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Coding Specialist (32728) in Rocky Hill, Connecticut at GI Alliance

NewSalary: $27.91 - $36.96/hrIndustry: Healthcare / Health ServicesJob Function: Medical
GI Alliance
Rocky Hill, Connecticut, 06067, United States
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Job Description

Coding Specialist (32728)
Job DetailsJob Location: CTGI Central Clinic - Rocky Hill, CT 06067
Position Type: Full Time
Job Shift: Day
Description

Description


Coding Certification Required (CPC, CCS, or equivalent)
Connecticut GI, a division of GI Alliance, is looking for a full-time experienced Coding Specialist to join our Billing Department! We are the largest gastroenterology practice in the state of Connecticut with over 30 Care Centers and still growing. Our employees are the foundation of our practice, and we pride ourselves on the fact that we have been named a TOP WORKPLACE 8 times! Our team of clinical and administrative support staff work collaboratively with our physicians and advanced practitioners to provide our patients with the most comprehensive and compassionate care. Here at CTGI our promise is to treat every patient as if they were a member of our own families, and we are looking for team members who also embody this vision!

A Short List of Reasons Why You Should Work For CTGI


  • Selected as a Top Workplace 8 Times


  • Selected as a Top Workplace 8 Times


  • Competitive Pay


  • Competitive Pay


  • Very Fast-Growing Practice


  • Very Fast-Growing Practice


    Position Summary


    The Coding Specialist performs advanced coding and charge review functions requiring certified-level expertise. This role independently interprets clinical documentation, assigns CPT/HCPCS and ICD10 codes, applies modifiers, and ensures compliance with payer, regulatory, and organizational guidelines. Support denial prevention, coding accuracy, and revenue integrity across assigned specialties.


    Key Responsibilities


  • Independently review clinical documentation and assign accurate CPT/HCPCS and ICD10 codes


  • Independently review clinical documentation and assign accurate CPT/HCPCS and ICD10 codes


  • Apply modifiers and coding rules in accordance with CMS, AMA, and payer-specific guidelines


  • Apply modifiers and coding rules in accordance with CMS, AMA, and payer-specific guidelines


  • Resolve complex charge review edits and coding-related claim issues


  • Resolve complex charge review edits and coding-related claim issues


  • Perform coding quality checks and provide feedback to providers or operational teams


  • Perform coding quality checks and provide feedback to providers or operational teams


  • Identify trends in denials or documentation gaps and escalate for process improvement


  • Identify trends in denials or documentation gaps and escalate for process improvement


  • Collaborate with providers to clarify documentation and support compliant coding


  • Collaborate with providers to clarify documentation and support compliant coding


  • Maintain productivity and accuracy benchmarks for certified coders


  • Maintain productivity and accuracy benchmarks for certified coders


  • Serve as a resource for Level 1 staff and assist with training


  • Serve as a resource for Level 1 staff and assist with training


  • Other duties as assigned


  • Other duties as assigned


    Qualifications


    Education:


  • High school diploma or GED completion is required.


  • High school diploma or GED completion is required.


  • Active coding certification required (CPC, CCS, COC, or equivalent)


  • Active coding certification required (CPC, CCS, COC, or equivalent)


    Experience:


  • 1–2 years of coding experience preferred; specialty experience a plus


  • 1–2 years of coding experience preferred; specialty experience a plus


  • Strong knowledge of CPT/HCPCS, ICD10, and modifier usage


  • Strong knowledge of CPT/HCPCS, ICD10, and modifier usage


  • Familiarity with payer policies, NCCI edits, and compliance standards


  • Familiarity with payer policies, NCCI edits, and compliance standards


  • Proficiency with EHR and coding tools (Epic, encoder software, etc.)


  • Proficiency with EHR and coding tools (Epic, encoder software, etc.)


  • Strong analytical and problemsolving skills


  • Strong analytical and problemsolving skills


    Requirements for Coding Specialist Status:


  • Acting coding certification (CPC, CCS, COC, or equivalent)


  • Acting coding certification (CPC, CCS, COC, or equivalent)


  • Intermediate experience (4+ years’ experience) and/or acting more independently


  • Intermediate experience (4+ years’ experience) and/or acting more independently


  • Takes on some additional duties to assist the office.


  • Takes on some additional duties to assist the office.


  • Strong and consistent performer.


  • Strong and consistent performer.


    Job Type: Full-time


    Salary: From $27.91 - 36.96 per hour, depending on experience. Offers are multifactorial.


    Benefits:


  • 401(k)


  • 401(k)


  • Dental insurance


  • Dental insurance


  • Employee assistance program


  • Employee assistance program


  • Flexible spending account


  • Flexible spending account


  • Health insurance


  • Health insurance


  • Life insurance


  • Life insurance


  • Paid time off


  • Paid time off


  • Vision insurance


  • Vision insurance


    Schedule:


  • 8 hour shift


  • 8 hour shift


  • Day shift


  • Day shift


  • Monday to Friday 8:00am - 4:30pm


  • Monday to Friday 8:00am - 4:30pm


    Work Location: Hybrid. Must work on-site for the first 90 days.




    Qualifications

    Qualifications


    Qualifications
    Education: High school diploma or GED completion is required. Professional Coding Certification with American Academy of Professional Coders AAPC: Certified Professional Coder (CPC) is required.
    Experience: Experience working with EMR and in medical coding preferred.
    Requirements for Level I Status:

  • Entry level (1-4 years experience) and/or meet the basic requirements of the job with the need for additional supervision.
  • Excess of 4 years experience if meeting only the basic requirements of the job with need for additional supervision.

  • Performance Requirements:
  • Good working knowledge of medical terminology and anatomy.
  • Knowledge of current third party billing and collection regulations and requirements.
  • Good interpersonal skills and written and verbal communication skills.
  • Ability to gather and interpret clinical data.
  • Ability to utilize Microsoft Office and alpha numeric data entry.
  • Strong attention to detail and decision making skills.


  • GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.


    Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.


    NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

    No phone calls or agencies, please.


    EEO/AA-M/F/disabled/protected veteran

    Job Location

    Rocky Hill, Connecticut, 06067, United States

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