Connecticut Licensed Medical Coder

Job Summary

To support Yale Medicine Administration, the full-time remote Connecticut Licensed Medical Coder will review charge submissions for compliance with coding guidelines, ensure accurate billing of professional charges, and maintain productivity in a fast-paced environment.

Key responsibilities

• Review clinical documentation to confirm diagnostic and procedural codes, ensuring compliance with established guidelines
• Verify information required for clean claims submission and ensure adherence to Teaching Physician guidelines
• Participate in team training and maintain professional knowledge through educational workshops and publications

Required qualifications

• General knowledge of ICD-10, CPT, HCPCS coding, medical terminology, and digital coding resources
• Experience with electronic health records and proficiency in MS Word, Excel, and Outlook
• Knowledge of Federal payer regulations, third-party payers, and HIPAA rules
• Certified Professional Coder Apprentice (CPC-A) certification required, with a goal to achieve CPC status within 2 years
• Four years of related work experience, including two years in a similar role, or an Associate's degree with relevant experience