20 jobs found in Providence

Join The Indian Health Service Make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Serco is seeking a Medical Coding Auditing Specialist to support the DHA Medical Coding Program Branch. The role covers audits across DHA markets, including MTFs and dental clinics, with potential CONUS/OCONUS travel and on-site visits. Qualified candidates have 7+ years in coding/auditing, strong CPT/ICD-CM knowledge, and a solid understanding of revenue cycle management and government coding guidelines. Documentation of education is required. #J-18808-Ljbffr

The Revenue Compliance Auditor at Brown University Health supports the Director, Revenue Compliance and Education by executing portions of the compliance plan and delivering training to staff and physicians. H/ She conducts retrospective audits of LifeChart documentation to assess billing, coding, patient care, and adherence to policies, and prepares formal reports with recommendations for improvement and follow-up guidance. #J-18808-Ljbffr

Care New England is seeking a Health Information Management Certified Coder to review medical records and assign Diagnosis and Procedure codes using ICD-9CM, CPT, and HCPCS guidelines in accordance with coding standards. The role requires CCS certification with additional education in Medical Terminology and Anatomy & Physiology, and a minimum of two years’ hospital coder experience. CPC candidates may be considered but must pass CCS within one year. #J-18808-Ljbffr

Care New England Health System seeks an HIM Certified Coder to review medical records and assign Diagnosis and Procedure codes using ICD-9-CM, CPT, and HCPCS as required by coding standards. The role emphasizes accuracy, compliance with Coding Clinic, AMA CPT, CMS guidelines, and patient data confidentiality. Responsibilities include entering codes into the system, maintaining records, and supporting productivity and decision making within a hospital setting. #J-18808-Ljbffr

Salary: $83,000.00 - $88,000.00 Annually Location : Providence College Job Type: Full-time Staff Job Number: PC00233 Division: Student Affairs Department: Public Safety Opening Date: 05/07/2026 FLSA: Exempt Bargaining Unit: NU Conducted under the auspices of the Dominican Friars, Providence College is a Catholic, Dominican, liberal arts institution of higher education and a community committed to academic excellence in pursuit of the truth, growth in virtue, and service of God and neighbor. We seek candidates who can affirm and contribute to our Providence College is also an equal opportunity employer and is committed to fostering a - an environment that reflects the rich diversity of the human family and is marked by justice, charity and the promotion of the common good and flourishing of all. We invite applications from qualified individuals who possess the experience, knowledge and commitment to develop the diverse learning environment envisioned as...

CVS Health is seeking a full‑time Medical Records Auditor to perform audit and abstraction of medical records for ICD coding used in CMS risk adjustment. You will ensure codes are accurate, well-documented, and compliant with state and federal rules. The role requires 1 year of related experience, CPC/CCS-P certification, and proficiency with ICD coding. Strong organizational skills and adherence to deadlines are essential. #J-18808-Ljbffr

The Revenue Compliance Auditor reports to the Director, Revenue Compliance and Education. Under general supervision, assists in executing various portions of the Brown University Health Compliance Plan. Develops and provides compliance training to employee and physician staff. Conducts retrospective audits of LifeChart documentation to assess billing, coding, patient care and compliance with Brown University Health general and specific policies and federal and state regulations. May participate in compliance investigations in those areas of risk identified by federal and state regulators. Provides a written summary of work, where problems are found makes recommendations to correct. Provides functional guidance and direction to less experienced clinical compliance audit staff. 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...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy and compliance by auditing CPT/HCPCS and modifiers against medical records. You will discuss findings with investigators and regulators, identify billing errors and potential fraud, and maintain up-to-date knowledge of coding guidelines across CMS and payer requirements. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience * We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. * The Forensic Coder is a certified coder with expert knowledge in front and back end coding.  This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.       Job Responsibilities: Complete root cause analysis of...

**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 and...

CAREER OPPORTUNITY OFFERING:   Bonus Incentives  Paid Certifications  Tuition Reimbursement  Comprehensive Benefits  Career Advancement  This position will pay between $29.75 and $32.70/hr based on experience  Specialized Coders Wanted —$3,000 Sign‑On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.  The  Specialized Coder  is a certified coder with expert knowledge in physician coding for  Cardiology,   Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.  Job Responsibilities:    Code claims directly from the medical record/operative report according to coding guidelines....

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

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...

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...

Brown University Health is seeking a highly motivated Full‑Stack AI Developer to join a government‑funded research team at the intersection of artificial intelligence, digital health, and public health interventions. The ideal candidate will work on multimodal AI models, AI‑driven chatbots, and agent‑based modeling frameworks for research on HIV prevention, STI prevention, nutrition counseling, overdose prevention, and opioid use disorder (OUD) treatment. Responsibilities Design, develop, and optimize multimodal AI models, AI‑based chatbots, and modify existing agent‑based modeling frameworks. Develop and maintain both front‑end and back‑end components of AI‑driven applications, ensuring seamless user experiences. Deploy and maintain AI solutions on cloud platforms (AWS, Azure, or Google Cloud) with scalable architectures. Learn and integrate public health knowledge in HIV prevention, STI prevention, nutrition counseling, and OUD treatment into AI‑based solutions. Work...

Outpatient Coding Specialist Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Reviews the medical records to ensure the documentation supports the code assignment. Utilizes 3M 360 Finder for code assignment and appropriate resolutions of claim edits (CCI, NCD, OCE, etc.) Confer with physician for clarification as needed. Monitors outpatient uncoded report to ensure timely coding and billing process. Maintains and meets HIS quality and productivity standards. 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...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...