Outpatient Coder 2 Certified / HIM Coding

DaMar Staffing; Farmington (CT); On-site; USD 55,000 - 75,000; Full time

Job summary

Hartford HealthCare is seeking a Coding Specialist to review and validate outpatient and professional clinical documentation. You will extract data and assign alpha-numeric codes for billing, reporting, and regulatory compliance.

The role requires strong knowledge of anatomy and disease processes, with coding using CAC/encoder tools and coding manuals. You will work as part of the System Support Office to support system-wide reporting and reimbursement.

Responsibilities

• Applies anatomy, physiology, disease processes, pharmacology, and coding terminology to assign diagnosis and procedure codes.
• Analyzes medical records, interprets documentation, and assigns ICD-10-CM, CPT/HCPCS codes, modifiers, and E/M codes using coding software.
• Enters charges for procedures not coded as instructed for certain patient types.
• Adheres to department coding/charging procedures, policies, guidelines and quality standards.
• Completes daily cases using appropriate work lists.
• Codes complex accounts across services including Professional Specialty, Emergency, Observation, Same day surgery, Pain Clinic, Infusion, Electrophysiology, Cardiac Catheterizations, LifeStar, Orthopedic, Critical Care.

Job description

Coding Specialist

Work where every moment matters.

Every day, more than 40,000 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.

Position 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.

Position Responsibilities:

Key Areas of Responsibility

1. 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.
2. 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.
3. Enters charges for procedures that are not soft coded as instructed for certain patient types.
4. Adheres to all department coding/charging procedures, policies, guidelines and quality standards.
5. Completes on a daily basis cases that have been assigned to them utilizing the appropriate work lists.
6. 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
• LifeStar
• Orthopedic
• Critical Care