Jobs · Finance · Connecticut

Coding and Compliance Specialist

Trinity Health · Hartford, CT · 1 mo ago
FinanceFull-time
We need to output HTML fragment with sections: About the role? The description includes "Fully Remote Position Monday - Friday 7:00am - 4:30am Full-time 40 hours per week". That's schedule and maybe employment type. We need to include sections only if posting has real specific content. We have description of responsibilities (What You'll Do). Qualifications (Required and Preferred). Benefits? Not explicit. Pay? Not given. Schedule? Yes: Monday - Friday 7:00am - 4:30am Full-time 40 hours per week. That's schedule. Also employment type: Full time. Could be part of schedule section. We'll create sections: About the role (maybe from description before What You'll Do). Responsibilities (What You'll Do). Qualifications (Required and Preferred). Schedule (Monday - Friday 7:00am - 4:30am Full-time 40 hours per week). Possibly Benefits? Not given, so omit. Pay? Not given, omit. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We must not repeat job title as heading. No Job ID. Remove boilerplate like EEO etc. Also remove "Why Join Trinity Health Of New England?" maybe that's benefits? It's more about culture; could be considered Benefits? But it's not explicit benefits like health insurance etc. It's more about culture; maybe we can include as a section "About the organization" but not required. The instruction: include a section ONLY when posting has real, specific content for it. The "Why Join..." is specific content about culture; could be considered Benefits? But they said Benefits section only if posting actually states them. This is not benefits like health insurance, but more about culture. Could be considered "About the company". Not a defined heading; we have allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we could put the "Why Join..." under Benefits? It's not exactly benefits but maybe we can treat as Benefits? However they said never create Benefits sections unless posting actually states them. The posting does state "Why Join Trinity Health Of New England? ... We offer a collaborative culture, opportunities for professional growth, and the ability to make a meaningful impact across our organization." That is a benefit/culture statement. So we can include Benefits section with that content. We also have "Our Commitment" and EEO boilerplate; we should remove EEO/equal-opportunity boilerplate. The "Our Commitment" paragraph is about mission and values; could be considered About the role? Might be considered fluff but it's specific content. Could be included as a paragraph under About the role? But we already have About the role maybe from earlier description. Let's parse. Original text: "Employment Type Full time Shift Day Shift Description Fully Remote Position Monday - Friday 7:00am - 4:30am Full-time 40 hours per week Trinity Health Of New England is seeking an experienced Coding Compliance Specialist to support and enhance our Health Information Management (HIM) Compliance Program. This role is responsible for supporting key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. What You'll Do Provides high level technical competency & subject matter expertise analyzing coding and documentation review for professional services, including code selection of evaluation and management codes and procedural services. Conducts comprehensive audits of professional coders and providers to ensure accuracy, compliance, and alignment with CPT, ICD 10, HCPCS, HCC and payer specific-specific guidelines.Analyze documentation and coding patterns to identify risks related to compliance, revenue integrity, and regulatory requirements.Provides clear, actionable feedback to providers, coders, and leadership to improve documentation quality and coding accuracy.Maintains current knowledge and credentials through ongoing education and interpretation of regulatory and industry changes.Develops and delivers targeted education and training programs based on audit findings, regulatory updates, and identified knowledge gaps.Provides training and onboarding to new providers.Adheres to coding quality & productivity standards as established by Revenue Excellence; Responsible for completion of audit and education workplan as defined by the Service Area Manager of Coding Audit and Education. Qualifications Required Associate degree in Health Information Management (HIM), a related field, or an equivalent combination of education and experience.Three (3) to Five (5) years of professional coding and/or auditing experience.Comprehensive knowledge of ICD-10, HCPCS, CPT, HCC guidelines, medical terminology, Medicare and Medicaid regulations, payer policies, and healthcare compliance standards.One of the following certifications is required:Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)Certified Coding Specialist (CCS)Certified Professional Coder (CPC) Preferred Previous coding audit, compliance, or provider education experience.Experience identifying documentation and coding improvement opportunities through audits and compliance reviews.Strong analytical, communication, and training skills with the ability to educate providers and coding staff.Experience working with healthcare coding, electronic medical record (EMR), and auditing systems. Why Join Trinity Health Of New England? At Trinity Health Of New England, you'll join a mission-driven healthcare system dedicated to quality, integrity, and exceptional patient care. We offer a collaborative culture, opportunities for professional growth, and the ability to make a meaningful impact across our organization. Keywords: Coding Compliance Specialist, HIM, Health Information Management, Medical Coding Auditor, Coding Auditor, RHIA, RHIT, CCS, CPC, ICD-10, CPT, Inpatient Coding, Outpatient Coding, Revenue Integrity, Healthcare Compliance, Medical Records, Clinical Documentation. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law." We need to remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So remove the EEO paragraph at end. Also remove "Our Commitment"? It's not EEO but it's mission statement; could be kept as part of About the role or Benefits? It's not duplicated. It's specific content about mission and values. Could be included as a paragraph under About the role or maybe a separate section? Not among allowed headings. Could be included under About the role as prose. We need to preserve all substantive information. So we need to include the schedule info: "Fully Remote Position Monday - Friday 7:00am - 4:30am Full-time 40 hours per week". Also employment type: Full time. Could be part of schedule. We need to not create Pay/Schedule/Benefits sections unless posting actually states them. Schedule is stated, so we can create Schedule section. Benefits: we have "Why Join..." which is about culture, growth, impact. That's a benefit. So we can create Benefits section. We need to not create sections with filler like "commensurate with experience". Not present. Now structure:

    About the role

    Trinity Health Of New England is seeking an experienced Coding Compliance Specialist to support and enhance our Health Information Management (HIM) Compliance Program. This role is responsible for supporting key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.

    But we need to ensure we didn't include boilerplate. The "Our Commitment" paragraph is okay. Now Responsibilities:

    Responsibilities

    • Provides high level technical competency & subject matter expertise analyzing coding and documentation review for professional services, including code selection of evaluation and management codes and procedural services.
    • Conducts comprehensive audits of professional coders and providers to ensure accuracy, compliance, and alignment with CPT, ICD 10, HCPCS, HCC and payer specific-specific guidelines.
    • Analyze documentation and coding patterns to identify risks related to compliance, revenue integrity, and regulatory requirements.
    • Provides clear, actionable feedback to providers, coders, and leadership to improve documentation quality and coding accuracy.
    • Maintains current knowledge and credentials through ongoing education and interpretation of regulatory and industry changes.
    • Develops and delivers targeted education and training programs based on audit findings, regulatory updates, and identified knowledge gaps.
    • Provides training and onboarding to new providers.
    • Adheres to coding quality & productivity standards as established by Revenue Excellence; Responsible for completion of audit and education workplan as defined by the Service Area Manager of Coding Audit and Education.
    Now Qualifications: we have Required and Preferred. Could combine into one Qualifications section with subheadings? But we only allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have Qualifications. We can put Required and Preferred as lists within Qualifications. Or we could split into Requirements (maybe required) and Qualifications (preferred). But we have both Required and Preferred. The instruction: Use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have both Requirements and Qualifications sections if content exists. Let's do:

    Requirements

    • Associate degree in Health Information Management (HIM), a related field, or an equivalent combination of education and experience.
    • Three (3) to Five (5) years of professional coding and/or auditing experience.
    • Comprehensive knowledge of ICD-10, HCPCS, CPT, HCC guidelines, medical terminology, Medicare and Medicaid regulations, payer policies, and healthcare compliance standards.
    • One of the following certifications is required: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC).

    Qualifications

    • Previous coding audit, compliance, or provider education experience.
    • Experience identifying documentation and coding improvement opportunities through audits and compliance reviews.
    • Strong analytical, communication, and training skills with the ability to educate providers and coding staff.
    • Experience working with healthcare coding, electronic medical record (EMR), and auditing systems.
    Now Benefits:

    Benefits

    At Trinity Health Of New England, you'll join a mission-driven healthcare system dedicated to quality, integrity, and exceptional patient care. We offer a collaborative culture, opportunities for professional growth, and the ability to make a meaningful impact across our organization.

    Now Schedule:

    Schedule

    Fully Remote Position, Monday - Friday 7:00am - 4:30am, Full-time 40 hours per week.

    We should also include employment type? Already in schedule. Check for any duplicated lines: we removed EEO. Also removed "Keywords:" line (not substantive). Also removed "Our Commitment"

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