Denial RN DRG Appeal Writer2 / HIM Coding Hartford HealthCare Corp.Denial RN DRG Appeal Writer2 / HIM CodingHartford, CTThe level 2 Denial Specialist Appeal Writer reviews and analyzes Diagnostic Related Grouper (DRG) downgrades, preparing detailed, evidence-based appeal letters to defend assigned DRGs and optimize reimbursement. · Provide ongoing education to HHC Institute leaders, providers, coding and CDI teams on DRG validation, documentation best practices, payer guidelines and best practices to minimize future denials.
Revenue Cycle & Coding Specialist CFSRevenue Cycle & Coding SpecialistWestbrook, CTThis is a great opportunity for someone who knows medical billing inside and out but also understands the bigger picture — coding accuracy, reimbursement, denials, A/R and the overall revenue cycle. We’re partnering with an established healthcare organization looking for an experienced Revenue Cycle & Coding Specialist to join their team.
Medical Billing Specialist Connecticut Institute for Communities, Inc.Medical Billing SpecialistDanbury, CT$18–$23 / hourRequirements: Qualifications: Minimum High School Diploma, AA preferred, previous medical billing office experience required, ICD 9/10 experience, Certified Professional Coder (CPC) required, experience in Behavioral Health billing/coding preferred. High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software.
Medical-Denial Management Specialist Orthopedic Associates of HartfordMedical-Denial Management SpecialistFarmington, CTThe Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business office.
Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeQuality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareLebanon, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
Hospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare Hartford HealthCare at HomeHospice Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCareJewett City, CTThe QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The Quality Assurance & Performance Improvement (“QAPI”) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality.
Tumor Registrar Middlesex HealthTumor RegistrarWaterbury, CTThe Tumor Registrar (Oncology Data Specialist) assures thorough, accurate and quality data collection as required by the Commission on Cancer (CoC), the Surveillance, Epidemiology and End Results Program (SEER) and State of Connecticut. Serve as a resource for oncology teams by providing data for case reviews, performance improvement initiatives, and clinical research.
NewMedical Administrative Assistant Orthopedic Associates of HartfordMedical Administrative AssistantHartford, CTFast paced and challenging, you will interact with our physicians, patients, and other departments to provide the highest level of care for our patients. In support of high-quality patient care, we are currently seeking an experienced Medical Administrative Assistant (MAA) to support our Physicians.
NewTravel NICU RN - $2,483 per week WCS Healthcare PartnersTravel NICU RN - $2,483 per weekHartford, CTWCS Healthcare Partners is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Hartford, Connecticut. This role offers a dynamic work environment with a day/night rotating schedule, providing essential care to neonates, infants, and pediatric patients.
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.
Medical Coding And Billing Assistant 1 Yale UniversityMedical Coding And Billing Assistant 1New Haven, CTPerforms 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.
NewAnalyst, Coding Data Quality Audit CVS Health CorpAnalyst, Coding Data Quality AuditCT$21.10–$36.78 / hourThe Coding Data Quality Audit Analyst is responsible for performing second-level quality inter-rater review audits of medical records coded by internal teams, as well as external vendors (if applicable), to ensure that ICD codes submitted to the Centers for Medicare & Medicaid Services (CMS) for risk adjustment purposes are appropriate, accurate, and supported by clinical documentation in accordance with all state and federal regulations, as well as internal policies and procedures. Confidently communicates supporting evidence to internal stakeholders with varying levels of coding and clinical expertise through both written and verbal communication, including interactions with clinical staff, coding staff, federal regulators, and vendor coding resources.
NewCoding Supervisor UnitedHealth Group IncCoding SupervisorHartford, CT$60,200–$107,400 / year3+ years of experience working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA) Elevance HealthManager Clinical Performance & Quality Coding (Nurse Practitioner or PA)Wallingford, ConnecticutWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Develop and manage clinical quality reviews to ensure peer review and clinical quali Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
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.
Director, Client Coding Integrations Ensemble Health PartnersDirector, Client Coding IntegrationsConnecticutThisroleservesasakeypartnerbetweenCodingOperations,RevenueCycle,ClientServices,Technology,Implementation,andoperationalleadershipteamstoensureseamlesscodingtransitions,operationalreadiness,compliance,andlong-termsuccess. Theidealcandidatewillbringdeepexpertisein professionalfee(physician)coding ,revenuecycleoperations,codingcompliance,providereducation,andclientrelationshipmanagement.
NewManager Of Coding & Revenue Integrity Spire Orthopedic PartnersManager Of Coding & Revenue IntegrityStamford, CTWho we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantHartford, CTIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Senior Coding Educator UnitedHealth Group IncSenior Coding EducatorHartford, CT$72,800–$130,000 / yearProvides continuing education supporting medical coders to stay updated with evolving regulations, coding guidelines, and payer requirements, continuing education credits required for professional credentialing maintenance and industry topics for career development. Develop and provide educational programs to assist coders in updated regulatory requirements, coding guidelines, payer requirements, and updated coding topics in large group settings, individual settings, and/or focused groups.
Inpatient Coding / Abstraction Specialist Hybrid Work Environment Hospital for Special CareInpatient Coding / Abstraction Specialist Hybrid Work EnvironmentNew 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.