153 jobs found in Pawtucket, RI

divh2Coder Central Billing Office/h2pWorking under the supervision of the Central Billing Department Supervisors, you will be accessible to physicians, staff, and patients regarding billing questions. You will assure that all billing functions are completed in a timely fashion and develop billing goals. Responsible for accurately coding providers outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. Applies knowledge of specialized information specific to coding and medical terminology according to all coding guidelines./ppstrongRequired Qualifications and Skills:/strong/pulliMinimum of 1-2 years of medical billing experience in either charge payment or follow-up work/liliMinimum of 1-2 year of coding experience for primary care medical and surgical specialties or secured CPC CCS-P coding certifications/liliExcellent written and oral communication skills with attention...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Inpatient Medical Coding Auditor 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 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...

Health Informatics Management Section Position This position is located in the Health Informatics Management Section (HIMS) of the Business Office at the Providence VA Medical Center.

divh2Medical Coder/h2pOur hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve./ppThe Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice./ppEssential Functions Include:/pulliAssigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM)./liliEnsures codes are accurate and sequenced correctly in accordance with government and insurance regulations./liliMaintains a 95% threshold for coding accuracy./liliReceives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or...

divh2Medical Billing Specialist/h2pNeolytix is a boutique Consulting and Management Services Organization that works with small medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices./ppAt Neolytix, you will learn to hone your Consultative skills, develop drive leadership, balance work with family time and importantly have fun!/ppMedical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner./ppResponsibilities include:/pulliWork directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid./liliVerifying correct insurance filing information on behalf of the client and the patient./liliVerifying receipt of all patient registration data from the client and notifying the client of potential coding...

Medical Records Technician (Coder) This position is located in the Health Informatics Management Section (HIMS) of the Business Office at the Providence VA Medical Center. The Medical Records Technician (Coder) is responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided. Responsibilities include: Reviewing patient care documents and assigning codes for the type of care provided. Identifying the principal diagnosis and principal procedure for every inpatient discharge. Conducting re-reviews of codes abstracted for patient encounters to ensure proper patient classification. Coding inpatient professional fee services for identified inpatient admissions. Establishing the primary and secondary diagnosis and procedure codes for billable outpatient encounters. Coding all Operating Room procedures reported in the Surgical Package of the Vista hospital system. Updating codes for current inpatient and Contract...

Outpatient Coders Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

divh2Remote Coding Professional/h2pWe are seeking a highly motivated and dedicated coding professional to join our team. This position is remote. The ideal candidate must have at least five years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven./ppThe ideal candidate will possess the following:/pulliMinimum five years of coding experience/liliExtensive coding in multiple specialties including: all primary care specialties, ENT, cardiology, GYN, rheumatology, urology, endocrinology, and orthopedics, etc./liliExcellent written and verbal communication skills/liliDetail oriented and deadline driven attitude/liliSound knowledge of medical terminology/liliStrong computer skills (Excel, Word, and internet)/liliAbility to multitask and keep a sense of urgency/liliExcellent customer service skills/liliStrong time management, organization skills, and work...

A federal healthcare agency is looking for a skilled Medical Records Technician (Coder) in Providence, Rhode Island. The role involves conducting quality reviews of patient care documents, assigning accurate medical codes, and ensuring compliance with coding standards. Candidates must possess relevant certifications and an associate’s degree in health information technology. This position offers full-time hours, with a schedule of Monday through Friday, and requires proficiency in medical terminology and coding systems. #J-18808-Ljbffr

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 updates in daily work. (5%) Performs...

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate in provider education...

A healthcare provider in Providence, Rhode Island is looking for a qualified individual to perform a thorough medical record review and ICD coding. You will be responsible for interpreting medical information and managing cash flow regarding unbilled coding. Candidates should have a high school diploma or GED, coding experience, and relevant certifications. This position offers competitive pay ranging from $23.03 to $35.70 per hour, based on experience and qualifications. #J-18808-Ljbffr

A healthcare organization in Providence is seeking a Senior Coding Specialist to review clinical documentation and to assign codes according to ICD-10-CM guidelines. Ideal candidates will have at least 3-5 years of inpatient coding experience, a coding certification, and strong skills in medical record interpretation. This position allows for telecommuting, provides a range of $26.80-$44.21 per hour, and requires adherence to ethical coding standards. #J-18808-Ljbffr

A healthcare data company is looking for experienced outpatient coders to join their remote team. The ideal candidate should have AHIMA or AAPC certified credentials, along with 2+ years of coding experience. The role involves reviewing medical records for accurate coding and requires strong communication skills. Employees benefit from comprehensive training, professional mentorship, and flexible schedules. Pay ranges from $20 to $35 per hour, depending on experience and qualifications. #J-18808-Ljbffr

Overview The Medical Records Technician (Coder) position is located in the Health Informatics Management Section (HIMS) of the Business Office at the Providence VA Medical Center. Responsibilities The Medical Records Technician (Coder) is responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided. Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge. Identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnostic Related Group (DRG). Upon patient admission to the Nursing Home Care Unit, codes the admission diagnosis for use by unit staff. Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) identified by the VISN VERA committee to determine if based on the documentation the specific VERA coding requirements were followed. Cc orths coding as needed to...

A healthcare provider in Providence, Rhode Island, is seeking a Coding Auditor and Educator to ensure coding accuracy and educate teams on compliance. The role requires at least 4 years of relevant experience, knowledge of ICD-10 standards, and their correct application in healthcare settings. Enjoy benefits including medical insurance, 401K match, and a balanced work/life environment with 17 PTO days. Competitive salary ranges from $68,640 to $89,535 plus bonuses and equity options. #J-18808-Ljbffr

Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Medical Records Technician (Coder) This position is located in the Health Informatics Management Section (HIMS) of the Business Office at the Providence VA Medical Center. Responsibilities include performing a quality review of patient care documents and assigning codes specific for the type of care provided. Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnostic Related Group (DRG). Upon patient admission to the Nursing Home Care Unit, codes the admission diagnosis for use by unit staff. Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) identified by the VISN VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

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. Minimum of 2 year's experience in a hospital inpatient or outpatient setting required. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our...

Join Datavant, a leading data platform company revolutionizing health data exchange! We are dedicated to ensuring every healthcare decision is supported by the right data at the right time. Our extensive health data network provides secure, accessible, and usable data, enabling healthcare professionals to make informed decisions. By becoming a part of our high-performing team, you will tackle some of healthcare's most complex challenges with innovative technology solutions. We value diversity in professional, educational, and personal experiences to achieve our ambitious vision. We are seeking experienced and credentialed outpatient coders to enhance our team. Candidates should have exceptional attention to detail and a robust understanding of medical terminology. This fully remote role offers a flexible schedule, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical records and accurately assign codes for...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...