Work where every moment mattersEvery day over 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 systemPosition SummaryReviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosisprocedure codes and Medicare Severity Diagnosis Related Groups MS DRG Data is classified for internal and external statistical reporting research regulatory compliance and reimbursementCodes high dollar and more complex accounts including but not limited to medical surgical behavioral health IP Rehabilitation and othersPosition ResponsibilitiesKey Areas of ResponsibilityCodingApplies 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 for more complex accountsAnalyzes medical records using the Uniform Hospital Discharge Data Set UHDDS interprets documentation and assigns proper International Classification of Diseases Tenth Edition Clinical Modification ICD CM diagnoses and ICD Procedural Classification System PCS operative procedure codes utilizing designated software to included Computer Assisted Coding CAC andor encoder coding manuals and other reference materialReviews DRG assigned to each record Enters codedabstracted information into software analyzes DRG groupings and observes for appropriate DRG assignmentReviews high dollar and more complex cases including but not limited to medical surgical behavioral health and IP RehabilitationApplies IRF PAI guidelines for IP Rehabilitation codingAdheres to all department coding procedures policies guidelines and quality standardsAbides by the Standards of Ethical Coding as set forth by the American Health Information Management AssociationAmerican Association of Procedural Coders and adheres to official coding guidelinesMeets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsIssue ResolutionComplete on a daily basis cases that have been assigned for review of edits etcCommunicationCollaborates with clinical documentation specialists CDS to determine appropriate DRG assignment for compliance and reimbursement purposesCollaborates with Quality Management and other departments Billing Registration etc as requiredSeeks clarification from attending physician in cases where documentation is absent ambiguous or contradictoryTrainingAssists in training and mentoring new coders to become acclimated to new environment and understand internal coding policies and proceduresWorking RelationshipsThis position reports to Inpatient Coding ManagerWork where every moment mattersEvery day over 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 systemPosition SummaryReviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosisprocedure codes and Medicare Severity Diagnosis Related Groups MS DRG Data is classified for internal and external statistical reporting research regulatory compliance and reimbursementCodes high dollar and more complex accounts including but not limited to medical surgical behavioral health IP Rehabilitation and othersPosition ResponsibilitiesKey Areas of ResponsibilityCodingApplies 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 for more complex accountsAnalyzes medical records using the Uniform Hospital Discharge Data Set UHDDS interprets documentation and assigns proper International Classification of Diseases Tenth Edition Clinical Modification ICD CM diagnoses and ICD Procedural Classification System PCS operative procedure codes utilizing designated software to included Computer Assisted Coding CAC andor encoder coding manuals and other reference materialReviews DRG assigned to each record Enters codedabstracted information into software analyzes DRG groupings and observes for appropriate DRG assignmentReviews high dollar and more complex cases including but not limited to medical surgical behavioral health and IP RehabilitationApplies IRF PAI guidelines for IP Rehabilitation codingAdheres to all department coding procedures policies guidelines and quality standardsAbides by the Standards of Ethical Coding as set forth by the American Health Information Management AssociationAmerican Association of Procedural Coders and adheres to official coding guidelinesMeets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsIssue ResolutionComplete on a daily basis cases that have been assigned for review of edits etcCommunicationCollaborates with clinical documentation specialists CDS to determine appropriate DRG assignment for compliance and reimbursement purposesCollaborates with Quality Management and other departments Billing Registration etc as requiredSeeks clarification from attending physician in cases where documentation is absent ambiguous or contradictoryTrainingAssists in training and mentoring new coders to become acclimated to new environment and understand internal coding policies and proceduresWorking RelationshipsThis position reports to Inpatient Coding ManagerRequirements and SpecificationsEducationAssociatersquos Degree or equivalent experienceExperienceMinimum Two to three years of progressive on the job experience in an acute care hospitalPreferred Two to four years of progressive on the job experience in an acute hospitalLicensure Certification RegistrationCertified Coding Specialist CCS required and maintained thereafterLanguage SkillsStrong written and verbal communication skillsKnowledge Skills and Ability RequirementsStrong knowledge ofICD CM diagnostic and ICD PCS procedure codesUHDDSVarious DRG methodologies MS DRG APR DRG Tricare etcIP Rehabilitation coding rules for IRF PAIClinical information related to areas of responsibilityMicrosoft Office Products Word ExcelEncoder andor CACSkillsRead write and speak English proficientlyStrong analytical capabilitiesStrong organizational skillsProficiently read and interpret physician writingStrong ability toFunction independentlyHandle multiple prioritiesListen and acknowledge ideas and expressions of others attentivelyConverse clearly using appropriate verbal and body languageCollaborate with others to achieve a common goal through mutual cooperationInfluence others for positive and productive outcomesWork across the Hartford HealthCare SystemWe take great care of careersWith 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 ndash 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 worklife balance Every moment matters And this isyourmomentRequirements and SpecificationsEducationAssociatersquos Degree or equivalent experienceExperienceMinimum Two to three years of progressive on the job experience in an acute care hospitalPreferred Two to four years of progressive on the job experience in an acute hospitalLicensure Certification RegistrationCertified Coding Specialist CCS required and maintained thereafterLanguage SkillsStrong written and verbal communication skillsKnowledge Skills and Ability RequirementsStrong knowledge ofICD CM diagnostic and ICD PCS procedure codesUHDDSVarious DRG methodologies MS DRG APR DRG Tricare etcIP Rehabilitation coding rules for IRF PAIClinical information related to areas of responsibilityMicrosoft Office Products Word ExcelEncoder andor CACSkillsRead write and speak English proficientlyStrong analytical capabilitiesStrong organizational skillsProficiently read and interpret physician writingStrong ability toFunction independentlyHandle multiple prioritiesListen and acknowledge ideas and expressions of others attentivelyConverse clearly using appropriate verbal and body languageCollaborate with others to achieve a common goal through mutual cooperationInfluence others for positive and productive outcomesWork across the Hartford HealthCare SystemWe take great care of careersWith 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 ndash 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 worklife balance Every moment matters And this isyourmoment