Outpatient Coder 2 Certified / PB Coding

Work where every moment matters. Every day, over 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 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. Codes complex diagnostic and procedural accounts, which includes but is not limited to the following: u00b7 Professional Specialty Services u00b7 Emergency Services u00b7 Observation u00b7 Same day surgery u00b7 Pain Clinic u00b7 Infusion Services u00b7 Electrophysiology u00b7 Cardiac Catheterizations u00b7 Orthopedic _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. 2. Analyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICDu201110u2011CM), 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: u00b7 Emergency Services u00b7 Observation u00b7 Same day surgery u00b7 Surgical u00b7 Pain Clinic u00b7 Infusion Services u00b7 Electrophysiology u00b7 Cardiac Catheterizations u00b7 Orthopedic 7. Assists manager with special projects/other tasks as assigned 8. 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. 9. Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards). Issue Resolution 1. Reviews claim edits and revises coding/charging as appropriate for specific range of ICD-10-CM/CPT/HCPCS codes. 2. Reviews accounts returned from various departments and processes corrections for clean claim submission or posts claim denial review for appeal. Communication 1. Seeks clarification from physicians or other staff in cases where documentation is absent, ambiguous, or contradictory. 2. Makes corrections based on collaboration with clinician or designee. Training 1. As assigned, assists in training new coders to become acclimated to the environment and in understanding internal coding policies and procedures, and documentation guidelines. _Working Relationships:_ Job Title of Individual(s) Reports To:Outpatient or Professional Coding Manager Education u00b7 Associateu2019s Degree or equivalent experience Experience u00b7 Minimum: Two years of progressive on-the-job experience in an acute care hospital or physicianu2019s office. u00b7 Preferred: Two to four years of progressive on-the-job experience in an acute care hospital or physicianu2019s office. Licensure, Certification, Registration u00b7 CPC, CPCH, or CCS certification 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 CPT/HCPCS procedure codes 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 Use independent judgment to solve problems. 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: Coding and Billing Organization: Hartford HealthCare Corp. Title: Outpatient Coder 2 Certified / PB Coding Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566) Requisition ID: 26152007

Created: 2026-03-07