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Medical coder jobs in Rhode Island - 27 jobs

  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Medical coder job in Providence, RI

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
    $26.5-41 hourly 30d ago
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  • Coding Specialist I

    South County Hospital 4.2company rating

    Medical coder job in Wakefield-Peacedale, RI

    This is an entry level coding position. Under close supervision of the Coding Team Leader, performs review of clinical documentation and pertinent diagnostic results as appropriate from the medical record to extract data and assign appropriate ICD-10-CM and CPT 4/HCPCS codes for billing, internal and external reporting, research and regulatory compliance. Minimum Qualifications: * High School Diploma or equivalent. Demonstrated knowledge of medical terminology and anatomy. * CPC or CPC-A Required * 1 year prior experience in health care * Good computer skills, which includes knowledge of Microsoft office products and a broad experience with various EMRs. Success Factors: * Showcase good written and oral communication skills * Good analytical skills and ability to pay attention to detail * Good computing knowledge in Microsoft Word, Excel, PowerPoint etc. * Exhibit sound knowledge of medical terminology. * Attributes which are consistent and will contribute to a collaborative coding team.
    $47k-76k yearly est. 5d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Providence, RI

    **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: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 43d ago
  • ROI Medical Records Specialist

    Sharecare 4.4company rating

    Medical coder job in Rhode Island

    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. 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 are 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 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.
    $30k-36k yearly est. Auto-Apply 4d ago
  • HIM Certified Coder 40D

    Women & Infants Hospital 4.3company rating

    Medical coder job in Rhode Island

    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
    $63k-79k yearly est. 60d+ ago
  • HIM Certified Coder Per Diem

    Care New England 4.4company rating

    Medical coder job in Rhode Island

    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
    $43k-56k yearly est. 60d+ ago
  • Medical Records Technician

    Department of Defense

    Medical coder job in Newport, RI

    Apply Medical Records Technician Department of Defense Military Treatment Facilities under DHA Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply About the Position: This position is located at Naval Health Clinic New England, Newport, Rhode Island. A recruitment or relocation incentive may be authorized. Non-Federal work experience may be creditable for leave purposes. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Summary About the Position: This position is located at Naval Health Clinic New England, Newport, Rhode Island. A recruitment or relocation incentive may be authorized. Non-Federal work experience may be creditable for leave purposes. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Overview Help Accepting applications Open & closing dates 01/14/2026 to 01/26/2026 Salary $46,137 to - $59,978 per year Pay scale & grade GS 5 Location 1 vacancy in the following location: Newport, RI Remote job No Telework eligible No Travel Required Not required Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Competitive Promotion potential None Job family (Series) * 0675 Medical Records Technician Supervisory status No Security clearance Secret Drug test No Position sensitivity and risk Noncritical-Sensitive (NCS)/Moderate Risk Trust determination process * Suitability/Fitness Financial disclosure No Bargaining unit status Yes Announcement number HSJT-26-12864843-DHA Control number 854353200 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties Help * Create reports regarding medical records. * File forms in medical records. * Review medical records for correctness. * Prepare responses to inquiries. * Screen medical records for beneficiaries. * Ensure compliance to current policies and instructions. Requirements Help Conditions of employment * Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. * This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required. * Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption. * Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Specialized Experience: One year of specialized experience which includes registering new patients into healthcare systems, compiling reports and/or appropriate forms for department, and assisting with medical records and forms for patients. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-04). OR Education: Four years of education above the high school level obtained in an accredited business, secretarial or technical school, junior college, college or university. OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide your semester hours of education beyond two years (total semester hours minus 60) by 60. Add the two percentages. Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: ************************************************************************** Additional information * Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration. * You will be required to provide proof of U.S. Citizenship. * One year trial/probationary period may be required. * Direct Deposit of Pay is required. * Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees. * Multiple positions may be filled from this announcement. * Salary includes applicable locality pay or Local Market Supplement. * If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet. * Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help Review our benefits How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility. If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Veterans and Military Spouses will be considered along with all other candidates. Benefits Help Review our benefits Required documents Required Documents Help The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements. As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further. 1. Your resume: * Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. * For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position. * Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume. * If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy. * For additional information, to include formatting tips, see: What to include in your resume. 2. Other supporting documents: * Cover Letter, optional * Most recent Performance Appraisal, if applicable * This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses. NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. How to Apply Help To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section below. * The complete application package must be submitted by 11:59 PM (EST) on 01/26/2026to receive consideration. * To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (********************************************************** * Follow the prompts to select your resume and/or other supporting documents to be included with your application package. As a reminder, your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. For additional information, refer to the 'Required Documents' section. * You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process. * After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process. * You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. Your resume selected in USAJOBS will be included, but you must re-select other documents from your USAJOBS account or your application may be incomplete. * It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan. * Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center. To verify the status of your application, log into your USAJOBS account (****************************************************** all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: *************************************************** Agency contact information Army Applicant Help Desk Website ************************************************* Address JT-DD83DQ ATLANTIC DHN DO NOT MAIL Various Locations, RI 0 US Next steps If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration. Fair and transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Criminal history inquiries Equal Employment Opportunity (EEO) Policy Financial suitability New employee probationary period Privacy Act Reasonable accommodation policy Selective Service Signature and false statements Social security number request Required Documents Help The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment. A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements. As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further. 1. Your resume: * Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. * For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position. * Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume. * If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy. * For additional information, to include formatting tips, see: What to include in your resume. 2. Other supporting documents: * Cover Letter, optional * Most recent Performance Appraisal, if applicable * This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses. NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $46.1k-60k yearly 3d ago
  • Supv Health Information Mgmt

    RIH Rhode Island Hospital

    Medical coder job in Rhode Island

    SUMMARY: Under general supervision of the Manager of Health Information Services, supervises the activities of clerical staff for one or more assigned areas of the department (i.e., correspondence, record completion, transcription services, EAD). Participates in the development of policies and procedures related to assigned clerical activities, including process improvements. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect and Excellence, as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. RESPONSIBILITIES: Interviews, selects, orients, trains, and assigns work to clerical staff. Evaluates performance and recommend corrective action as appropriate. Regularly assesses quality assurance reviews of work in progress. Provides guidance to staff regarding work processes, acting as resource to staff to resolve work-related issues. Ensures staff is apprised of changes in confidentially laws and related regulations affecting medical information and that standards for same are maintained. Regularly assesses staff adherence to confidentiality standards and related policies and procedures, takes action as appropriate to ensure adherence to same. Depending on assigned functions of clerical staff may perform any combination of the following activities: Participates in the development policies and procedures related to clerical activities. Participates in development of QITs to enhance productivity and quality of work. Orients staff to changes processes or procedures, including changes in update order of medical record and approved forms for inclusion in medical records. Maintains medical record filing system. Provides for periodic record purging to outside storage facility as approved by manager. Prepares and maintains various productivity and volume statistical reports. Monitors backlog, develops and implements plans to correct; review chart aging reports monthly to monitor trends. Regularly prepares summary reports for manager's review. Coordinates clerical actives for correspondence areas. Ensures adherence to established policies and government regulations related to disclosure of patient information in responding to requests received from others from within outside the Hospital. Receives and resolves requests from patient for unusual or questionable requests for medical information. Intervenes to resolve patient complaints as they related to release of medical information. Coordinates the provision of the transcription services through outside services. Ensures adherence to contract provisions, including quality standards and turnaround time. Communicates with service to investigate and resolve concerns and problems. Recommends changes to manager as necessary to ensure standards are maintained. Supervises staff in the assembly of medical records, ensuring adherence to record order standards and timeliness of preparation. Ensures reports are filed accurately. Conducts periodic chart reviews to assess accuracy. Anticipates backlogs and develops plans to address same. Coordinates process for requesting medical records, including staff adherence to policies related to medical records access; ensures approved requests for records are met within the established turnaround times to meet or exceed customer expeditions. Maintains and enhances expertise and skills through participation in appropriate education and training opportunities. Participates in or leads various committees, tasks forces and quality improvement teams as assigned. MINIMUM QUALIFICATIONS: EXPERIENCE: At least two years progressively more responsible related experience, including demonstrated supervisory and management skills. Experience must demonstrate working knowledge of State and Federal confidentiality laws related to medical information, Joint Commission standards and familiarity with computerized systems. For an assignment that includes transcription services, must have at least one-year experience in medical transcription in order to assess accuracy and completeness of materials prepared by others. SUPERVISORY RESPONSIBILITY: Supervisory responsibility for up to 40 FTEs. Working conditions are generally good, little discomfort due to noise, heat, and dust. Pay Range: $55,744.00-$91,956.80 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: Wed to Saturday 3:30 pm-Midnight Work Shift: Evening Daily Hours: 8 hours Driving Required: No
    $55.7k-92k yearly Auto-Apply 11d ago
  • Supv Health Information Mgmt

    EPBH Emma Pendleton Bradley Hospital

    Medical coder job in Rhode Island

    SUMMARY: Under general supervision of the Manager of Health Information Services, supervises the activities of clerical staff for one or more assigned areas of the department (i.e., correspondence, record completion, transcription services, EAD). Participates in the development of policies and procedures related to assigned clerical activities, including process improvements. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect and Excellence, as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. RESPONSIBILITIES: Interviews, selects, orients, trains, and assigns work to clerical staff. Evaluates performance and recommend corrective action as appropriate. Regularly assesses quality assurance reviews of work in progress. Provides guidance to staff regarding work processes, acting as resource to staff to resolve work-related issues. Ensures staff is apprised of changes in confidentially laws and related regulations affecting medical information and that standards for same are maintained. Regularly assesses staff adherence to confidentiality standards and related policies and procedures, takes action as appropriate to ensure adherence to same. Depending on assigned functions of clerical staff may perform any combination of the following activities: Participates in the development policies and procedures related to clerical activities. Participates in development of QITs to enhance productivity and quality of work. Orients staff to changes processes or procedures, including changes in update order of medical record and approved forms for inclusion in medical records. Maintains medical record filing system. Provides for periodic record purging to outside storage facility as approved by manager. Prepares and maintains various productivity and volume statistical reports. Monitors backlog, develops and implements plans to correct; review chart aging reports monthly to monitor trends. Regularly prepares summary reports for manager's review. Coordinates clerical actives for correspondence areas. Ensures adherence to established policies and government regulations related to disclosure of patient information in responding to requests received from others from within outside the Hospital. Receives and resolves requests from patient for unusual or questionable requests for medical information. Intervenes to resolve patient complaints as they related to release of medical information. Coordinates the provision of the transcription services through outside services. Ensures adherence to contract provisions, including quality standards and turnaround time. Communicates with service to investigate and resolve concerns and problems. Recommends changes to manager as necessary to ensure standards are maintained. Supervises staff in the assembly of medical records, ensuring adherence to record order standards and timeliness of preparation. Ensures reports are filed accurately. Conducts periodic chart reviews to assess accuracy. Anticipates backlogs and develops plans to address same. Coordinates process for requesting medical records, including staff adherence to policies related to medical records access; ensures approved requests for records are met within the established turnaround times to meet or exceed customer expeditions. Maintains and enhances expertise and skills through participation in appropriate education and training opportunities. Participates in or leads various committees, tasks forces and quality improvement teams as assigned. MINIMUM QUALIFICATIONS: EXPERIENCE: At least two years progressively more responsible related experience, including demonstrated supervisory and management skills. Experience must demonstrate working knowledge of State and Federal confidentiality laws related to medical information, Joint Commission standards and familiarity with computerized systems. For an assignment that includes transcription services, must have at least one-year experience in medical transcription in order to assess accuracy and completeness of materials prepared by others. SUPERVISORY RESPONSIBILITY: Supervisory responsibility for up to 40 FTEs. Working conditions are generally good, little discomfort due to noise, heat, and dust. Pay Range: $54,637.86-$90,148.24 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903 Work Type: Friday-Sunday 6:00 am-4:30 pm Work Shift: Day Daily Hours: 10 hours Driving Required: No
    $54.6k-90.1k yearly Auto-Apply 31d ago
  • Health Information Associate

    PCHC

    Medical coder job in Warwick, RI

    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.
    $58k-108k yearly est. 21d ago
  • Health Information Specialist (Full Time)

    Community Care Alliance 4.0company rating

    Medical coder job in Woonsocket, RI

    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!
    $33k-41k yearly est. 2d ago
  • Health Information Specialist II - LRH

    Datavant

    Medical coder job in Providence, RI

    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. **Position Highlights** : + Full-Time: Monday-Friday 8:00AM-4:30 PM EST + Location: This role will be performed at one location (Remote) + Comfortable working in a high-volume production environment. + Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status. + Documenting information in multiple platforms using two computer monitors. + 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. + May schedules pick-ups. + Assist with training associates in the HIS I position. + Generates reports for manager or facility as directed. + Must exceed level 1 productivity expectations as outlined at specific site. + Participates in project teams and committees to advance operational strategies and initiatives as needed. + Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Must be 18 years of age or older. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + 1-year Health Information related experience. + Meets and/or exceeds Company's Productivity Standards + 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:** + 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: $16-$20.50 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 (**************************************** .
    $16-20.5 hourly 32d ago
  • Surgical Coordinator

    Spire Orthopedic Partners

    Medical coder job in Warwick, RI

    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.
    $40k-63k yearly est. 33d ago
  • Health Information Technician

    Blackstone Valley Comm 3.9company rating

    Medical coder job in Pawtucket, RI

    Health Information Technicians maintain the integrity of all patient health information that is received from external/internal sources, respond to patient and facility requests for patient related information, and integrate received clinical information into the Electronic Health Record. Disclose health information in compliance with Rhode Island General Laws, Federal Public Health Laws and HIPAA Privacy Regulations. Assist the Manager and Director of Health Information in the various duties associated with Health Information. Monitors and ensures compliance, privacy, and information management aligns with overall organizational goals. EDUCATION, EXPERIENCE, & SKILLS High School Diploma or its equivalent Minimum of 3 - 5 years' experience with medical records procedures and/or electronic medical records Experience with medical terminology preferred OTHER REQUIREMENTS Reliable transportation Bilingual ability in English and Spanish, Portuguese or Creole speaking abilities preferred Cultural sensitivity necessary to work with a diverse patient and staff population Ability to work independently and collaboratively Knowledge of computers and electronic medical records required Knowledge of Microsoft Suite preferred Strong communication skills, both verbal and written 8-5pm M-F
    $27k-32k yearly est. Auto-Apply 38d ago
  • Senior Coder - Outpatient

    Highmark Health 4.5company rating

    Medical coder job in Providence, RI

    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. (60%) + 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 implementing these updates in daily work.(5%) + Acts as a mentor and subject matter expert to others. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School/GED + 5 years of Hospital and/or Physician Coding + 1 year of Coding - all specialties and service lines + Extensive knowledge in Trauma/Teaching/Observation guidelines + Successful completion of coding courses in anatomy, physiology and medical terminology + Any of the following: + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) Preferred + Associate's Degree **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $23.03 **Pay Range Maximum:** $35.70 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270102
    $23-35.7 hourly 33d ago
  • Professional Coding Specialist I

    South County Hospital 4.2company rating

    Medical coder job in Wakefield-Peacedale, RI

    The Practice Coding Specialist will be responsible for medical coding for South County Medical Group ensuring that documented services are captured completely, accurately, and timely. This includes the review of all visit related documentation and the assignment of appropriate ICD-10 & CPT codes. Analyze and interpret both Hospital and Office based medical record documentation to ensure CPT, ICD-10 and modifier acuity. CPC Certification, good computer skills, including practice management software/EMR, previous experience in professional ICD-10/CPT coding, Modifier usage, and minimal insurance knowledge as related to coding. 2 years experience in Professional Coding preferred.
    $47k-76k yearly est. 5d ago
  • HIM Certified Coder Per Diem

    Women & Infants Hospital 4.3company rating

    Medical coder job in Rhode Island

    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
    $63k-79k yearly est. 60d+ ago
  • HIM Certified Coder 40D

    Care New England 4.4company rating

    Medical coder job in Rhode Island

    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
    $43k-56k yearly est. 60d+ ago
  • Health Information Specialist I

    Datavant

    Medical coder job in Providence, RI

    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: 8:00am-4:30pm CST + Ability working in a high-volume environment. + Release of Information processing + Managing incoming faxes + Occasional call support + 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 (**************************************** .
    $15-18.3 hourly 13d ago
  • Health Information Technician

    Blackstone Valley Community Health Care 3.9company rating

    Medical coder job in Pawtucket, RI

    Health Information Technicians maintain the integrity of all patient health information that is received from external/internal sources, respond to patient and facility requests for patient related information, and integrate received clinical information into the Electronic Health Record. Disclose health information in compliance with Rhode Island General Laws, Federal Public Health Laws and HIPAA Privacy Regulations. Assist the Manager and Director of Health Information in the various duties associated with Health Information. Monitors and ensures compliance, privacy, and information management aligns with overall organizational goals. EDUCATION, EXPERIENCE, & SKILLS High School Diploma or its equivalent Minimum of 3 - 5 years' experience with medical records procedures and/or electronic medical records Experience with medical terminology preferred OTHER REQUIREMENTS Reliable transportation Bilingual ability in English and Spanish, Portuguese or Creole speaking abilities preferred Cultural sensitivity necessary to work with a diverse patient and staff population Ability to work independently and collaboratively Knowledge of computers and electronic medical records required Knowledge of Microsoft Suite preferred Strong communication skills, both verbal and written 8-5pm M-F
    $27k-32k yearly est. 33d ago

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