- Baystate Health (Springfield, MA)
- …departmental policy on productivity and quality. **8)** Assists in training of Coding Specialist -Associate when needed. **Required Work Experience:** 2-4 years ... little direction. **Education:** GED or HiSET (Required) **Certifications:** Certified Coding Specialist - American Health Information Management… more
- CVS Health (Hartford, CT)
- …**Required Qualifications** + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician). + CRC (Certified Risk Adjustment Coder) must ... proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and...written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding … more
- CVS Health (Hartford, CT)
- …, and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
- Hartford HealthCare (Hartford, CT)
- …Registration Medical Coding Certification, Certified Professional Coder (CPC), Certified Coding Specialist - Physician (CCS-P) or Certified Coding ... Coder Educator develops and implements an enterprise-wide risk adjustment coding and documentation education program to support documentation practices among… more
- The Cigna Group (Bloomfield, CT)
- …of Professional Coders (AAPC):** **o Certified Professional Coder (CPC)** **o Certified Coding Specialist for Providers (CCS-P)** **o Certified Coding ... The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical… more
- Highmark Health (Hartford, CT)
- … coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + ... data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts...and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates… more
- Baystate Health (Springfield, MA)
- …Twitter @BaystateCareers. **Education:** GED or HiSET (Required) **Certifications:** Certified Coding Specialist - American Health Information Management ... more accurate billing. **2)** Validates and identifies appropriate ICD-9 (ICD-10) diagnosis coding as it pertains to specific risk adjustments and correct coding… more
- Datavant (Hartford, CT)
- …to realize our bold vision for healthcare. As an **Inpatient 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.… more
- Datavant (Hartford, CT)
- …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer… more
- Datavant (Hartford, CT)
- …vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will… more
- Datavant (Hartford, CT)
- … practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding , billing, utilization ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
- University of Connecticut (UConn) (Storrs, CT)
- …Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the accurate and ... office. This position reports to the Student Health and Wellness Insurance Specialist Manager. SHaW is committed to diversity and inclusion, competence in working… more
- Robert Half Accountemps (Hartford, CT)
- Description We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team in a hybrid capacity. The ideal candidate will be ... clinical and QA teams to ensure proper documentation and coding . + Lead internal and external meetings related to...Associate's degree preferred. + Certification in Medical Billing and Coding strongly preferred. + Minimum of 2 years of… more
- Deloitte (Hartford, CT)
- US Global - Relocation Services - Senior Relocation Specialist Deloitte's US Global organization is seeking a Senior Relocation Specialist . You will work closely ... Preferred: + Certified Relocation Professional (CRP) and/or Global Mobility Specialist (GMS) designations + Experience with relocation databases specifically,… more
- Eastern Connecticut Health Network (Manchester, CT)
- …modalities + The International Classification of Disease for Oncology (ICD-O) coding system, medical and surgical terminology, personal computers, and automatic data ... State of Connecticut and the AcoS CoC abstracting and staging guidelines, ICD-O coding rules, Seer Summary Staging and AJCC staging guidelines. + Maintains current… more
- Baystate Health (Springfield, MA)
- …needed, based on findings from Reimbursement Issues and Appeals and or Coding . **6)** Accurately records and files all third party payer information, reimbursement ... inquiries and appeals in process. **7)** Interacts effectively with external contacts. Keeps supervisor advised of issues and changes in volume that can effect meeting unit or department expectations **8)** Accurately records productivity and other information… more
- Fujifilm (Hartford, CT)
- …trending. + Provide guidance to customer on best practice for proper billing, coding , and collection under current commercial and federal payer rules for local ... environment. + Develops project summary documents such as workflow diagrams, site profile summaries, and Compiles data on specific functions, as required. + Manages client expectations to ensure customer satisfaction. This position can include both… more
- Red Hat (Hartford, CT)
- …Git, Python (or other similar/relevant experience + Experience in scripting and coding (especially Python) + Expert level hand-on experience with AAP + High-level ... familiarity with Chef, Puppet, Salt, and others in the space Significant technical experience in at least one major IT domain, such as + Infrastructure-as-a-Service (IaaS) or Platform-as-a-Service (PaaS) solutions + Linux-based workloads + Continuous… more
- MetLife (Bloomfield, CT)
- …by team member(s) within authority limit including Financial accuracy of coding Claims System including accurate claim Benefit Amount/Salary and appropriately ... investigates other income/offsets in accordance with Customer's plan/policy * Managing operation efficiency goals and provides positive reinforcement to team members that is directly linked to their behaviors and performance objectives and maintains data… more
- Hartford HealthCare (Mansfield Center, CT)
- …and their clients' families. The Quality Assurance & Performance Improvement ("QAPI") Specialist is an individual that will be assisting with agency efforts toward ... and data-drive approach to maintaining and improving safety and quality. The QAPI Specialist compiles trends and reports quality data in patient care, safety, risk… more