24 jobs found in Providence

Join The Indian Health ServiceMake 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).

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...

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. 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...

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

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

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...

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,...

Brown University Health is seeking a Professional Coding Specialist to review, interpret, and assign ICD-10-CM, CPT, and HCPCS Level II codes for physician services. You will collaborate with providers and revenue cycle teams to ensure complete and compliant documentation for proper reimbursement. This role requires 1–3+ years of professional coding experience, knowledge of coding guidelines, and EHR proficiency (Epic preferred). #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

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...

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...

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...

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 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

Certified Professional Coder (CPC)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.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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.Activities...

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...