Top 59 Clinical documentation specialist Jobs in Connecticut

Denial RN DRG Appeal Writer2 / HIM Coding
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- 6 years
- RN License
Quick Apply
3d
Denial RN DRG Appeal Writer2 / HIM Coding
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- 6 years
- RN License
Quick Apply
3d
Denial RN DRG Appeal Writer2 / HIM Coding
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- 6 years
- RN License
Quick Apply
3d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Stamford, CT
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Clinical Documentation Spec 1 / HIM Clinical Document Mgmt
Hartford HealthCare Corp. —Farmington, CT
- Per diem
- Nursing
- RN License
- Mid-level
Quick Apply
Document Improvement Specialist, Fulltime
Stamford Health —Stamford, CT
- Full-time
- Nursing
- RN License
- 5 years
- Free parking
- Health insurance
Quick Apply
Credentialing and Medical Staff Services Specialist (Health Program Associate | Office/On-site)
State of Connecticut - Department of Mental Health & Addiction Services —Middletown, CT
- $86,414 - $117,009 a year
- Urgently hiring
- 7 years
- Addiction Medicine
- Pass drug screening
3d
Clinical Trials Manager-B
Stamford Health —Stamford, CT
- Full-time
- 5 years
- Computer literacy
- Office
- Free parking
- Health insurance
Quick Apply
Clinical Research Coordinator II - Biospecimen
Hartford HealthCare Corp. —Hartford, CT
- Full-time
- Nursing
- Mid-level
- Bachelor's degree
Quick Apply
Sr. Clinical Trials Transparency & Disclosure Specialist
Celldex Therapeutics —New Haven, CT
- $87,831 - $114,066 a year
- Writing skills
- 3 years
- Bachelor's degree
- Paid holidays
- Health insurance
11d
Clinical Research Coordinator 2
Yale University —New Haven, CT
- $65,000 - $101,000 a year
- Full-time
- Background check
- Current TB test
- HIPAA
Supv Clinical Documentation / HIM Clinical Document Mgmt
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- RN License
- Writing skills
Quick Apply
Infusion Nurse -Rheumatology (Part-time)
Rheumatology Specialists of CT —Manchester, CT
- From $45 an hour
- Part-time
- Nursing
- Medication administration
- RN License
Quick Apply
RN Clinical Research
Hartford HealthCare Corp. —Fairfield, CT
- Full-time
- Nursing
- Microsoft Access
- Mid-level
Quick Apply
Pediatric RN or LPN - Full Time - Connecticut Pediatrics @ CHC - $1,000 Signon Bonus!
Moses / Weitzman Health System —Hartford, CT
- Full-time
- Bilingual
- CPR Certification
- Nursing
- Loan repayment program
- Health insurance
Coding Trainer
University of Connecticut —Farmington, CT
- Full-time
- Mid-level
- Computer skills
- 1 year
Medical Records Coding Technician 2
University of Connecticut —Farmington, CT
- Full-time
- Anatomy knowledge
- Customer service
- Mid-level
Coder/Abstraction to Outpatient
Hospital for Special Care —New Britain, CT
- Part-time
- Hybrid work
- Anatomy knowledge
- Basic math
- Mid-level
Quick Apply
Risk Adjust Prgm Team Lead / Clinical Integration
Hartford HealthCare Corp. —Hartford, CT
- Full-time
- Microsoft Word
- 5 years
- Driver's License
Quick Apply
Per Diem Clinical Research Nurse - Home Visits
Science 37 —Hartford, CT
- $50 - $55 an hour
- Nights as needed
- Nursing
- RN License
- BLS Certification

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Denial RN DRG Appeal Writer2 / HIM Coding

Hartford HealthCare Corp. -
Farmington, CT

Quick Apply

Job Details

Full-time
3 days ago

Qualifications

Inpatient experience
RN License
Customer service
Data analysis skills
Data management
Bachelor of Science in Nursing
Clinical documentation
Bachelor's degree in nursing
Clinical documentation improvement
CCDS
Clinical documentation standards
Cross-functional collaboration
Cross-functional communication
DRG

Full Job Description

Location Detail: 9 Farm Springs Rd Farmington (10566)

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary:

The level 2 Denial Specialist Appeal Writer reviews and analyzes Diagnostic Related Grouper (DRG) downgrades, preparing detailed, evidence-based appeal letters to defend assigned DRGs and optimize reimbursement. This role requires interpreting medical records, applying official coding guidelines, reviewing payer contracts and exercising clinical judgment. The specialist also helps prevent future downgrades by identifying trends and providing feedback to enhance coding accuracy and clinical documentation. Provide ongoing education to HHC Institute leaders, providers, coding and CDI teams on DRG validation, documentation best practices, payer guidelines and best practices to minimize future denials.

Position Responsibilities:

Key Areas of Responsibility

Provide ongoing education to HHC Institute leaders, providers, coding and CDI teams on DRG validation, documentation best practices, payer guidelines and best practices to minimize future denials.
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, UHDDS definitions, Coding Clinic, and regulatory requirements.
Prepare and submit persuasive appeal letters that include a patient summary, evidence-based criteria, coding references and citations from authoritative sources.
Maintain accurate appeal records in designated systems, track statuses and meet payer-specific submission deadlines.
Lead trend analysis to identify denial patterns and recommend process improvements.
Achieve departmental KPIs related to turnaround times, appeal success rates and denial reduction targets.

Education

Provide ongoing education to HHC Institute leaders, providers, coding and CDI teams on DRG validation, documentation best practices, payer guidelines and best practices to minimize future denials.
Collaborates with CDI provider leads at each facility to enhance denial proof documentation.
Stay current with payer policies, regulatory changes, coding guidelines and industry best practices to support revenue protection efforts.

Communication

Collaborate with Coding, CDI and physicians to clarify documentation and ensure accurate DRG assignment.
Serve as primary contact with payers for DRG-related denials, clearly communicating clinical and coding rationale.
Provide timely updates and feedback to leadership and departments on denial prevention efforts and appeal outcomes.

Other

Performs other related duties as required.
Mentors new and existing team members.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.

Working Relationships:

This Job Reports To: Medical Director

Qualifications

Requirements and Specifications:

Education

Minimum: Bachelor of Science in Nursing

Preferred: Master’s degree or equivalent

Experience

Minimum: Four (4) years of progressive on-the-job inpatient and/or clinical documentation experience within healthcare revenue cycle or other healthcare field.
Preferred: Six (6) years of progressive on-the-job experience with DRG denial management and appeals preferred.

Licensure, Certification, Registration

Active Registered Nurse license from the State of Connecticut
Certified Clinical Documentation Specialist (CCDS), Certified Documentation Integrity Practitioner (CDIP)

Language Skills

Strong written and verbal communication skills.

Knowledge, Skills and Ability Requirements:

Strong knowledge of ICD-10-CM/PCS coding, DRG assignment and MS-DRG/APR-DRG systems.
Excellent written communication skills, with the ability to translate complex clinical and coding concepts into persuasive arguments.
Proficient with tracking systems, data management tools, and payer contract requirements, including appeal timelines and regulations.
Attention to detail, analytical thinking and the ability to meet deadlines in a fast-paced environment.
Strong organizational, interpersonal, communication and collaboration skills.
Experienced in cross-functional teamwork to research and resolve issues using innovative solutions.
Strong problem-solving and critical thinking abilities; able to work independently while delivering outstanding customer service.

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Quick Apply

Refine Your Search

clinical documentation specialist jobs in connecticut

Denial RN DRG Appeal Writer2 / HIM Coding

Denial RN DRG Appeal Writer2 / HIM Coding

Denial RN DRG Appeal Writer2 / HIM Coding

Senior Consultant - Clinical Documentation Specialist

Clinical Documentation Spec 1 / HIM Clinical Document Mgmt

Document Improvement Specialist, Fulltime

Credentialing and Medical Staff Services Specialist (Health Program Associate | Office/On-site)

Clinical Trials Manager-B

Clinical Research Coordinator II - Biospecimen

Sr. Clinical Trials Transparency & Disclosure Specialist

Clinical Research Coordinator 2

Supv Clinical Documentation / HIM Clinical Document Mgmt

Infusion Nurse -Rheumatology (Part-time)

RN Clinical Research

Pediatric RN or LPN - Full Time - Connecticut Pediatrics @ CHC - $1,000 Signon Bonus!

Coding Trainer

Medical Records Coding Technician 2

Coder/Abstraction to Outpatient

Risk Adjust Prgm Team Lead / Clinical Integration

Per Diem Clinical Research Nurse - Home Visits

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