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Outpatient Coder 1 Certified / PB Coding

Requisition ID:

21161720

Business Unit:

Hartford HealthCare Corp.

Location:

Newington, CT

Are you an HHC Employee? Click here to apply

 

Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details:

Work where every moment matters.

Every day, almost 35,000 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.

JOB SUMMARY

Reviews 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 reimbursement.

Codes the least complex OP accounts, which includes but is not limited to the following:

Professional Primary Care Services

Ancillary Services

Gastrointestinal

Undelivered/Labor & Delivery

Cardiology

Eye Center

Life Star

Certified Coding Specialist (CCS) required within 12 months from date of hire and maintained thereafter.

JOB RESPONSIBILITIES

Key Areas of Responsibility

Coding

Applies basic knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign the appropriate assignment of diagnosis and procedure codes for the least complex accounts.

Examines medical records, reviews 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.

Adheres to all department coding procedures, policies, guidelines and quality standards.

Completes on a daily basis cases that have been assigned to them utilizing the appropriate work lists.

Codes the least complex cases, including but is not limited to the following:

Professional Primary Care Services

Ancillary Services

Gastrointestinal

Undelivered/Labor & Delivery

Cardiology

Eye Center

Life Star

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.

Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards).

Issue Resolution

Reviews claim edits and revises coding/charging as appropriate for specific range of ICD-10-CM/CPT/HCPCS codes. 

Reviews accounts returned from various departments and processes corrections for clean claim submission or posts claim denial review for appeal.

Communication

Seeks clarification from physicians or other staff in cases where documentation is absent, ambiguous, or contradictory.

Makes corrections based on collaboration with clinician or designee.

WORKING RELATIONSHIPS

This position reports to Outpatient or Professional Coding Manager

Qualifications

REQUIREMENTS AND SPECIFICATIONS

Minimum Requirements

Education:

Associate’s Degree or equivalent experience

Experience

Zero to one year of progressive on-the-job experience in an acute care hospital or physician’s office.

Licensure, Certification, Registration

CPC, CPCH, or CCS certification required within 12 months from date of hire and maintained thereafter.

Language Skills

Strong written and verbal communication skills.

Knowledge, Skills and Ability Requirements:

Basic knowledge of:

ICD‑10-CM diagnostic and CPT/HCPCS procedure codes

Clinical information related to areas of responsibility

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.

Converse 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

Preferred Requirements

Experience

One year of progressive on-the-job experience in an acute care hospital or physician’s office.

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.

 
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