Health Information Management position at Connecticut Children’s applying diagnostic codes for inpatient claims processing and data quality. Requires residency in CT, MA, or NY or willingness to relocate.
Responsibilities
Apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing.
Create consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services.
Requirements
Education Required: Associate's degree or equivalent training acquired through at least three years on-the-job experience.
Experience Preferred: Successful completion of a coding certificate program with AHIMA approval status preferred.
Certification is required within one year of hire; acceptable certifications for this position include:
American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA
American Academy of Professional Coders (AAPC).
Knowledge of coding guidelines for using ICD-9-CM (Volumes 1, 2, and 3), ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II codes in inpatient and outpatient settings.
Extensive knowledge of anatomy and medical terminology.
Maintains, and increases knowledge of issues that affect coding and billing and the healthcare industry.
Regulatory requirements pertaining to healthcare operations in the practice and hospital settings.
Advanced Computer skills, PC experience w/ Windows-based applications.
Keyboarding skills with ability to type 40 wpm minimum.
Analyze complex medical records and identify billable services.
Work with individuals at all levels within the organization and the community; effectively communicate with providers.
Manage and prioritize workloads to meet deadlines.
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