Hartford HealthCare · 4 months ago
HIM Audit Specialist / PB Coding
Farmington, CT
Full-time
Onsite
Mid Level
3+ years expHartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking an Audit Specialist to review clinical documentation for appropriate coding assignments. The role involves analyzing provider documentation, researching regulatory literature, and communicating findings to support training and process improvements.
Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
Responsibilities
Analyze provider documentation for appropriate assignment of Evaluation and Management (EM) CPT, ICD-10, and modifiers. Audit charts assigned timely and efficiently providing feedback from the audit to the educators
Researches literature from regulatory groups such as; HHS/OIG, Medicare, Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines to keep organization current with regulatory requirements and accepted audit practices
Communicate with team members on findings from the chart audits to help support and create training material for the providers
Help support creating documentation templates designed for specialty/client, e.g., medical reports, monitoring/analysis reports, continuous auditing tools, etc. to insure appropriate documentation is captured for services rendered
Identity’s common documentation and coding issues and process improvement and effectively communicates with team the findings
Qualification
Required
Minimum: High School Diploma
3 years' work experience with CPT, HCPCS and ICD-10 coding conventions required
Chart review of documentation of Evaluation and Management
Experience with interpreting Medicare, Medicaid and third-party billing and compliance regulations necessary
CPC, CCS-P, or CCS certification required and maintained thereafter
Maintain required daily productivity
Function independently
Collaborate with others to achieve a common goal through mutual cooperation
Commitment to maintain complete confidentiality of patient health information
Will require remote auditing of records
Must be able to excel in a fast paced business environment handling multiple priorities
Must be highly effective in both written and oral communication
Must be able to exercise appropriate judgment when making decisions
Good organizational skills
Proficiently read and interpret physician writing
Solid analytical capabilities
Preferred
Associates Degree
Experience working with CMS, health insurers strongly desired
Experience auditing documentation preferred
Experience with Word, Excel and PowerPoint required
Knowledge of business systems, e.g., Epic, Healthicity, Intel Code preferred
CPMA
Benefits
Competitive benefits program designed to ensure work/life balance
Company
Hartford HealthCare
Hartford HealthCare is a group of hospitals that offers complete healthcare services including cancer care, rehabilitation and pharmacy.
10001+ employees
H1B Sponsorship
Hartford HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (2)
2023 (4)
2022 (6)
2021 (4)
2020 (8)
Funding
Current Stage
Late StageTotal Funding
$150MKey Investors
Connecticut Health and Educational Facilities Authority
2024-04-01Debt Financing· $150M
Leadership Team
Jeffrey Flaks
President & Chief Executive Officer, Hartford HealthCare
Bimal Patel
Executive Vice President/ Chief Operating Officer
Recent News
Hartford Business Journal
2025-12-18
Company data provided by crunchbase