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Coding Reviewer Jobs in Connecticut (NOW HIRING)

Varsity Tutors

Vibe Coding Tutor

Hartford, CT · Remote

$40/hr

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Varsity Tutors

Vibe Coding Tutor

New Haven, CT · Remote

$40/hr

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Varsity Tutors

Vibe Coding Tutor

Stamford, CT · Remote

$40/hr

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Varsity Tutors

Vibe Coding Tutor

Bridgeport, CT · Remote

$40/hr

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Varsity Tutors

Vibe Coding Tutor

Norwalk, CT · Remote

$40/hr

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

DaMar Staffing

Medical Coding Auditor

Glastonbury, CT · On-site

Review payer DRG downgrade denials to assess validity and potential for appeal. * Analyze medical records, coding and clinical documentation to support the billed DRG using ICD-10-CM/PCS guidelines ...

DaMar Staffing

Medical Coding Auditor

Torrington, CT · On-site

Review payer DRG downgrade denials to assess validity and potential for appeal. * Analyze medical records, coding and clinical documentation to support the billed DRG using ICD-10-CM/PCS guidelines ...

divvyDOSE

Senior Coding Educator

Hartford, CT · On-site

$27.50 - $31.25/hr

Ability to review and interpret Client Coding Guidelines (CCGs) for training delivery unique to the client * Identify and evaluate innovative educational methodology that may be appropriate for the ...

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Coding Reviewer information

What is a coding reviewer?

Coding Reviewers are professionals responsible for evaluating, analyzing, and verifying code written by other developers to ensure it meets established standards and best practices. They check for errors, maintainability, security vulnerabilities, and adherence to coding guidelines. Their feedback helps improve code quality, reduce bugs, and facilitate team collaboration. Coding Reviewers often participate in code walkthroughs, pull request reviews, and may also mentor junior developers.

How does a coding reviewer typically collaborate with software development teams during the review process?

Coding Reviewers work closely with developers by examining code for quality, consistency, and adherence to best practices before it is merged into the main codebase. They often provide constructive feedback through code review tools or meetings, helping developers understand and resolve issues. Effective collaboration also involves clear communication to ensure that suggested changes are well-understood and implemented, fostering continuous improvement and knowledge sharing within the team.

What are the key skills and qualifications needed to thrive as a coding reviewer, and why are they important?

To thrive as a Coding Reviewer, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), healthcare regulations, and relevant clinical terminology, typically supported by a certification like CPC or CCS. Familiarity with electronic health records (EHR) systems, coding audit tools, and healthcare compliance software is essential. Strong attention to detail, analytical thinking, and effective communication skills help Coding Reviewers identify errors and provide clear feedback. These skills ensure accurate billing, regulatory compliance, and optimized revenue cycles in healthcare organizations.

What is the difference between Coding Reviewer vs Medical Coder?

AspectCoding ReviewerMedical Coder
CredentialsCertification in coding (e.g., CPC, CCS)Certification in coding (e.g., CPC, CCS)
Work EnvironmentReviewing medical codes, often in healthcare settingsAssigning medical codes from patient records
Industry UsageUsed in hospitals, clinics, insurance companiesUsed in hospitals, clinics, billing companies
Primary RoleReview and validate coding accuracyAssign and input medical codes

Both Coding Reviewers and Medical Coders require similar certifications and work in healthcare environments. Coding Reviewers focus on verifying the accuracy of codes assigned by others, ensuring compliance and correctness. Medical Coders are responsible for assigning the initial codes based on medical records. While their roles are interconnected, Coding Reviewers primarily audit and validate, whereas Medical Coders handle the coding process itself.

Coding Reviewer jobs near you

Medical Coding and Billing Specailist Full Time 40 hours

Bristol, CT • On-site

BRISTOL HOSPITAL GROUP
1 - 5K employees
Learn more about BRISTOL HOSPITAL GROUPexternal

$18.75 - $24/hr

Full-time

Re-posted 4 days ago

Key responsibilities

  • Reviews provider documentation to abstract billable professional services accurately and timely.

  • Assigns, reviews, corrects, adds, or deletes CPT, HCPCS, modifier, and ICD-10-CM diagnosis codes based on documentation and guidelines.

  • Reviews coding-related denials and edit failures, and collaborates to resolve coding issues and improve workflows.

Bristol Hospital rating

5.8

Company rating: 5.8 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents, and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect, and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.
The Medical Coding and Billing Specialist is responsible for reviewing provider documentation and abstracting professional services to ensure accurate code assignment, charge integrity, claim compliance, and appropriate reimbursement. This role performs provider progress note abstraction; reviews, corrects, adds, or deletes CPT/HCPCS, modifier, and ICD-10-CM diagnosis codes as supported by documentation; analyzes coding-related denials and edit failures; identifies denial trends; helps implement rules and edits within applicable systems; and provides coding and documentation education to providers, MSG offices, and hospital departments.
Essential Job Functions and Responsibilities:
  • Reviews provider progress note, procedure note, and related medical record documentation to abstract billable professional services accurately and timely.
  • Assigns, reviews, validates, and when appropriate corrects, adds, or deletes CPT, HCPCS, modifier, and ICD-10-CM diagnosis codes based on provider documentation, coding guidelines, payer requirements, and internal billing rules.
  • Performs charge review and coding reconciliation for professional services to ensure encounters are coded completely, accurately, and in compliance with payer and regulatory requirements.
  • Reviews coding-related denials and edit failures, including but not limited to denials for: MUE, NCCI edits, modifier-related, diagnosis/procedure mismatch, invalid or missing diagnosis.
  • Identifies opportunities to reduce preventable denials by recommending and helping implement edits, rules, review workflows, and system controls within applicable billing and clinical systems.
  • Applies and maintains coding and billing edits in coordination with operational (Vitalware/AMA Coding Guidelines), billing, revenue integrity, and information systems teams to support compliant claim generation and clean claim performance.
  • Communicates directly with providers and designated office staff regarding documentation clarification, coding corrections, missing elements, modifier use, diagnosis specificity, and other issues needed to support compliant billing.
  • Provides education and feedback to providers.
  • Performs retrospective and prospective coding reviews to identify missed charges, unsupported codes, documentation deficiencies, and compliance risks.
  • Collaborates with fellow coding team as well with billing, compliance, and departmental leadership to resolve coding issues, improve workflows, and support reimbursement optimization while maintaining coding compliance.
  • Works assigned work queues, reports, edits, and denial inventories in a timely manner and meets productivity and accuracy expectations.
  • Uses Meditech and eClinicalWorks to review documentation, manage encounters, apply coding updates, and support charge and billing workflow.

Minimum Requirements:
  • High school diploma or equivalent
  • At least 2-4 years of experience in professional coding, medical billing, charge review, denial analysis, or closely related healthcare revenue cycle work preferred
  • Strong understanding of CPT/HCPCS codes, ICD-10-CM diagnosis coding, modifiers, and medical terminology
  • Experience reviewing provider documentation and abstracting services from progress notes and other clinical documentation
  • Experience reviewing and resolving coding denials, including MUE, NCCI/NCCO, modifier, medical necessity, diagnosis mismatch, and documentation-related denials preferred
  • Experience with Professional Billing preferred
  • Experience with Meditech and eClinicalWorks strongly preferred
  • Basic understanding of insurance terminology and payer guidelines
  • Coding certification required (CPC, CCS, CIC, COC, CBCS ,CMC).

Key Skills:
  • Provider note abstraction and coding review
  • CPT/HCPCS, ICD-10-CM, and modifier knowledge
  • Denial analysis and trend identification
  • Knowledge of MUE and NCCI/NCCO edit logic
  • Medical terminology and documentation interpretation
  • Critical thinking and root cause analysis
  • Experience with Meditech and eClinicalWorks

Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

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