18 cpc certified professional coder jobs found in Providence, RI

Job Description Job Description Job Summary: Duties and Responsibilities: The Certified (CCS) Coder is responsible for accurate coding of all Medical/Surgical Inpatient and outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic),/ICD-10-CM, ICD-10 PCS, CPT, HCPCS and CMS coding guidelines. As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Requirements: Must have at least three (3) years inpatient hospital coding experience within the last five years. Certification: This position requires certification as a Certified Coding Specialist (CCS) and...

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** **The General Surgery Coder** must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve...

**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. (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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other...

Job Description Job Description MTTI is looking for a full-time Medical biller & coder who has office administrative experience & is a certified professional coder for a teaching position in our Medical Billing & Coding / Office Administration Program. MTTI is a post-secondary career training institute located in Seekonk, Massachusetts. At MTTI, we train students with the skills and knowledge necessary to enter the workforce in nine different areas of technology; ranging from Automotive to Medical. Our goal is to offer quality, hands-on, education to qualified individuals who are unemployed or underemployed, and assist them in entering training-related employment. The moto at MTTI is, Education for Employment. Very rewarding position available for a qualified and enthusiastic office administrator who can teach these skills with a high standard of professionalism. Time management and organizational skills are needed to prepare students, for success that will lead to...

Job Description Job Description Our Coding Specialist is responsible for duties that supports the company’s overall Operations and Client Services by efficiently and effectively processing account data needed for the Revenue Cycle process and delivering results Coding specialist Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information and significant reportable elements. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting...

Steward Medical Group at Hawthorn Medical Associates is looking for an enthusiastic, dedicated Coder to join our team The successful candidate will assign ICD, CPT and HCPCS codes to all relevant physician claims. Ensure that E&M levels are accurate and documentation supports appropriate level assigned and medical necessity of service. Ensure all demographic and insurance data is accurate based upon information contained within the documentation: Communicate with providers and practices to ensure all encounter forms are current. Disseminate information regarding new codes and/or coding policies either by payer or through regulations. Create and maintain department processes and controls according to Professional Coding Standards, CMS Standards, HIPAA, OIG, and the State of Massachusetts as well as national payor coding guidelines as they pertain to professional coding and reimbursement. Educate providers and clinical staff through review and education of documentation....

Job Description Job Description Join one of the top pediatric hospitals in the world as a Medical Physician Coder ! This position is offering work-life balance and flexibility, with only 1 day per week in-office . Looking for a strong medical coder with over 95% accuracy. Responsibilities of the Medical Physician Coder : Perform ICD-10 review and complex CPT Coding Validation or ASA coding for assigned surgical specialty departments. Establish and maintain working relationships with Physicians to communicate and resolve specific case issues, as well as general questions and or coding principles. Develop and maintain professional skills. Participate in professional organizations and stay abreast of the latest relevant literature and resources. Qualifications of the Medical Physician Coder: High School diploma or equivalent and min of 2 years of experience in Physician coding and CPC license An associate's degree is preferred. Knowledge of medical...

Job Description Job Description The HIMS Coder Credentialed codes diagnoses and procedures as documented in each patient medical record according to ICD-10-CM classification system, and assigns the impairment and CMS 13 group codes. The position abstracts information from the medical record and enters into PATCOM and UDS Proware and establishes an accurate and comprehensive data base all within the JCAHO standards, professional and regulatory agency guidelines, UHDDS guidelines and our policies. Job code: 100544 Qualifications POSITION REQUIREMENTS AND ESSENTIAL JOB FUNCTIONS License or Certification: - RHIA or RHIT or CCS preferred Education, Training and Years of Experience: - Graduate of accredited Health Information Technology or Administration Program or completion of AHIMA Independent Study Program or completion of advanced coding classes in ICD-10-CM and CPT4 at an accredited college or vocational school preferred. Machines, Equipment Used: - General office equipment...

Job Description Job Description Medical Billing/Coding Specialist in Newton, MA Or client in the healthcare field is looking for a Medical Biller/ Coder to join their team! They are looking for a long term associate who is positive, driven, and dependable. The right candidate must have at least 3 years of experience in a medical billing environment. They must also have experience in Medical Coding. This is a DIRECT HIRE Opportunity, meaning that you will immediately be put on to the Company's payroll and benefits. *CPC/ CPC-A CERTIFICATION HIGHLY PREFERRED* Hours: Mon-Fri 9am-5pm (1 hour lunch) Pay: $22-27/hour Depending on Experience Qualifications for Medical Billing/Coding Specialist: 3 years experience in a physician/billing environment Strong understanding of medical terms, anatomy, and physiology Familiarity with Modifiers Strong attention to detail CPC/CPC-A certification preferred but not required Must be Fully Vaccinated Must know how to Code...

Description: The Channing Division of Network Medicine is a research division within the Department of Medicine at Brigham and Women’s Hospital (BWH). Within Channing, the Chronic Disease Epidemiology unit includes several of the largest, most intensively studied, longitudinal cohorts in the world, including the Nurses’ Health Study, Nurses' Health Study II and the Growing Up Today Study. Epidemiology of a broad range of complex chronic diseases is studied in these cohorts, using a variety of traditional and novel approaches. We are currently recruiting for a part time, entry-level employee who will work in the data collection and processing area. No previous experience is required. This employee will interact directly with Research Associates responsible for data collection and will report directly to the Project Manager. This employee will participate in all activities pertaining to NHS cohort questionnaire processing. The expectations are that the employee will be...

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** **The Ortho Surgery Pro Fee Coder** must be proficient in surgical coding for Ortho surgery cases. E/M experience is also required. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials...

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Remote Medical Coder Hospital Inpatient will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This is a 100% full time remote position. + Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and...

Job Details Level Undisclosed Job Location GEN-Willimantic - Willimantic, CT Remote Type N/A Position Type Full Time Education Level Certificate/Technical Diploma Salary Range $19.56 - $19.56 Hourly Travel Percentage Undisclosed Job Shift Undisclosed Job Category Health Care Description Certified Coder (Full-Time; 40 hours / week) Generations Family Health Center, Inc. is a regional community health center covering a thirty-seven-town rural region in eastern Connecticut with sites located in Willimantic, Danielson, Norwich and Putnam. Our dedicated staff provides a full range of primary care services to all ages including medical, dental and behavioral health care, as well as care coordination and community outreach. In addition to our main facilities, we offer mobile programs and School Based Health Centers. Location: Willimantic, CT Job Summary: Under the direction of a designated supervisor/manager, the Certified Coder is...

Description: GENERAL SUMMARY/ OVERVIEW STATEMENT\:    The Coding Specialist reports to the Coding Manager and is responsible for correct coding of professional services and upholding compliance standards.   PRINCIPAL DUTIES AND RESPONSIBILITIES\:     The Coding Specialist I is required to\:   §  Perform coding and related duties using established Professional Billing Office and Coding Services policies in an accurate and timely manner.  Review medical documentation and system generated charges or paper encounter forms.  Appropriately assign CPT®, ICD-9/ICD-10, HCPCS II, and modifiers based on documentation and payor requirements. §  Demonstrate a commitment to integrating coding compliance standards into daily coding practices.  Identify, correct and report coding problems.  §  Maintain current knowledge of coding, compliance and reimbursement procedures.  Review current literature, newsletters, payor policy updates and coding...

Job Description Job Description JOB POSTING Position : Medical Biller 3490 Date of Posting : September 11th, 2023 Status: Full Time (40 hours/week) Hourly n/a Union (Grade 5B) Site Warwick Response Date: September 15 , 2023 Job Transfer Date: Employees transfer to the posted position within seven (7) weeks of job offer acceptance date and receive new hourly rate, when applicable, by the fourth (4) week of job offer acceptance date. Note: The clinic hours vary based on the following schedule: Hours Mondau – Friday 8a-5pm The flexibility to share overtime with coworkers required. The ability to read write and speak English and Spanish required. Please view attached job description PCHC is an equal opportunity employer committed to diversity in the workplace. JP: 3490 (D. Thompson ) Dept: Warwick Code: 01-930-J-MB-05 Overview: The Medical Biller will perform tasks and functions associated with all aspects of...

Description Position at UMass Memorial Health Care   At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday. Requisition #: 201380 Title: Lead Accounts Receivable Specialist I Department: Professional Billing Central Billing Office Grade: ADM6 Posting Date: Jan 2, 2020 Shift: Days Status: Non Exempt Union:  SHARE Hours: 40 hours Shift Length: 8 hours Location: UMass Memorial Medical Health Care – 306 Belmont St, Worcester, MA $1000 SIGN-ON OR REFERRAL...

Job Description Job Description Medical Biller Summary: Our healthcare client is hiring Medical Billers to work in their fast paced environment. This is a team-oriented position, working together with medical billers, administrators, and coders. Flexible hours, 8-hour shifts starting at 7, 8 or 9am.   Medical Biller Responsibilities: · Research claims, process bills · Follow up on claims requiring appeals · Submit documentation to insurance companies as needed · Analyze AR reports · Follow up on unpaid claims · Resubmit unprocessed or returned claims to insurance companies · Create UB92 and HCFA bills Medical Biller Qualifications : · Possess excellent interpersonal skills · Experienced with third party billing · Ability to troubleshoot billing issues · Healthcare industry knowledge preferred Medical Biller Skills : · Strong technological skills · MS Office including Teams · Prior experience in medical billing software Company Description Moore Staffing,...

Job Description Job Description Job Summary: Our client is a reputable consulting firm looking for experienced medical billers to serve their clients. Must have minimum 4 years of direct medical billing experience. Shift/Hours: M-TH from 8:30am - 4:30pm. The office is remote on Friday! Open to part- time and remote employees as well. However, you must commute into the office for the first few weeks in order to be trained. DESCRIPTION: As the Medical Biller you will play a crucial role in optimizing the client's EHR, ensuring the timely submission of professional medical claims to insurance companies, posting payments, researching denials, and assisting with coding audits. Your efforts will ensure positive revenue outcomes for clients. This is a very systems heavy role – so you must be comfortable and skilled when working with billing systems/technology. The following is an outline of expectations for the job function for the Billing Specialist Processing of...