Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.

Purpose:Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to assure compliance with all applicable regulations.

Essential Responsibilities:

Codes all outpatient medical records in a timely and accurate manner according to department policy

Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines

Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding

Enters all required information accurately into computer system for reimbursement and statistical purposes

Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines

Applies applicable guidelines to all cases coded to ensure accuracy of selected codes

Accesses and research applicable reference materials to further support decision-making in code selection.

Participates in Performance Improvement/Quality Assurance activities

Reports on software and hardware problems

Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s)

Maintain and Model Nuvance Health Values

Demonstrates regular, reliable, and predictable attendance Performs other duties as required

Education and Experience Requirements:

Associates degree or equivalent 4 years of coding experience

Minimum Knowledge, Skills and Abilities Requirements:

Knowledge of ICD-10, CPT-4, Disease Pathology, Anatomy, Physiology and Medical Terminology

Advanced knowledge of Evaluation and Management Coding guidelines

Basic familiarity with MS Office applications (Word, Excel. Outlook)

Usage of coding manuals and regulatory websites for research

License, Registration, or Certification Requirements:

Required: Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): CPC, CPC-H, CCS, CCS-P, RHIA, RHIT, or specialty certification

Location: Danbury-24 Hospital Ave

Work Type: Full-Time Standard Hours: 40.00

Work Shift: 8:00am - 4:30pm Org Unit: 265

Department: Coders

EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.

Salary Range: $22.25-$41.32