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Coding Reviewer Jobs in Connecticut (NOW HIRING)

Northwell Health

Outpatient Coder II

Danbury, CT · On-site

$26.48 - $50.49/hr

Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: * Codes all outpatient medical records in a timely and accurate manner according to ...

Nuvance Health

Outpatient Coder II

Danbury, CT · Remote

Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: * Codes all outpatient medical records in a timely and accurate manner according to ...

Nuvance Health

Outpatient Coder II

Danbury, CT · Remote

$26.48 - $50.49/hr

Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: * Codes all outpatient medical records in a timely and accurate manner according to ...

AA2IT

Jode JS Developer

Stamford, CT · On-site

The role involves developing a web-based application, participating in code reviews, and collaborating with team members on architecture and design. Responsibilities : • Develop a web-based ...

ClifyX

UI Technical Architect

Hartford, CT · On-site

... code reviews • Optimize applications for performance, scalability, security and user experience • Follow Agile development methodology Qualifications : Required : • Bachelor degree in Computer ...

Northwell Health

Outpatient Coder II Per Diem

Danbury, CT · On-site

$26.48 - $50.49/hr

Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: * Codes all outpatient medical records in a timely and accurate manner according to ...

Nuvance Health

Outpatient Coder II Per Diem

Danbury, CT

$26.48 - $50.49/hr

Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: * Codes all outpatient medical records in a timely and accurate manner according to ...

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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

Outpatient Coder II

Danbury, CT • On-site

Northwell Health
Hospitals • 10K+ employees
Learn more about Northwell Healthexternal

$26.48 - $50.49/hr

Full-time

Re-posted 7 days ago

Northwell Health rating

7.7

Company rating: 7.7 out of 10

Based on 569 frontline employees who took The Breakroom Quiz

Job description

Description
FULLY REMOTE POSITION
Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees - including members of Northwell Health Physician Partners - who are working to change health care for the better.
Summary:
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.
Responsibilities:
  1. Codes all outpatient medical records in a timely and accurate manner according to department policy.
  2. 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.
  3. Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding.
  4. Enters all required information accurately into computer system for reimbursement and statistical purposes.
  5. As applicable based on facility workflow, independently reconcile charges for areas of responsibility. Uses patient schedule together with billing slips to identify missing charges. researches and resolves discrepancy so charge keyed reflect services delivered.
  6. Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%.
  7. Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines.
  8. Applies applicable guidelines to all cases coded to ensure accuracy of selected codes.
  9. Accesses and research applicable reference materials to further support decision-making in code selection.
  10. Participates in Performance Improvement/Quality Assurance activities.
  11. Reports on software and hardware problems.
  12. Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s)
  13. Maintains and Model the Organizations values.
  14. Demonstrates regular, reliable and predictable attendance.
  15. Performs other duties as required.

Education Skills Experience:
  • Associate degree or equivalent experience
  • Knowledge of ICD-10, CPT-4, Disease Pathology, Anatomy, Physiology and Medical Terminology
  • Advanced knowledge of Evaluation and Management Coding guidelines
  • 2-4 years of coding experience
  • Familiarity with MS Office applications
  • Usage of coding manuals and regulatory websites for research
  • Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): CPC, CPC-H, COC, CCS, CCS-P, RHIA, RHIT, or specialty certification required.

Other Information:
Minimum Knowledge, Skills, and Abilities Requirements:
Basic familiarity with MS Office applications (Word, Excel. Outlook)
Usage of coding manuals and regulatory websites for research
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 required.
Working Conditions:
Manual: Little or no manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 2069
Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING
Exempt: No
Salary Range: $26.48 - $50.49 Hourly

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