Medical coder jobs in Rhode Island

Pay Range: $64,600.00 - $96,800.00 Please email HR_Talent_************************** if you are a candidate seeking a reasonable accommodation for the application and/or interview process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative individuals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do-not just for our members, but for our employees as well. We recognize that to do your best work, you have to be your best self. It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees. Our culture is one of belonging. We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you're at in the organization, you're an integral part of our team and your input, thoughts, and ideas are valued. Join others who value a workplace for all. We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders. We're dedicated to serving Rhode Islanders. Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state-building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer. Why this job matters: Perform medical record reviews of Medicare Advantage members to ensure proper medical diagnoses are being submitted to Centers for Medicare & Medicaid Services (CMS) for accurate risk adjustment payments. Perform data validation of collected medical codes from both outpatient and inpatient settings. Assist with the review and perform on-site and remote retrieval of medical records for internal and external audits. What you'll do: Perform risk adjustment data validation of Medicare Advantage member charts including outpatient and inpatient services provided by physicians. Ensure primary and secondary diagnoses are reported in accordance with CMS payment guidelines to ensure Plan receives accurate risk adjustment payments. Achieve team annual recovery goal targets. Detect trends in documentation to identify at-risk claims and documentation errors for provider education. Coordinate with provider education department in order to schedule physician on-site and remote chart reviews with physicians and/or office staff in a professional manner. Provide recommendations to physicians to incorporate and promote industry best practices. Distribute informational/educational correspondence as appropriate. Perform audits of claims data to flag unsupported diagnoses for deletion to mitigate audit risks. Identify errors through data validation; facilitate remediation with internal business areas. Assist and retrieve member information to correct informational errors as necessary. Review claims data to validate member risk scores; gather documentation for CMS appeals if risk scores are challenged. Analyze audit results to and be able to interpret those to leadership to inform coding policies. Use NLP (Natural Language Processing) software to audit records, identifying codes to submit for capture and codes eligible for deletion. Maintain expert industry knowledge as related to the risk adjuster process and coding regulations. Actively participate in physician coding review discussions. Participate in the retrieval and review of medical documentation relevant to risk adjuster activity for internal and external audits. Serve as subject matter expert on coding initiatives and member chart review. Participate in department initiatives and projects. Perform other duties as assigned. What you need to succeed: Certified Professional Coder (CPC, CPC-H), or Certified Coding Specialist (CCS) designation; or an equivalent combination of education and experience Three to five years of experience in medical claims review or claims processing Three to five years of experience in quantitative or statistical analysis (preferably in health care) Proven analytic experience using Microsoft Excel, database query capabilities and ability to evaluate data at various levels of detail Proficiency in ICD-9/10-CM medical coding Advanced analytical skills, with the ability to interpret and synthesize complex data sets Good business acumen and political savvy Knowledge of business process improvement techniques and strategies Excellent verbal and written communications skills Negotiation skills Presentation skills Decision-making skills Good problem-solving skills Ability to interface with employees at all levels Ability to effectively navigate ambiguous situations with limited direction Excellent organizational skills and ability to successfully prioritize multiple tasks Ability to handle multiple priorities/projects The Extras: Registered Nurse (RN) Bachelor's degree Knowledge of ICD-9-CM, ICD-10-CM and CPT coding Professional designations (e.g. CPC-H, or CPC-P, CRC) Knowledge of Hierarchical Condition Category (HCC) payment model and American Hospital Association Official Coding Guidelines Familiarity with hospital contract reimbursement Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role: In-office: onsite 5 days per week Hybrid: onsite 2-4 days per week Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity employer. The law requires an employer to post notices describing the Federal laws. Please visit ************************************************************** to view the "Know Your Rights" poster.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Senior 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. **Activities include:** + Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. + Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. + Provide detailed written summary of medical record review findings. + Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. + Review and discuss cases with Medical Directors to validate decisions. + Independently research and accurately apply state or CMS guidelines related to the audit. + Assist with investigative research related to coding questions, state and federal policies. + Identify potential billing errors, abuse, and fraud. + Identify opportunities for savings related to potential cases which may warrant a prepayment review. + Maintain appropriate records, files, documentation, etc. + Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. + Mentor New Coders, providing training, coding, and record review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10. + CMS 1500 and UB04 data elements + Experience with researching coding and policies. + Experience with Microsoft products; including Excel and Word + Prior experience auditing others' work and providing feedback. + Experience mentoring others. + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 3+ years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Licensed Professional Counselor (LPC) + Excellent communication skills + Excellent analytical skills + Strong attention to detail and ability to review and interpret data. **Education** + AAPC Certified Professional Coder Certification (CPC) + GED or High School diploma **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Sharecare is the leading digital health company that helps people -- no matter where they are in their health journey -- unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ****************** **Job Summary:** This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. ***This position is located on-site in a medical facility in Providence, RI!** **Essential Functions:** + Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity. + Date stamps all requests and highlights pertinent data to facilitate processing. + Validates requests and authorizations for release of medical information according to established procedures. + Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing. + Maintain equipment in excellent operating condition (inside and out). + Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. + May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client. + Maintains a neat, clean, and professional personal appearance and observes the dress code established. + Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area. + Maintains working knowledge of the existing state laws and fee structure + Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs + Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations. + Maintains confidentiality, security and standards of ethics with all information. + Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner. **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must have strong computer software experience -- general working knowledge of Microsoft Word and Excel required + Excellent organizational skills a must + Must be able to type 50 wpm + Must be able to use fax, copier, scanning machine + Must be willing to learn new equipment and processes quickly. + Must be self-motivated, a team player + Must have proven customer satisfaction skills + Must be able to multi-task + **Local to Providence, RI!** **Compensation:** + $20.00/hour Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.

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. . Minimum of 2 year s experience in a hospital inpatient or outpatient setting required. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. WIH - Internal Posting Period: 3/19/2025-3/28/2025

Job Title: Certified Professional Coder - Apprentice Reports To: Auditing and Coding Manager This position is a full time in-office role based in Providence, RI. Under the direction of the Auditing and Coding Manager, the Certified Professional Coder - Apprentice is responsible for accurately assigning medical codes to diagnosis and procedures based on providers documentation while ensuring compliance with coding guidelines and supporting the billing and reimbursement process. This is a full-time position, working 40 hours per week with generous benefits and a competitive compensation package. Essential Job Functions: Will process incoming medical records requests from insurance companies. Ensure timely completion of requests within designated time frame. Review of hospital reports to verify appointments are created and claims are accurately billed in a timely manner. Assigns CPT, ICD-10, HCPCS and modifiers based on clinical documentation and payer requirements. Collaborate with healthcare providers to clarify unclear or incomplete documentation. Works with medical and billing staff to resolve coding issues and associated problems. Maintains strict confidentiality and follows HIPAA guidelines. Support internal audit processes by providing documentation and clerical support Work closely with other coders, billers, administrative assistants and providers to ensure smooth workflow and communications. Additional duties assigned by the Manager to meet department needs. Requirements: High school diploma or GED required. Certified Professional Coder (CPC-A) credential from the AAPC (American Academy of Professional Coders) is required. Post-secondary coursework or diploma in medical coding, health information management or a related field (preferred). Maintains coding certification and attends in-service training as required. Knowledge of coding policies and procedures, reimbursement practices. Knowledge of anatomy, physiology, and medical terminology. Knowledge of health insurance processing and clinic operating policies. Skill in using Athena, Epic, and MDaudit Skill in identifying and resolving problems. Ability to work effectively with co-workers. Ability to communicate effectively and clearly. Must be able to travel to all sites if/when necessary.

Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO - Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record. Qualifications Education and experience, essential Must possess a high school diploma or equivalent. Must have demonstrated experience in the use of a computer, including typing and clerical skills. Must have basic demonstrated technology skills, including operation of a mobile device. Education and experience, preferred Six months experience in medical records in a health care office is highly preferred. Requirements* Must possess a valid state driver license Must maintain automobile liability insurance as required by law Must maintain dependable transportation in good working condition Must be able to safely drive an automobile in all types of weather conditions * For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: * 30 days PDO - Up to 6 weeks (PDO includes company observed holidays) * Continuing education opportunities * Scholarship program for employees * Matching 401(k) plan for all employees * Comprehensive insurance plans for medical, dental and vision coverage for full-time employees * Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees * Flexible spending account plans for full-time employees * Minimum essential coverage health insurance plan for all employees * Electronic medical records and mobile devices for all clinicians * Incentivized bonus plan Responsibilities Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record. Qualifications Education and experience, essential * Must possess a high school diploma or equivalent. * Must have demonstrated experience in the use of a computer, including typing and clerical skills. * Must have basic demonstrated technology skills, including operation of a mobile device. Education and experience, preferred * Six months experience in medical records in a health care office is highly preferred. Requirements* * Must possess a valid state driver license * Must maintain automobile liability insurance as required by law * Must maintain dependable transportation in good working condition * Must be able to safely drive an automobile in all types of weather conditions* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Functions as the Surgical Coordinator to Brown Surgical Associates with primary accountability to the Practice Manager and surgeons. Primary responsibility is to schedule surgical cases and procedures. Exceptional organizational and people skills are required. This position reports to the Practice Manager. This is a full-time, 40 hrs./wk. position, supporting the Colorectal division at 208 Collyer Street. The Surgical Coordinator works with physicians, secretarial and clinical staff to facilitate patient-centered care. Proficiency using computer software, electronic medical records, and practice management systems for surgical scheduling and appointment scheduling. Demonstrates an understanding of the organization, its policies and procedures related practice operations. Displays professionalism while addressing patient issues. Adheres to HIPAA guidelines. PRINCIPAL DUTIES & RESPONSIBILITIES: Obtains pre-surgical referrals and pre-authorization as required. Reviews financial and clinical paperwork to ensure completion before the scheduled procedure or surgery date and submits clinical and financial information (H&P, Consent, OR Booking Slips) to facility. Maintains and updates surgical schedules daily. Coordinates number and length of cases booked per OR session/surgeon preference using block time whenever possible. Coordinates pre-admission testing, when applicable. Coordinates pre-op office visits prior to surgery, when applicable. Obtains medical clearance from primary care physician or other specialty, when applicable. Updates provider's calendar to reflect scheduled surgeries. Manages and tracks all operative cases performed by the surgeon and maintains surgery database. Calls patients to confirm arrival time, pre-and post-op instructions, and schedules post-op visit appointment. Talks with patient regarding patient's deductibles, out of pocket expenses and payments due prior to surgery. Provides coverage for practice secretaries as needed. Additional duties as assigned by the Practice Manager to meet division needs. EDUCATION & EXPERIENCE: High School diploma required; Graduate of a secretarial school or college preferred. Two years' experience in a medical-surgical practice setting - surgical scheduling experience preferred. Medical terminology required. Knowledge of ICD-10, CPT, and third-party billing. Computer literate with working knowledge of Microsoft office, Electronic Medical Record (EMR) and computerized appointment scheduling systems. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: Conditions common to a clinical practice environment. Employees are required to be vaccinated against Covid as a condition of employment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We value a diverse, talented workplace and seek colleagues who strive to better understand systemic barriers as it affects patient care and our academic institutions. Brown Surgical Associates welcomes nominations and applications from all individuals with varied experiences, perspectives, abilities, identities, and backgrounds to enrich our clinical, research, training and service missions.

Supports care teams by analyzing and responding to requests for patient health information (medical, behavioral health and dental), ensuring adherence to confidentiality requirements. Sorts, reviews and scans medical reports/documents into the electronic health record according to established policies and procedures. Assembles and maintains complete health records, files and retrieves patient records, and updates and closes files according to established policies and procedures. Duties & Responsibilities: * Electronically tracks new patient health records for upcoming appointments, triage and as requested by the clinical staff. * Uses the medical records portal to determine patient status and/or to locate the paper chart from storage for review by clinical staff. * Sorts all loose medical reports that arrive in the health information department, determines the urgent nature of each report and scans into the electronic health record according to established policies and procedures. * Assures all medical reports (received via paper fax) are initialed by the provider before scanning in the health record; also verifies the patient name and date of birth to assure that it is scanned into the correct patient's chart. * Reviews and sorts medical record authorizations, scans into the correct patient chart and sends task to the Health Information Specialist for processing. * Reviews Authorization for the Release of Information and validates that it is complete, accurate and in compliance with HIPAA Privacy Regulations and Rhode Island State and federal laws. * Assists in uploading of digital faxes, scanning, sorting mail and the redistribution of patient portal web encounters. * Assists with lab reconciliations. Ensuring lab results are attached to the correct patient chart and lab order. * Assists all walk-ins with requests for their health records by assisting with the completion of the release forms and answering patient questions regarding access and obtaining copies of their protected health information. * Updates patient demographic information to ensure we have the most up-to-date patient information. Assures that the patient information completed on the authorization is the same as that documented in the electronic health record. * Assists with answering and handling incoming phone call requests pertaining to the release of information. Routes calls to the Health Information Specialist or the Supervisor/Director of Health Information as appropriate. * Coordinated Care/Patient Centered Medical Care Management: Works with all members of the Health Care Team towards achieving coordinated patient centered care. Demonstrates knowledge of the goals and objectives of PCHC's patient care management plan. Effectively able to perform and communicate individual tasks within the role in the process. * Reviews medical reports and determines category and subcategory within the Image section of the electronic health record. Scans the medical reports into the electronic health record following established procedures (including attaching corresponding orders). Does chart updates in patient charts for those medical reports requiring tracking for Meaningful Use (e.g., colonoscopies, DM retinal exams, labs, etc.). * Review prescription refill requests using problem solving skills to determine appropriate action. * Assists patients with uploading electronic submissions of transferred records into the patient's health record following the Continuity of Care Document (CCD) protocol. * Assists patients by downloading protected health information electronically as required for Meaningful Use measures. * Access patient health information through the LifeSpan database and retrieves the health information for continuity of patient care. * Knowledge of HIPAA privacy rules and regulations, Rhode Island General Laws regarding the disclosure of patient health information. * Access to reliable transportation. * Maintains confidentiality at all times on all health information matters. * Other duties may be assigned at the Supervisor/Director's request. * The above listing of duties is not meant to be all inclusive. However, the Employer will not ask any Employee to routinely perform a task unrelated to the above-mentioned duties. Qualifications: * Analytical abilities and good judgment necessary to evaluate, often under pressure, the legal rights of the patient. * Knowledge of Rhode Island State and Federal laws/regulations and HIPAA Privacy regulations. * Ability to read/write/speak English. * Medical terminology required. * Excellent communication skills required. * Proficient computer skills are required working with Microsoft and windows based applications. * EHR experience preferred. * Ability to communicate with people of various diverse backgrounds in a sensitive and compassionate way. Education: * High School Diploma or equivalent required. * Completion of a two year program in Health Information or equivalent experience typically acquired by two years current experience working in Health Information required.

Job Description Health Information Specialist (Full Time) Health Information Specialist maintains of active and terminated records according to agency and State/Federal standards. Assist in the daily functions necessary to maintain health information procedures, such as scanning documents, meeting with clients to complete a release of information to have records released to other organizations or individuals, assist in processing records needed for subpoenas/court orders. This is an entry level position. MAIN DUTIES: Compile, process, and maintain client records for completeness and accuracy. Enter client data into electronic health record (EHR) systems. Retrieve and transmit records for authorized requests, such as from insurance companies or other providers. Ensure client records are organized and kept confidential in accordance with regulations and HIPAA. EDUCATION AND TRAINING REQUIRED: This position requires a high school diploma or equivalency with two years office/customer service experience preferred. Minimum skills will include. Proficiency in the use of Outlook 365 (sending/receiving emails/attachments, importing/exporting address books/cards, cutting/pasting website elements into Microsoft Office documents), and record keeping. Ability to communicate clearly and professionally with callers, visitors and co-workers. Proficient typist (45 wpm or greater with at least 95% accuracy rate). Proficiency in Microsoft Office 2011 (Word, Excel, Access, Power Point) and Outlook. Ability to participate as a member of a team. Ability to work independently and effectively to solve problems, seeking supervision as needed. Knowledge of modern office procedures and methods including telephone communications, office systems in Microsoft Office, and record keeping. Ability to maintain confidentiality. WORKING CONDITIONS: Knowledge of relevant laws related to the confidentiality and privacy of health information. Ability to correctly maintain existing systems and protocols while handling multiple priorities simultaneously & work independently with attention to detail. Access to reliable transportation to assist in health information projects at various satellite locations where records are stored. Perform repetitive/routine/critical work. Ability to lift 25 lbs. Ability to sit 75% of the time. Ability to work flexible hours. Ability to crouch, bend and continuous standing for periods of one hour or more possible. Work in the presence of noise. Benefits Community Care Alliance offers competitive salaries based on experience, skills and performance, a comprehensive benefits package, and great quality of work/life. Generous vacation, sick time and holidays. Comprehensive medical and dental coverage as well as voluntary vision and AFLAC supplemental coverage. 403b with matching after 6 months of employment. Flexible Spending (FSA) and Dependent Care (DCA) accounts. Agency-paid group life insurance; long-term disability. Tuition reimbursement and licensure/certification bonuses. Employee referral program as well as bilingual skills premium. On-site or nearby parking available at most buildings; mileage reimbursement for client and business related use of your personal vehicle. To apply for this opening please visit our website *********************** and select "Careers" and then "Current Openings" to fill out an application and upload your cover letter and resume. About Us Community Care Alliance provides an array of services and supports that are linked together so people can access help for their unique situations. Our goal is to help all members of our community become healthier, more self-reliant and better informed to meet their economic, social and emotional challenges. Community Care Alliance is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, age, national origin, or disability. Military friendly employer!

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights** **This is a Remote Role** + Full Time: Monday-Friday 8:00 AM to 4:30 PM Central Time. All Datavant Holidays are non-covered days. + Ability working in a high-volume environment. + Will answer incoming calls and assist patients via Ring Central + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Detailed Oriented **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

Job Details Experienced Warwick, RI Hybrid Full Time High School or Equivalent None Day Health CareDescription Who we are: Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community. What you'll do: The objective of the Surgical Scheduler role is to help support the surgical scheduling department by creating an effortless patient experience by providing a team-based approach to patient care and an exceptional patient experience. Surgical Scheduler will emphasize highly personalized care and help patients surpass barriers to healthcare by improving the patient/provider relationship. Responsibilities/Duties: Surgical Scheduling Welcomes patients by greeting them, in person or on the telephone, answering or referring to inquiries. Scheduling of all surgical cases for all physicians at the appropriate facility Ensure that correct surgical equipment is ordered. Coordinates scheduling of all pre-admission testing, lab work, and diagnostic imaging as applicable Obtain medical clearance from PCP and specialists as indicated. Confirm that cases are scheduled with the correct facility. Maintains and updates surgical schedule daily. Communicates all changes to the appropriate departments and staff. Confirm accurate completion of H&P and consent for each patient. Confirm and order cases the day prior to surgical day. Prints and distributes daily schedule to physicians, including any necessary patient paperwork. Remain accountable and follow through on all commitments made to patients. Assist physicians with billing submission. Communicate effectively with patients, clinical staff, and physicians. Surgical Authorizations: Responsible for reviewing for accuracy of information requested and received regarding precertification and/or prior authorization numbers received, as well as supporting documents. Responsible for uploading into EHR software system, authorization numbers, time spans/number of procedures, etc. and supporting documentation upon verification that procedures are authorized as requested. Responsible for monitoring and tracking of authorization requests and expiring authorizations. Obtain prior authorizations as needed for preoperative imaging studies. Utilize eligibility/registration software. Sending clinical documentation as needed to insurance companies. Responsible for the use of and documentation in, EHR software system as the official medical record, following appropriate guidelines for documenting. Update facility of patient authorization status and confirm receipt of authorization. Set up peer-to-peer as needed. Send appeals as needed. Communicate effectively with clinical staff and facilities on authorization statuses. Qualifications Who you are: High school diploma or equivalent. Associate degree or higher is preferred. Ability to use computerized systems and experience with Electronic Medical Records systems, especially GE Centricity. Minimum one-year experience in surgery or procedure scheduling in a medical practice. Must have ability to work well under pressure and use sound judgment consistently. Must possess strong verbal and written communications skills. Must be highly organized and comfortable providing excellent internal and external customer service. What we offer: Excellent growth and advancement opportunities Dynamic environment Access to a diverse network of practitioners Broad infrastructure of tools and programs to enhance the employee experience Competitive Compensation Generous PTO Benefits package: health, dental, vision, 401(k), etc. We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).

Functions as the Surgical Coordinator to Brown Surgical Associates with primary accountability to the Practice Manager and surgeons. Primary responsibility is to schedule surgical cases and procedures. Exceptional organizational and people skills are required. This position reports to the Practice Manager. This is a full-time, 40 hrs./wk. position, supporting the Colorectal division at 208 Collyer Street. The Surgical Coordinator works with physicians, secretarial and clinical staff to facilitate patient-centered care. Proficiency using computer software, electronic medical records, and practice management systems for surgical scheduling and appointment scheduling. Demonstrates an understanding of the organization, its policies and procedures related practice operations. Displays professionalism while addressing patient issues. Adheres to HIPAA guidelines. PRINCIPAL DUTIES & RESPONSIBILITIES: Obtains pre-surgical referrals and pre-authorization as required. Reviews financial and clinical paperwork to ensure completion before the scheduled procedure or surgery date and submits clinical and financial information (H&P, Consent, OR Booking Slips) to facility. Maintains and updates surgical schedules daily. Coordinates number and length of cases booked per OR session/surgeon preference using block time whenever possible. Coordinates pre-admission testing, when applicable. Coordinates pre-op office visits prior to surgery, when applicable. Obtains medical clearance from primary care physician or other specialty, when applicable. Updates provider's calendar to reflect scheduled surgeries. Manages and tracks all operative cases performed by the surgeon and maintains surgery database. Calls patients to confirm arrival time, pre-and post-op instructions, and schedules post-op visit appointment. Talks with patient regarding patient's deductibles, out of pocket expenses and payments due prior to surgery. Provides coverage for practice secretaries as needed. Additional duties as assigned by the Practice Manager to meet division needs. EDUCATION & EXPERIENCE: High School diploma required; Graduate of a secretarial school or college preferred. Two years' experience in a medical-surgical practice setting - surgical scheduling experience preferred. Medical terminology required. Knowledge of ICD-10, CPT, and third-party billing. Computer literate with working knowledge of Microsoft office, Electronic Medical Record (EMR) and computerized appointment scheduling systems. WORKING CONDITIONS AND PHYSICAL REQUIREMENTS: Conditions common to a clinical practice environment. Employees are required to be vaccinated against Covid as a condition of employment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We value a diverse, talented workplace and seek colleagues who strive to better understand systemic barriers as it affects patient care and our academic institutions. Brown Surgical Associates welcomes nominations and applications from all individuals with varied experiences, perspectives, abilities, identities, and backgrounds to enrich our clinical, research, training and service missions.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** The 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 include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements + Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 2 years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Prior auditing experience + Excellent analytical skills + Strong attention to detail and ability to review and interpret data + Excellent communication skills **Education** + GED or equivalent + AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Sharecare is the leading digital health company that helps people -- no matter where they are in their health journey -- unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ****************** Job Summary: This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. *This position is located on-site in a medical facility in Providence, RI! Essential Functions: Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity. Date stamps all requests and highlights pertinent data to facilitate processing. Validates requests and authorizations for release of medical information according to established procedures. Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing. Maintain equipment in excellent operating condition (inside and out). Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client. Maintains a neat, clean, and professional personal appearance and observes the dress code established. Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area. Maintains working knowledge of the existing state laws and fee structure Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations. Maintains confidentiality, security and standards of ethics with all information. Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner. Qualifications: High School Diploma (GED) required A minimum of 2 years prior experience in a medical records department or like setting preferred Must have strong computer software experience -- general working knowledge of Microsoft Word and Excel required Excellent organizational skills a must Must be able to type 50 wpm Must be able to use fax, copier, scanning machine Must be willing to learn new equipment and processes quickly. Must be self-motivated, a team player Must have proven customer satisfaction skills Must be able to multi-task Local to Providence, RI! Compensation: $20.00/hour Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

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. . Minimum of 2 year s experience in a hospital inpatient or outpatient setting required. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values. WIH - Internal Posting Period:3/19/2025 - 3/28/2025

* Supports care teams under general supervision, but according to established policies and procedures, answers requests for confidential health information. Discloses health information in compliance with Rhode Island General Laws, Federal Public Health Laws, HIPAA Privacy Regulations and PCHC policies and procedures. * Reviews and conducts chart reviews of the clinical documentation in the patient's electronic medical records to obtain and/or retrieve the most accurate and complete physician's documentation that appropriately supports the patient's encounter. * Function as Health Information Associate as needed. Duties & Responsibilities: * Demonstrates a complete understanding of the release of information process, including Rhode Island General Laws, Federal Regulations, Public Health Laws, HIPAA Privacy Rules and PCHC policies and procedures as they relate to obtaining or disclosing medical, dental, behavior health and billing information related to patients' treatment and services provided by PCHC. * Handling all requests and inquiries for patient information; dispersing the information with accountability to all regulatory entities and according to policy and procedure, including: * Reviews authorizations for release of information and validates that it is complete, accurate and in compliance with HIPAA Privacy Regulations, Rhode Island General Laws, Federal Public Health Laws and PCHC policies and procedures. If the request is invalid, returns the request with an explanation and requests a valid authorization. * Analyzes requests for health information, abstracts pertinent portions of health records, copies, mails and/or releases in accordance with PCHC policies and procedures to safeguard patient confidentiality. * Screens health records for any confidential information that is not covered under a general authorization. * Prepares and documents invoicing for requests requiring payment. Qualifications: * Knowledge of Rhode Island State and Federal laws/regulations and HIPAA Privacy regulations regarding release of information required. * Analytical abilities and good judgment necessary to evaluate, often under pressure, the legal rights of requesting parties. * Ability to read/write/speak English required. * Excellent communication skills required. * Presentation skills preferred. * Medical terminology required. * Proficient computer skills are required including working with Microsoft word and windows based application for data entry. Excel and PowerPoint experience preferred. * Ability to communicate with people of various diverse backgrounds in a sensitive and compassionate way. Education: * High School diploma or equivalent required. * Completion of a two year program in Health Information or equivalent experience typically acquired by two years current experience working in Health Information required. PCHC is EOE/M/F/D/V/SO

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights** **This is a Remote Role** + Full Time: Mon-Fri 8:00am -4:30pm CST + Phone support + Ability working in a high-volume environment. + Processing medical record requests such as: Insurance requests, DDS Requests, Workers Comp Request, Subpoenas + Documenting information in multiple platforms using two computer monitors. + Proficient in Microsoft office (including Word and Excel) **Preferred Skills** + Knowledge of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Experience working with subpoenas **We offer:** + Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

Responsible for the processing the fetal monitor tracings received by the department and ordering all records from storage. Provides general clerical assistance for department as well as back-up for other areas within the department. Performs other job-related duties as requested. Job Summary: Responsible for the processing the fetal monitor tracings received by the department and ordering all records from storage. Provides general clerical assistance for department as well as back-up for other areas within the department. Performs other job-related duties as requested. Specifications: High School graduate with appropriate clerical skills. Ability to work without constant supervision. Previous medical record experience preferable. Must be proficient in communicating in the English language. Care New England Health System (CNE) and its member institutions Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center are trusted organizations fueling the latest advances in medical research, attracting the nation s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis. EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values WIH Internal Posting Period: 8/6/2025-8/15/2025