Certified Professional Coder - Posting for Southern New England ENT Employees Only - 4251

Middlesex Health; Cheshire (CT); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive benefits package

Continuing Education assistance

Tuition reimbursement

Job summary

Middlesex Health ENT and Facial Plastic Surgery in Connecticut seeks a Certified Professional Coder (CPC or CPC-A) to review medical records, ensure accurate coding, and optimize professional billing for ENT services. Positions available as full-time or part-time across New Haven, Middletown, Cheshire, and Guilford.

The ideal candidate holds CPC/CPC-A, a high school diploma or GED, and experience with ICD-10, CPT and HCPCS within Epic-based workflows.

Qualifications

• High school diploma or GED.
• Certified Professional Coder (CPC or CPC-A) is required.

Responsibilities

• Review electronic medical records for coding and billing accuracy.
• Code diagnoses and procedures using ICD-10, CPT, HCPCS.
• Verify documentation supports diagnosis and treatment for billing purposes.
• Attend PB meetings to discuss Epic billing issues.
• Monitor work queues and denials to ensure accurate codes and charges.

Education

Certified Professional Coder (CPC or CPC-A)

High School diploma or GED

Tools

ICD-10

CPT

HCPCS

Job description

Certified Professional Coder

This posting is only for current Southern New England ENT employees. Positions will be offered in New Haven, Middletown, Cheshire, and Guilford.

Position Highlights

• Department: Middlesex Health ENT and Facial Plastic Surgery
• Hours: Full-Time & Part-Time Positions

Summary

Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing.

Responsibilities

• Review of electronic medical records initiated by a healthcare provider.
• Coding of paper based records may need to be accomplished.
• Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.
• Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures.
• Codes and/or reviews principal diagnosis, comorbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding Systems (HCPCS all levels, and any other coding classification systems that may be required).
• Perform edit checks on data entered prior to transmittal and correct errors as indicated.
• Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.
• Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described.
• Perform other miscellaneous administrative duties as assigned.
• Attend PB meetings to discuss Epic billing issues
• Monitor work queues daily (Review denials and transfer corrections to appropriate staff, monitors WQ for codes and charges for all SA providers).
• Print daily PA reports to capture and code all consults, assistant charges, etc.

Minimum Qualifications

• High school diploma or equivalent General Educational Development (GED) certificate.
• Certified Professional Coder (CPC or CPC-A) is required

Comprehensive Benefits Offered

• Competitive and affordable benefits package
• Shift Differentials
• Continuing Education assistance
• Tuition reimbursement
• Student Loan relief through Fiducius
• Quick commute access from I-84, Route 9 and surrounding areas

About Middlesex Health

The Smarter Choice for your Career!

Come join one of Connecticut's Top Workplaces, and a Magnet-designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.