Connecticut Children's
Professional Coder II
Connecticut Children's - Hartford, Connecticut, United States
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Overview
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Professional Coder II
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Professional Coder II
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Connecticut Children's Get AI-powered advice on this job and more exclusive features. JOB DESCRIPTION
The purpose of this position is to support the coding and charge capture needs of the Connecticut Children's Specialty Group providers. The Professional Coder will be responsible for abstracting diagnosis and service information from the medical record and assigning ICD-9-CM (or ICD-10-CM) diagnosis codes to support medical necessity for services and reporting provider services suing CPT/HCPCS codes and appropriate modifiers. The coder will assign codes in a compliant manner following CMS, AMA, and other governmental guidelines and principles. The practices in our multi-specialty surgical group include but are not limited to Orthopedics/Sports Medicine, Urology, GI, General Surgery, Neurosurgery, ENT, ED, Cardiology, and Interventional Radiology in a pediatric setting. Summary
JOB DESCRIPTION
The purpose of this position is to support the coding and charge capture needs of the Connecticut Children's Specialty Group providers. The Professional Coder will be responsible for abstracting diagnosis and service information from the medical record and assigning ICD-9-CM (or ICD-10-CM) diagnosis codes to support medical necessity for services and reporting provider services suing CPT/HCPCS codes and appropriate modifiers. The coder will assign codes in a compliant manner following CMS, AMA, and other governmental guidelines and principles. The practices in our multi-specialty surgical group include but are not limited to Orthopedics/Sports Medicine, Urology, GI, General Surgery, Neurosurgery, ENT, ED, Cardiology, and Interventional Radiology in a pediatric setting.
Responsibilities
ROLE RESPONSIBILITIES
The coder will monitor unbilled surgical/procedural services. The coder will review physician documentation of procedural services and assign appropriate diagnostic
(ICD-9-CCM and/or ICD-10-CM) and procedural codes (CPT/HCPCS).
The coder will enter and/or review charges for provider services. When coding for Emergency Department
encounters, charge capture may include facility services.
The coder will monitor charge review queues to ensure that all accounts flow through to billing
appropriately.
The coder will query physicians when code assignments are not straightforward or documentation in the
record is inadequate, ambiguous, or unclear for coding purposes.
The coder keeps abreast of coding guidelines and reimbursement reporting requirements. He/she brings
identified concerns to his/her supervisor for resolution.
The coder abides by the Standards of Ethical Coding as set forth by the American Health Information
Management Association and adheres to official coding guidelines.
Qualifications
EDUCATION and/or EXPERIENCE REQUIRED
Education Required: High School Diploma, GED, or a higher level of education that would require the completion of high school, is required.
Experience Required: 2 or more years' work experience in a healthcare setting or equivalent education. Multi-specialty surgery coding experience with CPT/HCPCS including modifiers and ICD-9-CM/ICD-10-CM coding for physician professionals
LICENSE And/or CERTIFICATION REQUIRED
REQUIRED: American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) or
American Health Information Management Association (AHIMA) Certified Coding Specialist – Physician- or Certified Outpatient Coding (COC)
PREFERRED: AAPC Specialty certification, AHIMA approved ICD-10-CM trainer based (CCS-P)
Knowledge, Skills And Abilities Required
KNOWLEDGE OF:
Extensive knowledge of anatomy and medical terminology. Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry. Regulatory requirements pertaining to healthcare operations in the practice and hospital settings. ICD-9-CM (Vol 1 and 2) Official Coding Guidelines CPT and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical
Coding, and the use of Modifiers
Data management techniques
SKILLS:
Advanced Computer skills, PC experience w/ Windows-based applications. Communication skills including strong verbal, written, and interpersonal skills. Keyboarding skills with ability to type 40 wpm minimum.
ABILITY TO:
Analyze complex medical records and identify billable services. Work with individuals at all levels within the organization and the community; effectively communicate with
providers.
Manage and prioritize workloads to meet deadlines. Research coding questions. Gather, review and compile information and prepare reports, often with deadlines Maintain quality and compliance standards Maintain confidentiality of information Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy
About Us
Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team. Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Engineering and Information Technology Industries Hospitals and Health Care Referrals increase your chances of interviewing at Connecticut Children's by 2x Sign in to set job alerts for “Coder” roles.
Medical Coder II, Inpatient Hospital Full Time Remote
Connecticut, United States $68,700.00-$123,700.00 4 days ago Service Support Administrative Assistant
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Professional Coder II
role at
Connecticut Children's Join to apply for the
Professional Coder II
role at
Connecticut Children's Get AI-powered advice on this job and more exclusive features. JOB DESCRIPTION
The purpose of this position is to support the coding and charge capture needs of the Connecticut Children's Specialty Group providers. The Professional Coder will be responsible for abstracting diagnosis and service information from the medical record and assigning ICD-9-CM (or ICD-10-CM) diagnosis codes to support medical necessity for services and reporting provider services suing CPT/HCPCS codes and appropriate modifiers. The coder will assign codes in a compliant manner following CMS, AMA, and other governmental guidelines and principles. The practices in our multi-specialty surgical group include but are not limited to Orthopedics/Sports Medicine, Urology, GI, General Surgery, Neurosurgery, ENT, ED, Cardiology, and Interventional Radiology in a pediatric setting. Summary
JOB DESCRIPTION
The purpose of this position is to support the coding and charge capture needs of the Connecticut Children's Specialty Group providers. The Professional Coder will be responsible for abstracting diagnosis and service information from the medical record and assigning ICD-9-CM (or ICD-10-CM) diagnosis codes to support medical necessity for services and reporting provider services suing CPT/HCPCS codes and appropriate modifiers. The coder will assign codes in a compliant manner following CMS, AMA, and other governmental guidelines and principles. The practices in our multi-specialty surgical group include but are not limited to Orthopedics/Sports Medicine, Urology, GI, General Surgery, Neurosurgery, ENT, ED, Cardiology, and Interventional Radiology in a pediatric setting.
Responsibilities
ROLE RESPONSIBILITIES
The coder will monitor unbilled surgical/procedural services. The coder will review physician documentation of procedural services and assign appropriate diagnostic
(ICD-9-CCM and/or ICD-10-CM) and procedural codes (CPT/HCPCS).
The coder will enter and/or review charges for provider services. When coding for Emergency Department
encounters, charge capture may include facility services.
The coder will monitor charge review queues to ensure that all accounts flow through to billing
appropriately.
The coder will query physicians when code assignments are not straightforward or documentation in the
record is inadequate, ambiguous, or unclear for coding purposes.
The coder keeps abreast of coding guidelines and reimbursement reporting requirements. He/she brings
identified concerns to his/her supervisor for resolution.
The coder abides by the Standards of Ethical Coding as set forth by the American Health Information
Management Association and adheres to official coding guidelines.
Qualifications
EDUCATION and/or EXPERIENCE REQUIRED
Education Required: High School Diploma, GED, or a higher level of education that would require the completion of high school, is required.
Experience Required: 2 or more years' work experience in a healthcare setting or equivalent education. Multi-specialty surgery coding experience with CPT/HCPCS including modifiers and ICD-9-CM/ICD-10-CM coding for physician professionals
LICENSE And/or CERTIFICATION REQUIRED
REQUIRED: American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) or
American Health Information Management Association (AHIMA) Certified Coding Specialist – Physician- or Certified Outpatient Coding (COC)
PREFERRED: AAPC Specialty certification, AHIMA approved ICD-10-CM trainer based (CCS-P)
Knowledge, Skills And Abilities Required
KNOWLEDGE OF:
Extensive knowledge of anatomy and medical terminology. Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry. Regulatory requirements pertaining to healthcare operations in the practice and hospital settings. ICD-9-CM (Vol 1 and 2) Official Coding Guidelines CPT and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical
Coding, and the use of Modifiers
Data management techniques
SKILLS:
Advanced Computer skills, PC experience w/ Windows-based applications. Communication skills including strong verbal, written, and interpersonal skills. Keyboarding skills with ability to type 40 wpm minimum.
ABILITY TO:
Analyze complex medical records and identify billable services. Work with individuals at all levels within the organization and the community; effectively communicate with
providers.
Manage and prioritize workloads to meet deadlines. Research coding questions. Gather, review and compile information and prepare reports, often with deadlines Maintain quality and compliance standards Maintain confidentiality of information Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy
About Us
Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team. Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Engineering and Information Technology Industries Hospitals and Health Care Referrals increase your chances of interviewing at Connecticut Children's by 2x Sign in to set job alerts for “Coder” roles.
Medical Coder II, Inpatient Hospital Full Time Remote
Connecticut, United States $68,700.00-$123,700.00 4 days ago Service Support Administrative Assistant
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr