Description

Job Schedule: Part Time
Standard Hours: 24
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 complex diagnostic and procedural accounts, which includes but is not limited to the following:

Professional Specialty Services

Emergency Services

Observation

Same day surgery

Pain Clinic

Infusion Services

Electrophysiology

Cardiac Catheterizations        

Orthopedic

 JOB RESPONSIBILITIES

Key Areas of Responsibility

Coding

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.

Analyzes 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.

Enters charges for procedures that are not soft coded as instructed for certain patient types.

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

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

Codes complex diagnostic and procedural accounts, which includes but is not limited to the following:

Emergency Services

Observation

Same day surgery

Surgical

Pain Clinic

Infusion Services

Electrophysiology

Cardiac Catheterizations        

Orthopedic

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.

 Training

As assigned, assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures, and documentation guidelines.

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

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

Licensure, Certification, Registration

CPC, CPCH, or CCS certification required and maintained thereafter.

Language Skills

Strong written and verbal communication skills.

Knowledge, Skills and Ability Requirements:

Strong 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.

Strong analytical capabilities.

Strong organizational skills.

Proficiently read and interpret physician writing.

 Strong 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.

Use independent judgment to solve problems.

Work across the Hartford HealthCare System.

Preferred Requirements

Experience

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

Knowledge, Skills and Ability Requirements:

Strong 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.

Strong analytical capabilities.

Strong organizational skills.

Proficiently read and interpret physician writing.

 Strong 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.

Use independent judgment to solve problems.

Work across the Hartford HealthCare System.

 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.