20 jobs found in Providence

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...

Client Overview Our client is a fast-growing healthcare startup focused on transforming the patient and provider experience through innovative healthcare solutions. As they continue to scale, they are looking for a detail-oriented Medical Biller to join their team and support revenue cycle operations. Salary/Hourly Rate $25/hr - $30/hr Position Overview The Medical Biller will be responsible for the accurate submission, tracking, and resolution of medical claims. This position plays a critical role in ensuring timely reimbursement, maintaining billing accuracy, and supporting the overall financial health of the organization. The ideal candidate is self-motivated, organized, and comfortable working in a fully remote environment. Responsibilities Of The Medical Biller Prepare and submit insurance claims accurately and efficiently. Review claims for completeness and compliance with payer requirements. Follow up on denied, rejected, or unpaid claims. Investigate and resolve billing...

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...

High-Impact Leadership OpportunityMy client is a trusted manufacturer of high-precision components for the medical device industry. They are committed to operational excellence, product quality, and continuous improvement while offering a collaborative culture where leaders are empowered to make meaningful improvements and drive business performance.Job DescriptionThe Production Supervisor will report directly into the VP of Operations and be responsible for:Lead, coach, mentor, and develop production employees.Manage daily production schedules, labor allocation, and workflow priorities.Drive continuous improvement initiatives and operational best practices.Monitor production output, quality, efficiency, and safety performance.Establish and track key performance indicators (KPIs).Collaborate with cross-functional teams to improve communication and operational effectiveness.Identify process improvement opportunities and implement corrective actions.Support recruiting, onboarding,...

Associate Director, Client Services - Medical & Scientific Communications (Agency Equivalent = VP, Client Services) Overview Simpson 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. ESSENTIAL DUTIES & RESPONSIBILITIES Client...

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

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

Brown University Health seeks a Professional Coding Specialist to review and assign ICD-10-CM, CPT, and HCPCS Level II codes for physician services. You will ensure compliance with CMS/NCCI edits, payer policies, and organizational guidelines to support accurate reimbursement. The role involves collaboration with providers and revenue cycle teams, requires 1–3+ years of coding experience, and emphasizes documentation accuracy and audit readiness. #J-18808-Ljbffr

Datavant is seeking a Profee Auditing Specialist to perform professional fee coding audits using ICD-10-CM, CPT, HCPCS and modifiers, providing clear rationale and references. The role emphasizes regulatory awareness and coder education while handling multiple cases in a remote, flexible schedule environment. Preferred candidates have multi-specialty experience, availability within normal business hours, and about 20 hours per week. Competitive pay and comprehensive benefits are offered. #J-18808-Ljbffr

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

Claims Follow-Up SpecialistUnder general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. 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:Review all denied claims, correct them in the system and send corrected appealed claims as written correspondence, fax or via electronic submission.Identify and analyze denials and enact corrective measures as needed to effectively communicate...

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...

SUMMARY: Under general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. 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: Review all denied claims, correct them in the system and send correctedppealed claims asbr / written correspondence, fax or via electronic submission. Identify and analyze denials and enact corrective measures as needed to effectivelybr / communicate and...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

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...

CVS Health Corporation is seeking a Certified Coding Analyst to conduct comprehensive medical record audits, ensure CPT/HCPCS consistency, and apply CMS and company guidelines. The role requires CPC certification and 2+ years of coding, claims review, or auditing experience. The Analyst will review cases with Medical Directors, research coding policies, and identify billing errors or fraud while maintaining thorough documentation and clear communication with internal partners. #J-18808-Ljbffr

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

ASM Research, An Accenture Federal Services Company seeks a Quality Auditing Specialist to review Employment Network records for SSA Ticket to Work program compliance and ensure IWPs meet SSA requirements. You will perform data gathering, document review, and reporting of findings with timely follow-up actions. The role may transition to Timely Progress Review determinations, requiring accurate processing of records and supporting Ticketholders and ENs. #J-18808-Ljbffr

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