22 jobs found in Providence

Hcc Coder Position Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating...

Inpatient Hospital Medical Coder An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities: Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform additional duties as requested by management from the hospital side of forms (not...

SUMMARY: The Coding Specialist reports to the Manager of Physician Coding. Ensures that appropriate diagnostic and procedural codes (CPT-4, ICD-9/10, HCPCS) are submitted for professional charges resulting in accurate claims processing, data retrieval, and analysis. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assesses the adequacy of the documentation for the provider visit or procedure which supports the diagnosis. Reviews procedure codes selected by the provider for hospital services and complex...

Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Join Datavant, a leading data platform innovator committed to transforming health data exchange. Our mission is to ensure that every healthcare decision is fueled by timely and accurate data. With one of the largest and most diverse networks in the U.S., we safeguard and facilitate accessible health data to support informed health decisions for prominent life sciences firms, government agencies, and healthcare providers. By becoming part of Datavant, you will work with a talented team that is driven by values and dedicated to addressing the complex challenges of healthcare through innovative technology. Our diverse professional backgrounds enable us to enrich our ambitious vision for the future of healthcare. Your Role: We are seeking detail-oriented and credentialed inpatient medical coders with a robust understanding of medical terminology. This remote position empowers you to significantly impact the future of healthcare while working from the comfort of your home....

Your Future Evolves Here Evolent is on a mission to transform healthcare for individuals with complex and costly conditions. By collaborating with health plans and providers, we aim to create a more integrated healthcare system that offers high-quality care and compassion, just as we would want for our loved ones. We value work/life balance, offering flexible schedules that allow you to tailor your work to your life. Our commitment to diversity and inclusion ensures that you can bring your whole self to work. Join Evolent not only for the impactful mission but also for a supportive and inclusive culture. What You'll Be Doing: As a Program Integrity Coder and FWA Auditor, you will play a crucial role in ensuring the integrity of claims by reviewing and verifying complex claim submissions for compliance with coding standards and billing guidelines. You will foster meaningful partnerships with both internal and external stakeholders while thriving in a collaborative...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: As an Outpatient Medical Coder, you will engage in comprehensive reviews of medical records to extract important medical and demographic data. You will apply your knowledge of ICD and CPT coding systems to accurately interpret diagnoses and procedures, positively impacting our accounts receivable efficiency. ESSENTIAL RESPONSIBILITIES Thoroughly review and interpret medical information, including physician treatment plans and outcomes, to determine the correct ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstract and input data elements to fulfill statistical requests from hospitals, health systems, and medical staff. (15%) Manage medical information and ensure effective cash flow concerning unbilled coding reports. (10%) Stay updated on ICD-10 CM/CPT guidelines through training, coding clinics, and other resources, and implement these updates in your daily...

Join Datavant, a leader in health data exchange, as we revolutionize the way healthcare decisions are made. Our platform is committed to delivering the right data securely and efficiently, enhancing decisions in healthcare. At Datavant, you will be part of a dynamic and values-oriented team tackling challenging issues in healthcare with cutting-edge technology. We value diverse experiences and believe in collective ambition to drive our goals forward. What We're Looking For: We seek certified and experienced inpatient coders with a keen attention to detail and a solid grasp of medical terminology. This is a fully remote position with flexible hours, allowing you to work at your convenience while making an impact in the healthcare sector! Your Key Responsibilities: Accurately assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes. Abstract and sequence medical codes from patient records, ensuring strict compliance with documentation...

Datavant is a leading data platform company specializing in health data exchange, dedicated to empowering healthcare decisions with timely and accurate data. We harness the power of the largest health data network in the U.S. to ensure data is secure and effectively used to enhance health outcomes. Joining Datavant means becoming a vital part of a high-performing, values-driven team that is addressing complex healthcare challenges with innovative solutions. Our team members come from diverse professional, educational, and personal backgrounds to pursue our ambitious vision for healthcare. We are actively seeking skilled and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a profound understanding of medical terminology. This remote position offers flexibility, allowing you to contribute significantly to the future of healthcare from your own home! What You Will Do: Review medical records...

Join Datavant, a pioneering data platform company transforming health data exchange. Our mission is to ensure that every healthcare decision is guided by accurate data at the right moment and in the most useful format. As a leading health data network, our platform offers secure, accessible, and actionable data, empowering various healthcare stakeholders, including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing and values-driven team, you'll play a vital role in creating innovative technology solutions that tackle significant challenges in healthcare. We celebrate a diverse team bringing together a wealth of professional, educational, and personal experiences to achieve our ambitious goals in the healthcare sector. Key Responsibilities: Conduct thorough audits of coded medical charts according to specific client guidelines as directed by the quality supervisor. Efficiently navigate and apply various client...

Join Datavant, a leading data platform company committed to transforming healthcare through innovative data exchange solutions. Our mission is to ensure that every healthcare decision is informed by the right data, securely and efficiently. We operate the largest and most diverse health data network in the U.S., enabling our partners in life sciences, government, and healthcare to leverage data effectively for better health outcomes. Joining Datavant means becoming part of a high-performing, values-driven team dedicated to addressing some of healthcare's toughest challenges with technology-driven strategies. We are currently seeking experienced and credentialed outpatient coders who are detail-oriented and knowledgeable in medical terminology. This role offers the flexibility of a fully remote work environment, allowing you to make a significant impact from wherever you are! We prefer candidates who specialize in Cath coding, Endo, Observation coding, and OP Surgery....

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Job Summary: The role of a Certified Outpatient Coder at Care New England is to ensure accurate assignment of ICD-10 CM, CPT and HCPCS codes on a wide range of patient medical records for outpatient services. Outpatient services include, but are not limited to observation, surgical, provider-based visits, interventional radiology, emergency room, oncology, and other specialty services. A proficient understanding and execution of coding guidelines to ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Adherence and compliance to various regulatory guidelines from CMS, AHA and AMA. Duties and Responsibilities: • Analyze medical records, extracting clinical, pathological, therapeutic and epidemiologic data in accordance with established ICD-10-CM coding principles and guidelines • Assigns Codes and codes all diagnostic and operative information from the medical record using ICD-10-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS coding...

Job Summary: The Lead Coder monitors the daily activities and operations of the Coding Staff in the absence of the Coding Manager. Assists in developing work schedules and staffing plans, provides direction and training, and acts as a resource to staff in resolution of problems and application of policies and procedures. Assists staff in handling complex coding issues. Identifies trends for problem solving and educational requirements. Duties and Responsibilities: Assign distribution of work to maintain workflow. Meet with coding staff and coding manager to ensure sufficient work and to maintain productivity standards. Providing functional and technical supervision as well as training to coding staff. Works with coding manager to ensures the accuracy and quality of work produced in the coding area. Interact with Business Office supervisory personnel to ensure proper documentation of information for claims; research coding issues as they arise. Generates and analyzes...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...