Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details: Remote coding position. Flexible hours.

Work where every moment matters. 

Every day, over 30,000 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 Connecticut’s most comprehensive healthcare network. 

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.
With 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 system.

Department Description:

HHC/SSO facility outpatient coders apply ICD-10 diagnosis and procedure codes to all outpatient discharges across HHC/SSO. They are a critical part of our system as they are mandated with the responsibility of ensuring high levels of coding accuracy for appropriate reimbursement for the high quality of patient care that we provide. Outpatient coders are all certified, well experienced, and have received extensive training and education in understanding of various medical terminologies, anatomy and physiology, biology, pathophysiology, pharmacology and all major diseases. 
There is close collaboration with inpatient coder and other revenue cycle departments, as well as quality management department. This collaboration is crucial to produce clean claims, and improved quality measure scores. Currently approximately 72% of the coding team is remote. Primary location for onsite coder is the ERD building on the HH campus. 

Position Summary:

Reviews and validates outpatient clinical documentation and diagnostic results. Extracts data and assigns alpha numeric codes for billing, internal and external statistical reporting, research, regulatory compliance and reimbursement. Complexity of skills includes but is not limited to the following:

DIAGNOSTIC & PROCEDUREAL CODING

• Professional Specialty Services
• Emergency Services
• Observation
• Same day surgery  Surgical Pain Clinic
• Infusion Services  Electrophysiology
• Cardiac Catheterizations  Orthopedic

Position Responsibilities:

1. Coding 
• Applies knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes. 
• Analyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Ninth Edition Clinical Modification (ICD 9 CM)/ICD-10 (Tenth Edition), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes utilizing designated software to included Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required.
• Adheres to all department coding procedures, policies, and guidelines and quality standards.
2. Finance 
• Complete on a daily basis cases that have been assigned to them utilizing the appropriate work lists.
• Review claim edits and revise coding/charging as appropriate for specific CPT/HCPCS codes. 
• Review claims returned from various departments due to edits and process corrections for clean claim submission or post claim denial review for appeal.
3. Communication 
• Seeks clarification from physicians or other staff in cases where documentation is absent, ambiguous, or contradictory.
4. Training
• As assigned, assists in training new coders and/or physicians to become acclimated to the environment and in understanding internal coding policies and procedures, and documentation guidelines.
5. Other
• Assists manager with special projects/other tasks as assigned
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.

Qualifications

Education: High school diploma or General Education Development ( GED) required. Associate Degree preferred.

Experience:Two to four years of progressive on-the-job experience in an acute care hospital or physician office.

License and Certification: Certified Procedural Coder (CPC), Certified Professional Coder – Hospital Outpatient (CPCH) or Certified Coding Specialist (CCS) certification required and maintained thereafter.

Knowledge Of:

• ICD 9 CM/ICD-10-CM diagnostic and CPT/HCPCS procedure codes
• Working knowledge of clinical information 
• Microsoft Office Products; Word, Excel
• Encoder and/or CAC

Skills:

• Read, write and speak English proficiently.
• Solid analytical capabilities.
• Good organizational skills.
• Proficiently read and interpret physician writing.

Ability To:

• Function independently.
• Handle multiple priorities.
• Listen and acknowledge ideas and expressions of others attentively.
• Converses clearly using appropriate verbal and body language.
• Collaborate with others to achieve a common goal through mutual cooperation. 
• Influence others for positive and productive outcomes.

We take great care of careers.

With 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 – 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 work/life balance. Every moment matters. And this is your moment.