35 jobs found in Rhode Island

A leading pharmaceutical company is seeking an Associate Director of Scientific Communications in Providence, RI. This role involves managing global scientific communication strategies and overseeing the publication process. Candidates should have an advanced scientific degree and 7+ years in medical communications or affairs, along with strong leadership skills. The position offers a competitive salary and a comprehensive benefits package. #J-18808-Ljbffr

Eastgate Nursing and Rehab is a 5-star facility located in East Providence. Eastgate has a long history of delivering outstanding care and services to the East Bay community. We are in search of a dedicated, detail-oriented, friendly and compassionate person to join our business office! If you are looking for a wonderful work environment, come join our business office team today! Qualifications and Experience Long Term Care Medicaid Experience Third-party insurance billing (Medicare/Medicaid) and A/R experience a plus Other Qualifying attributes Self-motivated and ability to multi-task Proficient in Excel Proven organizational skills Strong communication and interpersonal skills Accounts Receivable responsibilities Reconciliation of nursing home Census Prepares, submits and follows up on monthly billing for private accounts, Medicare, Medicaid & 3rd party Insurance Communicates with involved parties including residents, families, DHS and attorneys on matters related to...

Humana is seeking a Medical Coding Auditor to extract clinical information from medical records and assign ICD-10-CM and CPT codes with accuracy. The role supports outpatient coding audits and requires professional certification and experience. This is a remote position with occasional travel for training or meetings. Typical hours are Monday–Friday with a 40-hour work week; ability to work independently and meet deadlines is essential. #J-18808-Ljbffr

Care New England Health System in Rhode Island seeks a certified HIM coder to review medical records and assign ICD-9CM/ICD10, CPT, and HCPCS codes in line with Coding Clinic and CMS guidelines. The role supports inpatient and outpatient coding accuracy while safeguarding patient confidentiality. Requirements: active CCS certification with evidence of Medical Terminology and Anatomy & Physiology study; CPC candidates will be considered but must pass the CCS exam within one year of hire; minimum #J-18808-Ljbffr

Women & Infants Hospital seeks an HIM Certified Coder to review medical records and assign diagnosis and procedure codes using ICD-9CM, CPT and HCPCS, in line with coding guidelines. The role requires CCS certification; CPC candidates may be considered but must pass CCS within one year. Minimum 2 years in a hospital setting; high school diploma; terminology and anatomy knowledge preferred. #J-18808-Ljbffr

Certified Outpatient CoderThe 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 & ResponsibilitiesAnalyze medical records, extracting clinical, pathological, therapeutic and epidemiologic data in accordance with established ICD-10-CM coding principles and guidelinesAssigns 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...

Cadence, Inc. is seeking a hands-on Production Supervisor to lead our CNC machining and Packing teams on 2nd shift in Cranston, RI. This critical role involves ensuring smooth daily operations and developing a high-performing team while delivering high-quality medical devices. Ideal candidates have over 5 years of supervisory experience in a regulated manufacturing environment, strong technical knowledge of CNC machining, and proven team leadership skills. Join us to make a real difference for patients! #J-18808-Ljbffr

Associate Director, Client Services - Medical & Scientific CommunicationsSimpson Healthcare, an IQVIA Company, is an established scientific agency & dedicated partner to clients in the life sciences industry for over 20 years. We are actively seeking an Associate Director, Client Services, to join our growing team within IQVIA in support of both new & ongoing client relationships.The Associate Director (AD) is responsible for managing client relationships, delivering projects in alignment with operational excellence standards, and leading account team. AD is accountable and responsible for the assigned clients both in terms of growing and nurturing relationship and ensuring all deliverables meet or exceed client expectations. AD is also responsible for day-to-day success of their team and continued growth and development of individual team members.Client Relations and Brand ManagementEstablish meaningful, professional relationships with client stakeholders, including...

Industrial Radiographic Test Inspection Boundary MonitorThere's never been a better time to join the shipbuilding industry. As demand for cutting-edge naval technology grows, General Dynamics Electric Boat is at the forefront-designing, building, and maintaining the most advanced submarines in the world. Our work is mission-critical, supporting the U.S. Navy and strengthening national security. We offer a workplace where integrity, innovation, and excellence drive everything we do. With competitive pay, comprehensive benefits, and career growth opportunities, your future in shipbuilding starts here. Be part of history in the making – apply today.This is an entry level position into industrial radiographic test inspection to serve as a Boundary Monitor. The primary function of this role is to prevent access into the radiography restricted area while radiography operations are being conducted and provide verification of radiation measurements at the restricted area boundary to the...

Industrial Radiographic Test Inspection Boundary MonitorThere's never been a better time to join the shipbuilding industry. As demand for cutting-edge naval technology grows, General Dynamics Electric Boat is at the forefront-designing, building, and maintaining the most advanced submarines in the world. Our work is mission-critical, supporting the U.S. Navy and strengthening national security. We offer a workplace where integrity, innovation, and excellence drive everything we do. With competitive pay, comprehensive benefits, and career growth opportunities, your future in shipbuilding starts here. Be part of history in the making – apply today.This is an entry level position into industrial radiographic test inspection to serve as a Boundary Monitor. The primary function of this role is to prevent access into the radiography restricted area while radiography operations are being conducted and provide verification of radiation measurements at the restricted area boundary to the...

Datavant is seeking experienced inpatient coders for a fully remote role with a flexible schedule. You will assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS, and manage coding accuracy and productivity benchmarks. Ideal candidates have 3+ years of inpatient coding experience, hold CCS/RHIT/RHIA certifications, and excel in documentation improvement and communication with hospital staff. We offer training, equipment, and mentorship in a supportive environment. #J-18808-Ljbffr

Datavant is seeking experienced inpatient coders to join our remote coding team. You will assign ICD-10-CM and ICD-10-PCS codes from patient records and oversee accuracy with MS-DRG assignments, while maintaining productivity benchmarks. Candidates should have at least 3 years of inpatient coding experience, AHIMA credentials (CCS/RHIT/RHIA preferred), and strong verbal and written communication skills. This fully remote role offers flexible scheduling and opportunities to impact healthcare data #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...

Certified Outpatient Coder 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 & 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...

Certified Professional Coder (CPC)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.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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.Activities...

Claims Follow-Up SpecialistUnder general supervision of the Follow-up Supervisor, performs all duties necessary to follow up on outstanding claims and correct all denied claims for a large physician multi-specialty practice. 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 Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate.Responsibilities:Review all denied claims, correct them in the system and send corrected appealed claims as written correspondence, fax or via electronic submission.Identify and analyze denials and enact corrective measures as needed to effectively communicate...

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...

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

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...

Summary Under the general supervision of the Coding Manager and according to established procedures, accountable for assignment of diagnoses and procedures for outpatient surgical and other services. Interprets clinical and diagnostic documentation and assigns appropriate ICD-10 (current edition) and / or CPT codes as well as modifiers, ED facility levels, Infusions/Injections and other charges as appropriate adhering to official coding guidelines. Requires knowledge of hospital coding, ambulatory classifications and coding guidelines. Abstracts required data into hospital information system. Ensure records are coded in an accurate and timely manner. Education High School diploma or equivalent required. Licensure Medical coding certification and training in medical terminology from an accredited program preferred. Recognized programs include: American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). Must complete and pass...