80 cpc certified professional coder jobs found in Providence, RI

Summary Reports to the Coding Manager. Reviews the outpatient clinical documentation of extract data and assign 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...

A healthcare organization is looking for a HIM Certified Coder in Providence, RI. This role involves reviewing medical records and assigning relevant Diagnosis and Procedure codes while following established conventions and regulatory guidelines. Candidates must have at least a high school diploma and certification as a Certified Coding Specialist (CCS) along with relevant medical education. Experience in a hospital environment is also required. This is a great opportunity to contribute to healthcare coding standards. #J-18808-Ljbffr

Become a part of our caring community 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 adapting procedures, processes and techniques, and...

Datavant is seeking a Profee Auditing Specialist to enhance coding quality through audits of medical records. This fully remote role requires over 5 years of coding/auditing experience and a CPC certification. Key responsibilities include performing thorough audits, providing detailed rationales for changes, and coder education. The position offers a pay range of $35-45 per hour, along with comprehensive employee benefits such as medical, dental, and professional development support. #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...

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...

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...

Datavant is seeking a Lead Coder to remotely support client needs. The role involves managing coding workflows, resolving technical issues with EPIC systems, and overseeing a team of coders. Candidates should have a High School Diploma, coding certification from AHIMA, and 3-5 years of coding experience. Familiarity with medical terminology and strong analytical skills are essential. Benefits include medical, dental, vision, and a flexible schedule. #J-18808-Ljbffr

A leader in health data exchange is seeking experienced inpatient coders to join their remote team. This role requires expertise in ICD-10 diagnostic and procedural coding, with a focus on maintaining high accuracy and auditing duties. Ideal candidates have over 3 years of inpatient coding experience, preferably within a Level I Trauma Center, and strong communication skills. Benefits include a 401k plan and comprehensive training. #J-18808-Ljbffr

A healthcare organization in Rhode Island is seeking a HIM Certified Coder to review medical records and assign accurate Diagnosis and Procedure codes. Candidates must possess a high school diploma and active CCS certification, along with additional education in Medical Terminology and Anatomy & Physiology. The role requires a minimum of 2 years’ experience in hospital settings. Join a trusted organization advancing medical research and patient care in a supportive environment. #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

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

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...

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 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

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

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

Scheduled Weekly Hours: 0 Working under the supervision of the Central Billing Department Supervisors will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. Responsible for accurately coding provider’s 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...

Sturdy Memorial Hospital, located in Attleboro, is seeking a Remote Coding Specialist to ensure accurate patient care data collection and coding. This full-time position requires an Associate's degree, relevant coding certifications (RHIA, RHIT, or CCS), and a proficiency in technology. The candidate should have a strong understanding of ICD-10 coding systems and at least 2 years of coding experience in a hospital setting. A sign-on bonus of $10,000 is offered, alongside a competitive salary range of $28.32-$43.45 per hour. #J-18808-Ljbffr

Scheduled Weekly Hours: 40Eligible for 100% remote work from MA, RI, CT, GA, WY, NMSign on bonus: $10,000Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines.Education/Training:Associates required with Bachelor’s Degree preferred. Approved Coding Course completionLicenses/Certification:RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) requiredRequired Qualifications and Skills:Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriateProficiency in technology usage, including 3M encoder.Knowledge of anatomy, physiology, and pathology of disease processes and...

Coder Abstractor-Inpatient page is loaded## Coder Abstractor-Inpatientlocations: Attleboro, MAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R8470Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines.**Required Skills/Qualifications/Training/Experience:*** Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate* Proficiency in technology usage, including 3M encoder.* Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology.* Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and conventions. Familiarity with UHDDS definitions and Coding Clinic.* Organized, flexible, highly...

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bills are satisfied in a timely manner. Essential Duties: Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Westborough...