6 jobs found in Providence

Job Description Primary Function The Certified (CCS) Coder is responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9, ICD10, AMA CPT and CMS coding guidelines. As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Specifications * Must have at least three (3) years hospital or surgical center coding experience within the last five years or be able to demonstrate facility coding competency through a pre-hire exam or be CPC certified. * Completion of classes in medical terminology, anatomy and physiology, ICD-9...

Job Description Primary Function The Certified (CCS) Coder is responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. * Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. * All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCSand CMS coding guidelines. * As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Specifications * Must have at least three (3) years hospital or surgical center coding experience within the last five years * Certification: This position requires certification as a Certified Coding Specialist (CCS) and five (5) years of compensatory experience. *...

Job Description PRINCIPAL DUTIES AND RESPONSIBILITIES: Applies the Brown Medicine values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Medicine mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Medicine Compliance Program and Code of Conduct. Practices the Brown Medicine Customer Service Standards. * Maintain current knowledge of federal and state regulations regarding medical billing practices. * Act as a resource to practice management and providers. * Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status. * Review encounter forms to ensure accurate diagnostic/treatment codes are entered into billing system. * Ensure data entry of encounter forms occur with two (2) business days of receipt. * Process all...

Job Description Brown Emergency Medicine (Brown EM) is the academic emergency medicine physician practice plan of the Department of Emergency Medicine at the Alpert Medical School of Brown University. Brown EM provides emergency department staffing for Rhode Island Hospital, the only Level I trauma center in this region; Hasbro Children's Hospital, Rhode Island's only children's specialty hospital; The Miriam Hospital, a leading community teaching hospital and Newport Hospital, a community Magnet Hospital. Brown EM member physicians and providers treat over 250,000 patients per year at our 4 clinical sites, drawing patients from Rhode Island, Massachusetts and Connecticut. As a non-profit foundation, Brown EM is committed to its mission and vision of academic and research support. Brown EM offers an excellent benefits package, including medical and dental, vision, employer-paid life insurance, long-term disability, paid time off, paid holidays and generous 401(B) retirement-plan....

Job Description Job Summary : The HIM Certified Coder reviews medical records and appropriately assigns Diagnosis and Procedure codes. Classification systems include ICD-9CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category and current coding standards. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9 (ICD10 when applicable), AMA CPT and CMS coding guidelines. Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. . Minimum of 2 year's experience in a hospital inpatient or outpatient setting required. WIH - Internal Posting Period: REPOST: 4/19 - 4/28/2023

Job Description SUMMARY: Under the general direction of the Coding Manager reviews visit documentation from Brown Medicine offices and hospital visits to determine all diagnoses and procedures; primarily focused on E&M levels, assigns the correct ICD10-CM, HCC and/or CPT code; adheres to accepted coding conventions. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Reads and interprets health record documentation to identify all diagnoses and procedures that affect the inpatient/outpatient stay/visit using appropriate guidelines. * Assesses the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned. * Clarifies conflicting, ambiguous, or nonspecific information appearing in the record by initiating a query to the provider. * Evaluates notes with HCC coding initiatives in mind, advising manager if opportunities for maximizing score based on documentation exist. * Demonstrates the ability to recognize potential coding...