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Inpatient Coder 3 Certified / HIM Coding

Hartford HealthCare - Farmington, CT

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Job Description

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 Connecticutu2019s 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 inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and all types of multifaceted accounts which includes, but is not limited to, interventional radiology, interventional cardiology, cardiovascular surgeries, major transplants, neurovascular surgeries, spinal fusions and coding level 1 trauma (multi significant) _Position Responsibilities:_ Key Areas of Responsibility Coding 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 for more complex accounts. 2. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to included Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material. 3. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment. 4. Reviews high dollar and more complex cases including but not limited to, medical, surgical, behavioral health and IP Rehabilitation. 5. Applies IRF-PAI guidelines for IP Rehabilitation coding. 6. Adheres to all department coding procedures, policies, guidelines and quality standards. 7. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines. 8. Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards). Issue Resolution 1. Complete on a daily basis cases that have been assigned for review of edits, etc. Communication 1. Collaborates with clinical documentation specialists (CDS) to determine appropriate DRG assignment for compliance and reimbursement purposes. 2. Collaborates with Quality Management and other departments (Billing Registration, etc.) as required. 3. Seeks clarification from attending physician in cases where documentation is absent, ambiguous, or contradictory. Training 1. Assists in training and mentoring new coders to become acclimated to new environment, and understand internal coding policies and procedures _Working Relationships:_ This position reports to Inpatient Coding Manager Education u00b7 Associateu2019s Degree or equivalent experience Experience u00b7 Minimum: Two to three years of progressive on-the-job experience in an acute care hospital. u00b7 Preferred: Two to four years of progressive on-the-job experience in an acute hospital. Licensure, Certification, Registration u00b7 Certified Coding Specialist (CCS) required and maintained thereafter. Language Skills u00b7 Strong written and verbal communication skills. Knowledge, Skills and Ability Requirements: Strong knowledge of: u00b7 ICDu201110-CM diagnostic and ICD-10-PCS procedure codes u00b7 UHDDS u00b7 Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) u00b7 IP Rehabilitation coding rules for IRF-PAI u00b7 Clinical information related to areas of responsibility u00b7 Microsoft Office Products; Word, Excel u00b7 Encoder and/or CAC Skills: u00b7 Read, write and speak English proficiently. u00b7 Strong analytical capabilities. u00b7 Strong organizational skills. u00b7 Proficiently read and interpret physician writing. Strong ability to: u00b7 Function independently. u00b7 Handle multiple priorities. u00b7 Listen and acknowledge ideas and expressions of others attentively. u00b7 Converse clearly using appropriate verbal and body language. u00b7 Collaborate with others to achieve a common goal through mutual cooperation. u00b7 Influence others for positive and productive outcomes u00b7 Work across the Hartford HealthCare System. _We take great care of careers._ With 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 u2013 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 work/life balance. Every moment matters. And this is your moment. Job: Medical Records / Health Information Organization: Hartford HealthCare Corp. Title: Inpatient Coder 3 Certified / HIM Coding Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566) Requisition ID: 25162721

Created: 2025-12-05

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