17 jobs found in Providence

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

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. Certified Professional Coder credential (CPC) candidates will be considered, but must pass the CCS exam within one year of initial hire. Minimum of 2 years' experience in a hospital inpatient or outpatient setting required. Care New England Health System (CNE) and its member institutions, Butler Hospital,...

Job Summary: The role of a Certified Outpatient Coder at Care New England is to ensure accurate assignment of ICD-10 CM, CPT and HCPCS codes on a wide range of patient medical records for outpatient services. Outpatient services include, but are not limited to observation, surgical, provider-based visits, interventional radiology, emergency room, oncology, and other specialty services. A proficient understanding and execution of coding guidelines to ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Adherence and compliance to various regulatory guidelines from CMS, AHA and AMA. Duties and Responsibilities: • Analyze medical records, extracting clinical, pathological, therapeutic and epidemiologic data in accordance with established ICD-10-CM coding principles and guidelines • Assigns Codes and codes all diagnostic and operative information from the medical record using ICD-10-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS coding...

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...

A healthcare services provider in Providence is seeking a Billing Specialist to manage account receivables and resolve billing inquiries. The ideal candidate will have at least two years of experience in a fast-paced medical office with expertise in third-party billing. This role primarily allows work from home, with occasional office time required. Applicants should have a high school diploma or equivalent education; Medical Billing Certification is preferred. #J-18808-Ljbffr

Datavant is seeking experienced outpatient coders to join their remote team in Providence, RI. The ideal candidate must hold relevant AHIMA or AAPC certifications and possess extensive knowledge in medical coding guidelines. Responsibilities include reviewing medical records and coding accurately to ensure compliance. Datavant offers a competitive pay range of $20—$35 USD per hour, alongside generous benefits including medical, dental, 401k matching, and paid time off. #J-18808-Ljbffr

Become a part of our caring community The 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 Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

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...

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...

A healthcare provider in Providence, RI is seeking a Professional Biller II. In this role, you will service incoming calls from patients inquiring about their billing accounts. Responsibilities include processing payments and managing accounts receivable while ensuring compliance with privacy guidelines. Applicants should have a high school diploma and 3-5 years of experience in medical billing along with communication and math skills. This position offers a vital support role in the billing department. #J-18808-Ljbffr

A healthcare solutions company is seeking Customer Service Operations personnel in Providence, RI. This role involves conducting insurance verifications, handling inbound patient calls, and resolving billing issues. Candidates should have a high school diploma and 1-3 years of relevant experience in customer service. Flexibility and problem-solving skills are essential. The estimated hourly pay is between $15.75 and $18.50, along with a variety of benefits including medical coverage and paid time off. #J-18808-Ljbffr

A leading healthcare institution in Providence, RI is seeking a HIM Certified Coder responsible for reviewing medical records and assigning appropriate diagnosis and procedure codes. The ideal candidate will have active certification as a Certified Coding Specialist (CCS) and at least 2 years of experience in either inpatient or outpatient hospital settings. Knowledge of ICD-9CM, CPT, and HCPCS coding systems is essential for compliance with current standards. #J-18808-Ljbffr

A healthcare organization in Rhode Island is seeking an HIM Certified Coder to review medical records and assign Diagnosis and Procedure codes. Candidates must have active CCS certification and at least 2 years of experience in a hospital setting. This position demands attention to detail and adherence to coding guidelines. Join a trustworthy institution committed to advancing medical research and care standards. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

A healthcare organization seeks a HIM Certified Coder to review medical records and assign appropriate Diagnosis and Procedure codes following established guidelines. The ideal candidate will hold an active Certified Coding Specialist (CCS) certification and have a minimum of 2 years of experience in both inpatient and outpatient hospital settings. This role is crucial in ensuring accurate coding compliant with American Hospital Association standards and contributes significantly to the healthcare system's efficacy and patient care. #J-18808-Ljbffr

Job Summary Job Summary: The role of a Certified Outpatient Coder at Care New England is to ensure accurate assignment of ICD-10 CM, CPT and HCPCS codes on a wide range of patient medical records for outpatient services. Outpatient services include, but are not limited to observation, surgical, provider-based visits, interventional radiology, emergency room, oncology, and other specialty services. A proficient understanding and execution of coding guidelines to ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Adherence and compliance to various regulatory guidelines from CMS, AHA and AMA. Duties and Responsibilities Analyze medical records, extracting clinical, pathological, therapeutic and epidemiologic data in accordance with established ICD-10-CM coding principles and guidelines Assigns Codes and codes all diagnostic and operative information from the medical record using ICD-10-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS...

A leading healthcare institution in Providence is seeking an HIM Certified Coder to review medical records and assign Diagnosis and Procedure codes. The role requires a high school graduation plus CCS certification. Candidates should have at least 2 years of experience in a hospital setting and knowledge of coding standards. Join a team dedicated to providing top-notch healthcare services while ensuring compliance with industry standards and guidelines. #J-18808-Ljbffr