Secretary - Oncology Hartford HealthCare CorpMedical Secretary - OncologyNew Britain, CTOur system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.
Emergency Department Physician Essential Healthcare Solutions LLCEmergency Department PhysicianHampton, MA$255–$370 / hourCoastal Virginia: beaches, low cost of living, military-friendly community, easy access to Norfolk, Virginia Beach, Williamsburg, and the Outer Banks. EHS is pursuing a contract to provide board-certified or board-eligible Emergency Medicine physician coverage at the Hampton VA Medical Center in Hampton, Virginia.
Compliance Auditor Yale UniversityCompliance AuditorConnecticutThe University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Medical Assistant (MA) - Endocrinology Hartford HealthCare CorpMedical Assistant (MA) - EndocrinologyTorrington, CTMay perform basic therapeutic measures under direction of nursing staff or provider; assist in reinforcing patient education; report lab results to patients and follow through with any physician instructions to patients for follow up or change in medication; or call prescriptions into appropriate pharmacy as ordered by providers. vital signs, EKG's, blood glucose monitoring, etc.); provides instructions to patients on how to properly collect sterile specimens; and collects and prepares specimens and paperwork for outside reference lab.
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.
NewEpic Resolute Hospital Billing Associate Analyst Deloitte Touche Tohmatsu LtdEpic Resolute Hospital Billing Associate AnalystHartford, CT$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorCT$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Administrative Associate - Outpatient Child/Adolescent Psych Clinic Hartford HealthCare CorpMedical Administrative Associate - Outpatient Child/Adolescent Psych ClinicHartford, CTResponsible for full range of administrative support in a medical office setting providing duties from scheduling appointments, calling pharmacies, billing patients and verifying precertification's to triaging phone calls from patients, physicians and insurance companies, while maintaining patient and business confidentiality to ensure that the needs of the internal and external customers are met. As a Hartford HealthCare entity, The Hartford Hospital Institute of Living provides eligible employees with an extensive benefits package and all the benefits of working in a thriving centrally located urban community: Medical and dental benefits.
Practice Manager Glastonbury Pediatrics Prohealth Physicians UnitedHealth Group Inc.Practice Manager Glastonbury Pediatrics Prohealth PhysiciansGlastonbury, CT$60,200–$107,400 / yearRequired Qualifications: Experience in Practice/Medical Office Management/Operations having managed/lead staff in clinical and non-clinical roles with a demonstrated ability to drive operational work flows. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country.
Outpatient Coder II Per Diem Northwell HealthOutpatient Coder II Per DiemDanbury, ConnecticutPosition at Nuvance Health Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities.
Outpatient Coder II Northwell HealthOutpatient Coder IIDanbury, ConnecticutRemoteNorthwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians.
NewYM Compliance Educator Yale UniversityYM Compliance EducatorConnecticutThe University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Centralized Billing Specialist - Full Time - In-Person or Remote Community Health Center IncCentralized Billing Specialist - Full Time - In-Person or RemoteMiddletown, CTRemoteOrganization Information: Community Health Center, Inc. (CHC) with offices in Connecticut, Colorado and California, is one of the country's most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. In addition, the organization has developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC), the National Institute for Medical Assistant Advancement (NIMAA), and the ConferMED Network.
Radiology Tech, ProHealth Physicians Glastonbury CT Base UnitedHealth Group IncRadiology Tech, ProHealth Physicians Glastonbury CT BaseGlastonbury, CT$23.89–$42.69 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Requisition number: 2365669 Job category: Healthcare Delivery Primary location: Glastonbury, CT Additional locations: Meriden, Connecticut | Manchester, Connecticut | Torrington, Connecticut | West Hartford, Connecticut | Bristol, Connecticut Date posted: 06/02/2026 Overtime status: Non-exempt Travel: No.
NewSoftware Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)CTRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
NewRadiology Tech, Prohealth Physicians Glastonbury CT Base UnitedHealth Group Inc.Radiology Tech, Prohealth Physicians Glastonbury CT BaseManchester, CT$23.89–$42.69 / hourExperience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Follow ProHealth Physicians Imaging QI policies which include our report timeliness and completeness, productivity reporting, patient satisfaction surveys, and record keeping policies.
Part-time Lecturer-Nursing, Allied Health & Human Services Connecticut State Community CollegePart-time Lecturer-Nursing, Allied Health & Human ServicesMultiple Locations, CTConnecticut State Community College commits to bold and disruptive change by actively identifying, naming, and dismantling structural racism, systemic poverty, and other barriers; establishing equitable and anti-racist policies and practices; and empowering students, faculty, staff, and administrators to advance racial, social, and economic justice. Employment Type: Part-Time, Adjunct Anticipated Start Date: Continuous Recruitment Work Location: CT State CC-Multiple campuses Work Modality: Classes may be taught, on ground, online synchronously or asynchronously, or as hybrid Programs include the following: Addiction Studies and Counseling.
Denials Management Medical Specialist Ledgent Finance & AccountingDenials Management Medical SpecialistFarmington, Connecticut$23–$25.50 / hourThis is an excellent opportunity for an experienced medical billing professional who thrives in a fast-paced environment and enjoys resolving claim issues, managing denials, and ensuring timely reimbursement. Maintain accurate account notes regarding claim submissions, denials, appeals, and resolutions.
Billing Manager HARTFORD DISPENSARY, THEBilling ManagerManchester, CT$55,000–$80,000 / yearRoot Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such can not be provided in the organization internally.
Research Billing Compliance Analyst Yale UniversityResearch Billing Compliance AnalystConnecticutRequired Education and Experience Bachelor’s Degree in Health or Business Administration or a related field and 3 years of experience working directly with clinical research charge review and billing or an equivalent combination of education and experience. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Part-time Lecturer-Nursing, Allied Health & Human Services Connecticut State Colleges & UniversitiesPart-time Lecturer-Nursing, Allied Health & Human ServicesCTConnecticut State Community College commits to bold and disruptive change by actively identifying, naming, and dismantling structural racism, systemic poverty, and other barriers; establishing equitable and anti-racist policies and practices; and empowering students, faculty, staff, and administrators to advance racial, social, and economic justice. Employment Type: Part-Time, Adjunct Anticipated Start Date: Continuous Recruitment Work Location: CT State CC - Multiple campuses Work Modality: Classes may be taught on ground, online synchronously or asynchronously, or as hybrid.
Nurse Practitioner or Physician Assistant - Senior Care (Per Diem) - Litchfield & Hartford Counties, CT UnitedHealth Group IncNurse Practitioner or Physician Assistant - Senior Care (Per Diem) - Litchfield & Hartford Counties, CTHartford, CTProgram Enhancement Expected Behaviors Regular and effective communication with internal and external parties including physicians members key decision-makers nursing facilities CCM staff and other provider groups Actively promote the CCM program in assigned facilities by partnering with key stakeholders i e internal sales function provider relations facility leader to maintain and develop membership growth Exhibit original thinking and creativity in the development of new and improved methods and approaches to concernsissues Function independently and responsibly with minimal need for supervision Ability to enter available hours into web-based application at least one month prior to available work time Demonstrate initiative in achieving individual team and organizational goals and objectives Participate in CCM quality initiatives Availability to check Optum email intermittently for required trainings communications and monthly scheduling Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide. Care Coordination Understand the PayerPlan benefits CCM associate policies procedures and articulate them effectively to providers members and key decision-makers Assess the medical necessityeffectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members Coordinate care as members transition through different levels of care and care settings Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the members needs and wishes Evaluate plan of care for cost effectiveness while meeting the needs of members families and providers to decreases high costs poor outcomes and unnecessary hospitalizations.
Practice Manager - Ludlow, MA ConvenientMDPractice Manager - Ludlow, MALudlow, Massachusetts$73,000–$95,000 / yearWhile this position is currently assigned to oversee a single clinic, all Practice Managers at ConvenientMD are expected to support surrounding clinics during team member PTO, leaves, and other coverage needs, with the potential to transition into permanent dual-site management. As a Practice Manager at our Ludlow, MA urgent care clinic, you will play a pivotal role in the day-to-day operational efficiency of the clinic while contributing to its long-term strategic goals.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTHartford, CTRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystHartford, CT$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewDirector of Market Access PRIA Healthcare Management LLCDirector of Market AccessHartford, CTSpecifically, this role requires strong relationship management skills, a collaborative spirit and strategic mindset, with a track record of executing creative solutions and forging synergistic partnerships between key stakeholders, including: payers, providers, facilities, specialty societies, to achieve common objectives. Key ResponsibilitiesLead and support specific payer engagement initiatives, leveraging existing relationships to influence policy development and reimbursement strategies across national and regional commercial payers, integrated develivery networks, independent physician associations, and Government payers.