66 cpc certified professional coder jobs found in Warwick, RI

Job Summary 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 group 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 principles and...

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

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 & Physiologie required. Certified Professional...

Outpatient Coding Specialist 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...

Summary Brown University Health is seeking a highly motivated Full-Stack AI Developer to join a government-funded research team working at the intersection of artificial intelligence, digital health, and public health interventions. The ideal candidate will play a key role in the development and optimization of multimodal AI models, AI-driven chatbots, and agent-based modeling frameworks, contributing to research on HIV prevention, sexually transmitted infection (STI) prevention, nutrition counseling, overdose prevention, and opioid use disorder (OUD) treatment. C. A. R. E. Values 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 tell us how we work together and how we get things done. The core...

Brown University Health is seeking a highly motivated Full‑Stack AI Developer to join a government‑funded research team working at the intersection of artificial intelligence, digital health, and public health interventions. 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 closely with public health experts, data scientists, and researchers to refine AI models and improve application performance. Stay updated on cutting‑edge AI technologies, including large language models, reinforcement learning, and agentic...

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...

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

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy and compliance by auditing CPT/HCPCS and modifiers against medical records. You will discuss findings with investigators and regulators, identify billing errors and potential fraud, and maintain up-to-date knowledge of coding guidelines across CMS and payer requirements. #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 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 resources and...

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,...

Care New England is seeking an HIM Certified Coder to review medical records and assign accurate ICD-9CM, CPT, and HCPCS codes in accordance with coding standards. The ideal candidate holds CCS certification, has training in Medical Terminology and Anatomy & Physiology, and brings at least two years of hospital inpatient or outpatient coding experience. CPC candidates will be considered but must pass the CCS exam within one year of hire. #J-18808-Ljbffr

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

Remote ED Coder The remote ED Coder is responsible for assigning Injections/Infusions, facility E/M, ICD-10-CM diagnosis, ED procedures and appropriate Modifiers using CPT/HCPCS coding systems. Experience with diagnosis coding, some manual charges, E/M leveling, and any procedures. Responsible for coding Outpatient records with a focus on ED accounts assuring proper CPT, ICD-10 assignment for all coded records. Will also move around to help out as needed with Labs accounts. Communicate with the Workforce Manager when necessary. Performs other duties as assigned. Extensive knowledge of 3M encoder, Meditech is required. Must have a minimum 2yrs recent Acute Care Outpatient coding experience. Comfortable with hitting a 95% accuracy or better and hitting productivity standards. Knowledge of medical/surgical terminology. Soft Skills Requirements: Open to constructive criticism, easy going and can change gears quickly Strong verbal and written communication skills An independent...

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

Signature-Healthcare in Massachusetts seeks a qualified coder to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing for ambulatory services. The role involves delivering feedback to providers to improve coding and documentation practices, while upholding coding guidelines and regulatory requirements. Candidates must be a member of AAPC or AHIMA and credentialed as CCS-P, CPC or COC, with CRC preferred. #J-18808-Ljbffr

Coder Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided. The coder provides feedback, insight and guidance to providers regarding their coding and documentation practices. The coding position helps to insure compliance with established coding guidelines, third party and governmental policies, regulations and guidelines. Must be a member of AAPC or AHIMA. Must be credentialed as CCS-P, CPC, COC. Credentialed as CRC is preferred.

Physician Specialty Coder | Boston Childrens Hospital At Boston Children's Hospital, the quality of our care and our inclusive hospital working environment lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us and discover how your unique contribution can change lives. Yours included. Position Summary: The Physician Specialty Coder works independently to manage complex coding review, validation, and charge submission processes for assigned specialty departments. Specifically Surgical Coding. This role ensures accurate and compliant ICD-10, CPT, and/or ASA coding while partnering closely with physicians, billing teams, and operational staff to resolve coding and reimbursement issues. The position also serves as a resource for...

Position Summary Performs coding validation and review of charges for assigned medical departments to ensure timely and compliant submission of charges. Assigns, sequences, validates, and/or edits codes for assigned medical departments. Initiates, reviews, and/or edits physician queries in compliance with company policy, when appropriate. Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to ensure coding knowledge and skills remain current. Key Responsibilities 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 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...

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.

Westboroughbehavioral is seeking a Medical Office Coder to join their team in Westborough, Massachusetts. This per diem position requires the coder to accurately assign medical codes for billing purposes, perform audits, and ensure compliance with coding regulations. Applicants should have a High School degree and an Associate's Degree or Certificate in Medical Coding/CPC, alongside at least one year of coding experience, preferably in psychiatric services. The role offers benefits like 401K, medical, dental, and vision coverage. #J-18808-Ljbffr

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...

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 bill 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....