NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTHartford, CTRemote$35–$45 / hourAs a Profee 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, andlife sciences companies.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTHartford, CTRemote$35–$45 / hourAs a Profee 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.
NewRisk Adjust Prgm Team Lead / Clinical Integration Hartford HealthCare CorpRisk Adjust Prgm Team Lead / Clinical IntegrationHartford, CTPosition Summary: Reporting to the Director of Quality and Clinical Integration, the Risk Adjustment Program Team Lead serves as a coordinator and resource for the Risk Adjustment team; works with other coders to ensure that all coding reviews are completed in a timely manner; verifies accuracy of reports; completes own workload of coding reviews, and identifies training needs based on questions/guidance requests from the coding team. Collaborate with clinical, operational, and financial leaders to optimize HCC coding and documentation workflows that support the HCC risk adjustment coding program across the organization, ensuring that coding practices align with CMS guidelines and other regulatory requirements.
Document Improvement Specialist, Fulltime Stamford HealthDocument Improvement Specialist, FulltimeStamford, CTImprove physician documentation compliance with criteria required under the Inpatient Prospective Payment System (IPPS), in order to eliminate payment errors on Medicare discharges caused by incomplete/inaccurate physician documentation; as well as ensure clear and concise documentation to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and applicable federal and state law. Stamford Health is a major teaching affiliate of the Columbia University Vagelos College of Physicians and Surgeons and has recently expanded its relationship with Columbia to offer treatment and expertise from Columbia University Irving Medical Center's nationally recognized heart surgeons.
Med 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).
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).
Associate Director of Billing & Coding ONS MSO LLCAssociate Director of Billing & CodingStamford, CTThe Associate Director actively reviews coding trends, resolves escalations, conducts audits, provides education and partners with clinical and operational leaders to reduce denials, prevent revenue leakage, and strengthen documentation practices. 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 Documentation Spec 1 / HIM Clinical Document Mgmt Hartford HealthCare CorpClinical Documentation Spec 1 / HIM Clinical Document MgmtFarmington, CTRemotePosition Summary: The Clinical Documentation Specialist (CDS) 1 is responsible for extensive record review, and interaction with physicians, HIM coding professionals, nursing staff and other patient care givers to ensure the accurate representation of patient severity of illness and quality of care. Collaborates with inpatient coders to determine appropriate Diagnosis Related Groups (MS-DRG, APR-DRGs, etc.) and ICD-10 code assignment for compliance, reimbursement, and quality outcomes.
Per Diem (As needed) Department Assistant - Sleep Lab - Norwalk, CT Nuvance HealthPer Diem (As needed) Department Assistant - Sleep Lab - Norwalk, CTNorwalk, CT$17–$31.36 / hourJoin our Talent Network Skip to main content Menu About us Benefits Culture Academics & Community Careers Nursing Careers Physicians & APP Careers Early Careers Medical Practice Careers Employees Job search Apply now Keyword job title skills Enter a Location Loading job. Our team of more than 15,000 caregivers delivers compassionate care through seven community hospitals, primary care and specialty practice locations, outpatient settings, home care services, and telehealth visits.
Accounts Receivable Representative WheelerAccounts Receivable RepresentativeBristol, CTMaintain Work-Life Harmony: Recharge with generous paid time off, including: 15 vacation days per year to explore and recharge8 sick days per year for your well-being2 personal days per year for your personal needs2 floating holidays per year to celebrate what matters to you9 paid company holidays to spend with loved ones. EDUCATION AND EXPERIENCE/QUALIFICATIONSHigh School diploma or equivalent is required plus Certified Medical Biller/Coder designation and 2 - 3 years experience and knowledge of behavioral health billing/collection practices is preferred.
NewSurgical AR Representative ONS MSO LLCSurgical AR RepresentativeStamford, CTThe representative will manage high-dollar, complex surgical claims, aggressively pursue payer follow-up, draft detailed appeals, and partner with coding and clinical teams to prevent recurring denials. 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.
NewAccount Assistant 3 Yale UniversityAccount Assistant 3ConnecticutUnder the direction and supervision of the Manager, YM Coding and Billing, the Coding/Charge Review position provides work queue resolution of medical billing charges by reviewing specific elements in clinical documentation to validate diagnostic (ICD-9/ICD-10) and procedural (CPT/HCPCS) codes for Yale Medicine. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and a high school level education; or two years of related work experience and an Associate's degree; or an equivalent combination of experience and education.
Accounts Receivable Representative WHEELER CLINIC, INC. THEAccounts Receivable RepresentativeBristol, CTProficiency in Microsoft Office applications, excellent verbal and written communication skills, analytical and problem solving abilities, and the ability to multi-task in a fast paced environment is also required. High School diploma or equivalent is required plus Certified Medical Biller/Coder designation and 2 - 3 years experience and knowledge of behavioral health billing/collection practices is preferred.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)CT$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.