456 jobs found in Pawtucket, RI

Coder Central Billing Office Working 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. Required Qualifications and Skills: Minimum of 1-2 years of medical billing experience in either charge payment or follow-up work Minimum of 1-2 year of coding experience for primary care medical and surgical specialties or secured CPC CCS-P coding certifications Excellent written and oral communication skills with attention to detail Excellent...

Job Description Job Description Medical Biller Location: Pawtucket, RI 02861 Pay: $23–$25/hour Type: Contract-to-Hire (CTH) or Direct Hire (DH) Start Date: Within 3 weeks Schedule: Monday–Friday, 8:00 AM – 5:00 PM Dress Code: Business Casual About the Role We are seeking experienced Medical Billers to join our growing team. This position requires strong knowledge of hospital billing, insurance denials, and proficiency in Epic. If you are detail-oriented and thrive in a collaborative environment, we want to hear from you. Key Responsibilities Data Verification: Review and verify billing data for accuracy Accounts Receivable: Track payments and follow up on overdue accounts Discrepancy Resolution: Address billing inquiries and resolve discrepancies promptly Insurance Claims: Prepare and submit claims to carriers, ensuring compliance Payment Processing: Post and reconcile payments Compliance: Stay current on billing regulations and insurance...

JOB DESCRIPTION As a Billing Specialist, you will manage the end-to-end medical billing process for multiple hospitals, facilities, and clients. Your role will involve entering and verifying patient and insurance information, coding procedures accurately, and submitting claims for professional services (Pro Fee). You will follow up on unpaid or denied claims, resolve discrepancies, and ensure compliance with payer requirements. Additionally, you’ll collaborate with internal teams and external partners to maintain accurate records and support the acquisition transition. This position requires strong attention to detail, familiarity with medical billing systems, and the ability to work efficiently in a fast-paced environment. REQUIRED SKILLS AND EXPERIENCE Medical Billing or Pro Fee billing Experience Familiarity with claims processing or CPC certification Minimum 2–3 years in medical billing Onsite Requirement: Must work onsite in Pawtucket, RI, 5 days per week...

Job Title Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their...

Medical Coder With Anesthesia Coding Expertise We are seeking a skilled and detail-driven Medical Coder with anesthesia coding expertise to join our team. The ideal candidate will accurately assign CPT, ICD-10, and HCPCS codes (including modifiers) for surgical, procedural, and office-based reports in compliance with CMS coding guidelines. This role also provides billing and coding support across clinics as needed, ensuring accuracy, timeliness, and compliance in all aspects of coding and documentation. Key Responsibilities: Review and code office visits, surgical procedures, and anesthesia-related reports using accurate CPT, ICD-10, and HCPCS codes. Ensure all coding follows CMS, payer-specific, and compliance guidelines. Provide clinic-wide billing and coding support, assisting with reconciliation, claims review, and error resolution as needed. Audit and correct clinic fee tickets, procedure charges, and hospital reports for accuracy and completeness. Manage...

Medical Coding Coordinator Become a part of our caring community and help us put health first. Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you come in, the Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and...

Hcc 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 diagnoses using a standardized system,...

Baylor Scott & White Health 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. 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: Eligibility on day 1 for all benefits, Dollar-for-dollar 401(k) match, up to 5%, Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more, Immediate access to time off benefits....

Senior Provider Reimbursement Professional - Certified Medical Coder Become a part of our caring community and help us put health first. The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Role Overview: Identifies reimbursement policy and process recommendations (primarily with respect to proposed new code edits and the specifics of existing code edits that are reviewed), ensuring compliance with government regulations, contractual considerations, and relevant business decisions. Analyzes provider reimbursement patterns and trends. Begins to influence department's strategy. Makes decisions on...

Remote Coding Professional We 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. The ideal candidate will possess the following: Minimum five years of coding experience Extensive coding in multiple specialties including: all primary care specialties, ENT, cardiology, GYN, rheumatology, urology, endocrinology, and orthopedics, etc. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Athena experience preferred Job...

Coder II Position Specialty scope for this coder II position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula:...

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

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...

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry standards...

Medical Billing Specialist Neolytix 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. At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun! Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. Responsibilities include: Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. Verifying correct insurance filing information on behalf of the client and the patient. Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems. Prepare, review,...

Allegheny Health Network Job Posting 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 other duties as...

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform...

Medical Coder Our 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. The 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. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

Job Description Job Description SUMMARY: Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient account charge entry. These financial transactions are to ensure stability of the organization’s accounts receivable. This is a full-time, 40 hours/week position (Monday-Friday), located on-site at our Providence office PRINCIPAL DUTIES AND RESPONSIBILITIES: Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct. Practices the Brown Physicians Inc. Customer Service Standards. Maintain current knowledge of federal and state regulations regarding medical billing practices. Act...

Job Description Job Description PRINCIPAL DUTIES AND RESPONSIBILITIES: Reads and interprets health record documentation to identify all diagnoses and procedures that affect the inpatient/outpatient stay/visit. Assign CPT, ICD-10, HCPCS II, and modifiers based on documentation and payer requirements. Independently resolve coding rejections and denials using discretion and analytical ability to apply broad guidelines to specific coding situations. Responsible for maintaining current knowledge of coding, compliance, and reimbursement procedures. Review payer policy updates and coding manuals. Maintain coding certification by keeping track of Continue Education Units (CEUs) Completes work assignments within an acceptable time frame. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Coding certification required by either AAPC or AHIMA 2-3 years of experience in medical professional coding in a physician's office, hospital, or clinic. Knowledge of...

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...

Job Description Job Description SUMMARY: Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient accounts to ensure the financial stability of the organization. This is a full-time, 40 hours/week position (Monday-Friday), at our Providence location: 110 Elm St., Providence, RI. PRINCIPLE DUTIES AND RESPONSIBILITIES: Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct. Practices the Brown Physicians Inc. Customer Service Standards. Maintain current knowledge of federal and state regulations regarding medical billing practices. Act as a resource to practice...

Job Description Job Description Production Supervisor – CNC / Swiss Machining Join Cadence and help us improve patient outcomes through precision medical devices! We’re seeking a hands-on Production Supervisor to lead our CNC and Swiss machining and Packing teams. This role is critical in ensuring smooth daily operations, driving accountability, and developing a high-performing team while delivering high-quality products that impact patients’ lives. What You’ll Do Lead, coach, and hold your team accountable for performance, quality, and safety standards. Maintain strong floor presence to actively support, mentor, and troubleshoot with your team. Plan, prioritize, and oversee daily CNC/Swiss and Packing production schedules, ensuring on-time delivery and operational efficiency. Partner with Quality, Engineering, and Planning to ensure smooth workflow and adherence to regulated processes. Drive continuous improvement initiatives and follow through on process...

Job Description Job Description We are a well established and rapidly growing third-party revenue cycle management/medical billing company located in Smithfield, RI and are seeking a full-time medical billing specialist to join our team. This position offers flexible daytime work hours and partial remote work opportunities.  Two years of medical billing experience in accounts receivable (insurance) follow up is required . The culture at Grey Ledge Medical is focused on providing the highest quality service to our clients, while creating a positive and friendly work environment for all. We offer comparable salary and benefits for all of our positions. Please reply back to this post with your resume. Thank you. Job Type: Full-time Benefits:   Flexible schedule   Ability to Commute:   Smithfield, RI 02917 (Required)   Ability to Relocate:   Smithfield, RI 02917: Relocate before starting work (Required)   Work Location: In person