54 jobs found in Pawtucket, RI

A Career at HARMAN As a technology leader that is rapidly on the move, HARMAN is filled with people who are focused on making life better. Innovation, inclusivity and teamwork are a part of our DNA. When you add that to the challenges we take on and solve together, you’ll discover that at HARMAN you can grow, make a difference and be proud of the work you do every day. Introduction: A Career at HARMAN Corporate We’re a global, multi-disciplinary team that’s putting the innovative power of technology to work and transforming tomorrow. At HARMAN Corporate, you are integral to our company’s award-winning success. Enrich your managerial and organizational talents – from finance, quality, and supply chain to human resources, IT, sales, and strategy Augment your comprehensive skillset with expert training across decision‑making, change management, leadership, and business development Obtain 360‑degree support throughout your career life cycle, from early‑stage to seasoned leader...

Job Description Job Description The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This position will be in our Hartford, CT office during training, and once fully trained transitioned to a hybrid work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of...

Assembler Language Coder Location- Remote Clearance- IRS MBI This program requires US Citizenship Description of Assignment: Work in an Agile team to support back-end mainframe systems and provide interfaces to front-end systems. This means that they can develop mainframe applications (with databases and mainframe systems): Work with development teams and product managers to ideate software solutions. Analyze existing software as well as incoming business rules and conversion details, producing application requirements and detailed design documents. Working knowledge of mainframe tools including TSO, JCL, Control-M Develop and manage well-functioning databases and applications. Write effective interfaces to system applications and services. Troubleshoot, debug and upgrade software and assist in defect resolution. Create security and data protection settings. Build features and applications with a high...

Work where every moment matters. Every day, more than 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. The Revenue Compliance Auditor may be asked to assist in other compliance audits from time to time at the direction of his/her manage OCI leadership.Responsibilities include but, are not limited to the following: · Conducts...

Description The US Associate Director, Medical Affairs Northeast will serve as a liaison to the medical/scientific community and will be responsible for establishing, developing, and maintaining relationships with prominent experts in pediatric neurology and in epilepsy within the geographic area of coverage. This position reports to the Medical Director, Orphan Drug Division. RESPONSIBILITIES: Build, maintain, and manage professional relationships with Key External Experts (KEEs) to organize networks at state levels within their designated region Ensure the appropriate dissemination of clinical and scientific information regarding marketed and pipeline compounds in a timely, ethical and health care provider (HCP)-focused manner Implement clinical and educational strategies in collaboration with other company colleagues for designated HCPs/KEEs. This includes organizing medical and scientific training sessions, conferences and symposiums in medical centers and...

Company Description *Candidate should ideally be located in Hartford, CT or New Haven, CT* Monro's family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company's regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry....

Work where every moment matters. Every day, more than 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Revenue Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional, facility (inpatient and outpatient), home health and skilled nursing facilities. The Revenue Compliance Auditor may be asked to assist in other compliance audits from time to time at the direction of his/her manage OCI leadership. Responsibilities include but, are not limited to the following: •...

Contract Assignment Healthcare System (Epic Ehr) This is a remote position. We're seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health system's day-to-day coding workflows. This contractor will perform professional coding activities directly within Epic's end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture. Responsibilities: Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies. Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals. Validate medical necessity and modifier usage; correct charge router/charge session issues before billing. Collaborate with revenue cycle, clinic...

Assembler Language Coder - - - - Location- Remote - - - - Clearance- IRS MBI - - - - This program requires US Citizenship - - - - Description of Assignment: - - Work in an Agile team to support back-end mainframe systems and provide interfaces to fro Assembler, Coder, Developer, Language, Application, Staffing, Technology, Systems

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 accuracy...

About Otsuka We defy limitation, so that others can too. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka’s opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing machine...

Growing Healthcare system is seeking a remote Inpatient Coder III for a long term contract role with great growth potential. . Qualified applicants must have CCS (AHIMA) and a min of 2 years' Inpatient Coding experience. Job Duties Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS) Interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material. Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment. Reviews high dollar and more complex cases including but not limited to, medical, surgical, behavioral health and IP Rehabilitation. Applies IRF-PAI guidelines for IP...

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. (60%) 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 implementing these updates in daily...

A health services organization is seeking a professional to perform audits and abstraction of medical records to ensure accurate ICD coding for Medicare and Medicaid. The ideal candidate has at least 1 year of experience in medical record documentation, possesses CPC or CCS-P certification, and is proficient with ICD codes. This full-time position offers competitive pay, comprehensive health benefits, a 401(k) plan, and flexible work schedules, contributing to the well-being of employees and their families. #J-18808-Ljbffr

A leading health data platform company is looking for experienced inpatient coders to join their remote team. This role involves coding medical records with a focus on accuracy and efficiency. Candidates should have a depth of medical terminology knowledge and at least three years of inpatient coding experience. The position offers a flexible schedule and competitive benefits, including health plans and continuing education support. #J-18808-Ljbffr

Overview 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 candidate...

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...

Remote Long-Term Care Compliance Auditor Date: Oct 17, 2025 Location: Any city, CT, US, 99999 Work Mode: Virtual (Exception only) Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell Technologies is seeking a Long-Term Care Compliance Auditor to join our growing team. In this role, you will conduct financial, operational, and regulatory audits to ensure accuracy, compliance, and efficiency across healthcare and long-term care programs. You’ll play a key role in protecting program integrity by identifying control gaps, verifying financial data, and recommending improvements that enhance efficiency and compliance. Your role in our mission As a Long-Term...

Medical Hospital Coding Specialist Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and...

Professional Review Specialist II (Certified Professional Medical Coder) The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. This position will be in our Hartford, CT office during training, and once fully trained transitioned to a hybrid work arrangement. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical...

Certified Professional Coder- Medical Biller Certified Professional Coder- Medical Biller 2 days ago Be among the first 25 applicants Women's Health Connecticut provided pay range This range is provided by Women's Health Connecticut. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $29.00/hr Direct message the job poster from Women's Health Connecticut Talent Acquisition Specialist II at Women's Health Connecticut Women’s Health Connecticut is seeking to hire a Full-time, Certified Professional Coder (CPC)- Medical Biller at our corporate business office in Rocky Hill, CT. Position : Certified Professional Coder (CPC)- Medical Biller Location : Women's Health CT- HQ Working arrangement : Hybrid, 2-3 days per week in-office Employment Type : Full-time, 40 hours per week Schedule : Monday- Friday Reports to : Director of Revenue Cycle Management Position Summary: The CPC-Medical Biller is...

Established in 1968, Gilead has over 50 years of experience providing the highest quality services that support each person's recovery from mental health or substance use challenges in their lives. Gilead empowers personal growth, independence and recovery through improved mental health, physical well-being, and community integration. Gilead's supportive and collaborative services are marked by excellence, compassion, innovation, and integrity. Medical Billing Specialist Gilead Community Services is seeking a dedicated part time Medical Billing Specialist to join our Finance department team. About the position: The part time Medical Billing Specialist for Gilead's Middletown area finance department works 40 hours per week , M-F 8am-4pm to handle all aspects of medical billing for our Outpatient Mental Health Clinics, including processing of claims, benefit verification, maintaining of accurate insurance information, and assisting clinicians with necessary...

Overview Gilead Community Services is seeking a dedicated part time Medical Billing Specialist to join our Finance department team. About the position The part time Medical Billing Specialist for Gilead’s Middletown area finance department works 40 hours per week , M-F 8am-4pm to handle all aspects of medical billing for our Outpatient Mental Health Clinics, including processing of claims, benefit verification, maintaining of accurate insurance information, and assisting clinicians with necessary prior-authorizations. Qualifications High school diploma required Medical Billing Certification required Knowledge of Word, Excel and medical billing software 3 years of experience required Must maintain and provide proof of valid driver’s license and automobile insurance in good standing Benefits Generous paid vacation, sick, and personal time plus paid holidays Hands-on learning experience and supervision Scholarship, tuition reimbursement, and professional development...

Overview Join to apply for the GILEAD - Medical Billing Specialist role at Gilead Community Services, Inc. Gilead Community Services is seeking a dedicated part-time Medical Billing Specialist to join our Finance department. About The Position The part-time Medical Billing Specialist for Gilead’s Middletown area finance department works 40 hours per week, M-F 8am-4pm, to handle all aspects of medical billing for our Outpatient Mental Health Clinics, including processing of claims, benefit verification, maintaining accurate insurance information, and assisting clinicians with necessary prior-authorizations. Minimum Requirements High school diploma required Medical Billing Certification required Knowledge of Word, Excel and medical billing software 3 years of experience required Must maintain and provide proof of valid driver’s license and automobile insurance in good standing Benefits Generous paid vacation, sick, and personal time plus paid holidays Hands-on learning...