34 jobs found in Rhode Island

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.  Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.  Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient...

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

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...

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...

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

**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...

Remote Profee Coder High-level professional coder needed for remote position in Health Information Management. Must have professional oncology experience and experience with urology, women's health, etc. Must be able to code all types of professional specialties, with oncology as a priority. Must take and pass the ProFee E/M assessment. Consistent schedule needed. Job Summary: Under general supervision, performs in-depth complex daily professional fee coding - CPT, Diagnosis, Procedure, Modifiers, Charges, HCPC, and ICD10 coding of outpatient clinic visits via Aria and Meditech Expanse software. Will focus on clinic visits for the following specialties: oncology, primary care - family medicine, internal, wound care, hospitalist, pulmonology, urgent care, nephrology, infectious disease, clinic minor surgical procedures, cardiology/CT, claim edits, and denials. Accurately abstract, CPT, HCPCS, Diagnosis, Charges, ICD10 and Modifiers as appropriate per clinical documentation....

Taylor Farms is looking for an FSQA Supervisor to implement and uphold quality assurance and food safety standards. In this role, you will support departmental goals and execute improvement initiatives aiming for compliance with regulatory bodies. The ideal candidate should have at least three years of experience in the food industry, knowledge of GMPs, proven leadership skills, and strong analytical capabilities. Familiarity with Microsoft Office is required. #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 & Physiology required. Certified...

Occupational Therapist - Homebound Medical Instruction - Tiverton Public Schools Tiverton Public Schools - Tiverton, Rhode Island Job ID: 5767178 Application Deadline: Posted until filled Posted: Jun 08, 2026 12:00 AM (UTC) Starting Date: Immediately Job Description Occupational Therapist – Homebound Medical Instruction Tiverton Public Schools – Tiverton, Rhode Island Position Title: Occupational Therapist (Homebound Medical Instruction) Location: Student home within Tiverton, RI Position Type: Part-Time/Per Diem Start Date: Immediate Opening Position Summary Tiverton Public Schools is seeking a compassionate, flexible, and highly qualified Occupational Therapist to provide direct occupational therapy services to student receiving homebound medical instruction. The successful candidate will work collaboratively with family, special education staff, and related service providers to support the student in accessing their educational programs and making progress toward...

101 Riverside Hospital, Inc. is seeking a professional Medical Coder to assign ICD-10-CM and CPT codes for diverse charts, ensuring accurate documentation and compliant reimbursements. Responsibilities include chart reviews, physician queries, maintaining 90%+ coding accuracy, and mentoring peers while collaborating with the VP/ Medical Director of RMG. Remote eligibility may apply for candidates in select states. #J-18808-Ljbffr

Microbiology / Molecular Laboratory Supervisor Full Time Pawtucket, RI We are seeking a Microbiology / Molecular Laboratory Supervisor for a full-time leadership role in a clinical laboratory setting. Schedule: Full-time, day shift Schedule may vary based on lab needs Responsibilities: Supervise daily operations of the Microbiology and Molecular departments Oversee quality control, compliance, and regulatory standards Ensure accurate and timely test reporting Train, mentor, and support laboratory staff Assist with workflow optimization and operational efficiency Qualifications: Bachelor s Degree in Medical Technology, MLS, or related field ASCP certification preferred Strong experience in Microbiology and/or Molecular Diagnostics required Prior leadership or supervisory experience preferred For more information and immediate consideration please send your resume directly to or call/text me at .

Care New England in Warwick, RI seeks a Professional Biller II to service patient inquiries, manage accounts receivable, and facilitate claims processing across multiple departments. You will post payments/denials, analyze trends, and coordinate with carriers, patients, and staff to resolve billing issues. The role emphasizes adherence to privacy and compliance guidelines while supporting monthly financial reporting and cash collections. #J-18808-Ljbffr

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

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

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle's global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

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...