134 coder jobs found in Providence, RI

Summary Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assigns appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics. Reviews the medical records to ensure the documentation supports the code assignment. Utilizes 3M 360 Finder for code assignment and appropriate resolutions of claim edits (CCI, NCD, OCE, etc.) Confer with physician for clarification as needed. Monitors outpatient uncoded report to ensure timely coding and billing process. Maintains and meets HIS quality and productivity standards. 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...

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. The role requires reviewing records, applying ICD-10-CM/PCS guidelines, and collaborating with clinical reviewers to ensure accurate reimbursement and DRG logic. #J-18808-Ljbffr

Care New England is seeking a Health Information Management Certified Coder to review medical records and assign Diagnosis and Procedure codes using ICD-9CM, CPT, and HCPCS guidelines in accordance with coding standards. The role requires CCS certification with additional education in Medical Terminology and Anatomy & Physiology, and a minimum of two years’ hospital coder experience. CPC candidates may be considered but must pass CCS within one year. #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. 1,500 Sign on Bonus 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,...

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...

Cognizant is seeking an Inpatient Medical Coder for a remote, work-from-home role in the United States. The position focuses on reviewing/ resolving coding denials and ensuring accurate inpatient coding with EPIC and 3M Encoder. You will collaborate with multiple teams and physicians to queries and appeals while maintaining high accuracy and productivity. The ideal candidate has at least three years in inpatient coding, with CPC/COC/CCC/CIRCC or RHIT/RHIA/CCS credentials, and proficiency in #J-18808-Ljbffr

Brown University Health is seeking a highly motivated Full‑Stack AI Developer to join a government‑funded research team at the intersection of artificial intelligence, digital health, and public health interventions. The ideal candidate will work on multimodal AI models, AI‑driven chatbots, and agent‑based modeling frameworks for research on HIV prevention, STI prevention, nutrition counseling, overdose prevention, and opioid use disorder (OUD) treatment. Responsibilities Design, develop, and optimize multimodal AI models, AI‑based chatbots, and modify existing agent‑based modeling frameworks. Develop and maintain both front‑end and back‑end components of AI‑driven applications, ensuring seamless user experiences. Deploy and maintain AI solutions on cloud platforms (AWS, Azure, or Google Cloud) with scalable architectures. Learn and integrate public health knowledge in HIV prevention, STI prevention, nutrition counseling, and OUD treatment into AI‑based solutions. Work...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

Primary Health Solutions in Rhode Island seeks a Billing and Coding Specialist responsible for ensuring accurate coding of patient services for insurance submissions. The role involves reviewing provider documentation, coding claims accurately using various systems, and assisting with coding guidance. Candidates should possess a CPC certificate, experience with Microsoft Office 360, and strong medical terminology knowledge. This position helps to promote thorough documentation and compliance in the healthcare billing process. #J-18808-Ljbffr

We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect S – Stewardship Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty. A Day in the Life Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable. Review incomplete encounters and code based on available documentation in EHR systems. Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS. Use computers / billing software to create and bill encounters that generate...

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. Duties & Responsibilities Reviews Patient's records for procedures and diagnosis. Enters and maintains codes in the computer system. Planning, Productivity and Decision Making. Preserves and protects patients' rights to confidentiality. Performs other job- related duties as requested. Requirements 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...

Care New England Health System in Rhode Island seeks a HIM Certified Coder to review medical records and assign diagnosis and procedure codes using ICD-9CM, CPT, HCPCS and related conventions. The role requires a CCS certification, additional education in Medical Terminology and Anatomy & Physiology, and at least two years of hospital coding experience; CPC candidates may be considered but must pass CCS within a year. #J-18808-Ljbffr

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

Certified Inpatient Coder The role of a Certified Inpatient Coder at Care New England is to ensure accurate coding and abstracting of all inpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Inpatient services include, but are not limited to cardiac care, intensive care, oncology, behavioral, rehab and multiple other diagnostic classifications. Classification systems include ICD-10-CM & ICD-10 PCS as well as other specialty systems as required by diagnostic category. A proficient understanding and execution of inpatient 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 & Responsibilities Analyze medical records, extracting clinical, pathological, therapeutic and epidemiologic data in accordance with established ICD-10-CM coding...

Care New England seeks a Certified Inpatient Coder to ensure accurate coding and abstracting of inpatient services across cardiac care, ICU, oncology, and other areas, using ICD-10-CM and ICD-10-PCS while complying with CMS, AHA, and AMA guidelines. You will review records, select appropriate DRGs, query physicians as needed, maintain confidentiality, and contribute to data quality and reimbursement targets in a fast-paced hospital setting. #J-18808-Ljbffr

Day Kimball Health in Putnam, CT, is looking for a Certified Professional Coder to join their Central Business Office. The role involves coding medical records, ensuring compliance with ICD-9 and ICD-10 guidelines, and providing education to clinical staff through quarterly audits. Ideal candidates will have at least five years of experience in coding, as well as a high school diploma and CPC certification. The position offers a comprehensive benefits package and a supportive work environment dedicated to quality patient care. #J-18808-Ljbffr

Day Kimball Health is hiring a Certified Professional Coder for the Central Business Office . Location: Putnam, CT. Shift: Days Shift, 40 Hours. Why Choose Day Kimball Health? For nearly 130 years, Day Kimball Health has been the trusted healthcare provider for the Northeastern Connecticut community, offering accessible and compassionate care close to home. As a non‑profit, integrated healthcare provider, we are committed to delivering high‑quality services while maintaining a strong connection with our patients and their families. We value both personal and professional growth and offer a supportive, collaborative environment where you can thrive. Certified Professional Coder Job Summary Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture, and posting through record analysis. The coder conducts quarterly chart audits to ensure documentation meets...

Day Kimball Health is hiring a Certified Professional Coder for the Central Business Office ! Location: Putnam, CT | Shift: Days Shift, 40 Hours Job Summary Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Will perform quarterly chart audits to ensure documentation meets ICD-9 as well as ICD-10 guidelines. Additionally, the Certified Professional Coder will provide ICD-10 training for Providers and staff as needed and will be an integral part of the implementation team. Key Responsibilities Review medical records for completeness and compliance with coding guidelines to abstract and code clinical data, including diseases, operations, procedures, and therapies, using standard classification systems. Review and enter all charges for practice billing from medical record documentation to ensure billed services...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

Manager Professional Billing Coding Operations Remote Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. Position: Manager Professional Billing Coding Operations Remote Department: Coding & Education, BUMG...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

Coder, Physician Medical | Boston Childrens Hospital Performs complex ICD-10 and CPT review and validation or ASA coding for assigned primary or medical departments. Establishes and maintains working relationships with Physicians in order to resolve specific case issues, as well as general questions and or principles. Participates in coding and reimbursement training programs. Provides instruction and education to staff on accurate charge entry and medical record documentation. Develops and maintains professional skills and up to date knowledge of regulatory and compliance issues related to coding, documentation and billing. Participates in professional organizations and reviews current literature. Stays current on all coding and reimbursement rules, regulations, trends and new developments. Maintains credentials and certifications for CPC on an annual basis.