28 jobs found in Providence

Eastgate Nursing and Rehab is a 5-star facility located in East Providence. Eastgate has a long history of delivering outstanding care and services to the East Bay community. We are in search of a dedicated, detail-oriented, friendly and compassionate person to join our business office! If you are looking for a wonderful work environment, come join our business office team today! Qualifications and Experience : Long Term Care Medicaid Experience Third-party insurance billing (Medicare/Medicaid) and A/R experience a plus Other Qualifying attributes : Self-motivated and ability to multi-task Proficient in Excel Proven organizational skills Strong communication and interpersonal skills Accounts Receivable responsibilities : Reconciliation of nursing home Census Prepares, submits and follows up on monthly billing for private accounts, Medicare, Medicaid & 3rd party Insurance Communicates with involved parties including residents, families, DHS...

Associate Director, Client Services - Medical & Scientific CommunicationsSimpson Healthcare, an IQVIA Company, is an established scientific agency & dedicated partner to clients in the life sciences industry for over 20 years. We are actively seeking an Associate Director, Client Services, to join our growing team within IQVIA in support of both new & ongoing client relationships.The Associate Director (AD) is responsible for managing client relationships, delivering projects in alignment with operational excellence standards, and leading account team. AD is accountable and responsible for the assigned clients both in terms of growing and nurturing relationship and ensuring all deliverables meet or exceed client expectations. AD is also responsible for day-to-day success of their team and continued growth and development of individual team members.Client Relations and Brand ManagementEstablish meaningful, professional relationships with client stakeholders, including...

In Home Wellcare, a Rhode Island home care agency, seeks a Billing & Authorization Specialist to handle daily medical/home care billing, verify authorizations, track insurance changes, and submit claims. The role requires on-site presence and familiarity with the RI Medicaid portal. You will work with Axxess, Inovalon, and NaviNet, handling eligibility checks and claims management. Sunday billing is required, with a collaborative office environment and same-day pay. #J-18808-Ljbffr

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

Summary Brown University Health is seeking a highly motivated Full-Stack AI Developer to join a government-funded research team working at the intersection of artificial intelligence, digital health, and public health interventions. The ideal candidate will play a key role in the development and optimization of multimodal AI models, AI-driven chatbots, and agent-based modeling frameworks, contributing to research on HIV prevention, sexually transmitted infection (STI) prevention, nutrition counseling, overdose prevention, and opioid use disorder (OUD) treatment. C. A. R. E. Values 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...

Medical Billing SpecialistWe are looking for a Medical Billing Specialist to support billing operations for a Contract position based in Providence, Rhode Island. This role focuses on accurate claim processing, insurance follow-up, and account review within a healthcare setting. The ideal candidate brings hands-on medical billing experience, strong attention to detail, and the ability to work effectively with clinical teams and payer contacts.Responsibilities:Maintain accurate patient insurance details and demographic information to support clean claim submission and reduce billing delays.Enter charges for assigned programs in a timely manner while ensuring coding and billing data are complete and correct.Communicate with insurance carriers to address claim issues, clarify coverage questions, and help resolve reimbursement concerns.Advise program leaders and clinical staff on billing expectations, documentation needs, and payer-related procedures.Track high-dollar balances and...

Full-Stack AI DeveloperBrown University Health is seeking a highly motivated Full-Stack AI Developer to join a government-funded research team working at the intersection of artificial intelligence, digital health, and public health interventions. The ideal candidate will play a key role in the development and optimization of multimodal AI models, AI-driven chatbots, and agent-based modeling frameworks, contributing to research on HIV prevention, sexually transmitted infection (STI) prevention, nutrition counseling, overdose prevention, and opioid use disorder (OUD) treatment.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...

Summary: Under the general supervision of the Coding Manager and according to established procedures, accountable for assignment of diagnoses and procedures for outpatient surgical and other services. Interprets clinical and diagnostic documentation and assigns appropriate ICD-10 (current edition) and / or CPT codes as well as modifiers, ED facility levels, Infusions/Injections and other charges as appropriate adhering to official coding guidelines. Requires knowledge of hospital coding, ambulatory classifications and coding guidelines. Abstracts required data into hospital information system. Ensure records are coded in an accurate and timely manner. Education: High School diploma or equivalent required. Licensure: Medical coding certification and training in medical terminology from an accredited program preferred. Recognized programs include: American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). Must complete and pass...

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...

Brown University Health is seeking a Professional Coding Specialist to accurately review and assign codes for physician services in a fully remote role. You will interpret ICD-10-CM, CPT, and HCPCS Level II guidelines to ensure compliant billing and minimize audit risk. In this position you will collaborate with providers, revenue cycle, and clinical teams while maintaining HIPAA privacy, and adhering to CMS and payer policies. #J-18808-Ljbffr

VP, Client ServicesSimpson Healthcare, an established scientific agency, has been a dedicated partner to clients in the life sciences industry for over 20 years. We are seeking a VP, Client Services to join our growing team within IQVIA in support of both new & ongoing client relationships.The VP, Client Services ("VP") is responsible for managing client relationships, delivering projects in alignment with operational excellence standards, and leading account team. VP is accountable and responsible for the assigned clients both in terms of growing and nurturing relationship and ensuring all deliverables meet or exceed client expectations. VP is also responsible for day-to-day success of their team and continued growth and development of individual team members.Client Relations and Brand ManagementEstablish meaningful, professional relationships with client stakeholders, including gaining understanding of their individual roles, communication preferences, personal motivators,...

Brown University Health is seeking a Professional Coding Specialist to review and assign ICD-10-CM, CPT, and HCPCS Level II codes for physician services. The role emphasizes accuracy, compliance with CMS and payer guidelines, and collaboration with providers and revenue cycle teams. This fully remote position requires 1–3+ years of coding experience, CPC or CCS credentials, and proficiency with EHR systems (Epic). A strong knowledge of coding guidelines and medical documentation is essential. #J-18808-Ljbffr

SUMMARY: Reporting to the Manager of Professional Coding, the Professional Coding Specialist is responsible for the accurate review, interpretation, and assignment of ICD-10-CM, CPT, and HCPCS Level II codes for physician and other qualified healthcare provider services. This role ensures coding accuracy and compliance with federal regulations, payer guidelines, and organizational policies to support appropriate reimbursement and minimize audit risk. The Coding Specialist collaborates with providers, revenue cycle teams, and clinical teams to ensure complete, accurate, and compliant documentation and coding practices. Reporting to the Manager of Professional Coding, the Professional Coding Specialist is responsible for the accurate review, interpretation, and assignment of ICD-10-CM, CPT, and HCPCS Level II codes for physician and other qualified healthcare provider services. This role ensures coding accuracy and compliance with federal regulations, payer guidelines, and...

Brown University Health seeks a Professional Coding Specialist to review and assign ICD-10-CM, CPT, and HCPCS Level II codes for physician services. This role emphasizes accuracy, CMS/NCCI compliance, and collaboration with providers and revenue cycle teams. The ideal candidate has 1-3+ years of physician-based coding, CPC and/or CCS/CCS-P, and strong knowledge of coding guidelines. This is a fully remote position based in Providence, RI with standard work hours. #J-18808-Ljbffr

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 clinical...

The Indian Health Service is looking for a Medical Records Technician to join their team in Providence Forge, Virginia. In this role, you will be responsible for ensuring the accuracy and completeness of medical documentation, supporting coding compliance, and assisting healthcare providers in meeting documentation requirements. Ideal candidates will have experience in medical coding, knowledge of coding standards, and excellent communication skills. This position comes with opportunities to make a meaningful impact on patient services within Native communities. #J-18808-Ljbffr

DaMar Staffing is seeking a Medical Coder to review medical records for completeness and accuracy, ensuring proper identifiers, dates, and reports are documented. The role requires knowledge of ICD-10-CM/PCS, CPT, HCPCS, CDT coding and adherence to current guidelines. The coder will evaluate documentation for medical necessity and modifier usage, assess E/M levels, and assign codes across ICD, CPT, HCPCS, CDT, and DSM based on the records provided. #J-18808-Ljbffr

A leading pharmaceutical company is seeking an Associate Director of Scientific Communications in Providence, RI. This role involves managing global scientific communication strategies and overseeing the publication process. Candidates should have an advanced scientific degree and 7+ years in medical communications or affairs, along with strong leadership skills. The position offers a competitive salary and a comprehensive benefits package. #J-18808-Ljbffr

Humana is seeking a Medical Coding Auditor to extract clinical information from medical records and assign ICD-10-CM and CPT codes with accuracy. The role supports outpatient coding audits and requires professional certification and experience. This is a remote position with occasional travel for training or meetings. Typical hours are Monday–Friday with a 40-hour work week; ability to work independently and meet deadlines is essential. #J-18808-Ljbffr

Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule. You will assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS, and manage coding accuracy and productivity benchmarks. Ideal candidates have 3+ years of inpatient coding experience, hold CCS/RHIT/RHIA certifications, and excel in documentation improvement and communication with hospital staff. We offer training, equipment, and mentorship in a supportive environment. #J-18808-Ljbffr