2 jobs found in North Providence

Primary Health Solutions in Rhode Island seeks a Billing and Coding Specialist responsible for ensuring accurate coding of patient services for insurance submissions. The role involves reviewing provider documentation, coding claims accurately using various systems, and assisting with coding guidance. Candidates should possess a CPC certificate, experience with Microsoft Office 360, and strong medical terminology knowledge. This position helps to promote thorough documentation and compliance in the healthcare billing process. #J-18808-Ljbffr

We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect S – Stewardship Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty. A Day in the Life Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable. Review incomplete encounters and code based on available documentation in EHR systems. Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS. Use computers / billing software to create and bill encounters that generate...