NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorWorcester, MARemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
RN Clinical Documentation Integrity - Onsite at DKH, in Putnam, CT Ensemble Health PartnersRN Clinical Documentation Integrity - Onsite at DKH, in Putnam, CTPutnam, CTRemote$80,000Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials. Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorWoonsocket, RIRemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Coding Compliance Analyst UnitedHealth Group IncCoding Compliance AnalystWorcester, MARemote$23.89–$42.69 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Conducts random and scheduled internal audits of physician billing and medical records documentation to ensure: Correct Coding (CPT, ICD-10, HCPCS, Modifiers), Accurate Data Entry, Accurate Charge Preparation/Processing, Compliance with governmental and third-party billing regulations.
NewCoding Specialist III C999 UMass Memorial Health CareCoding Specialist IIIWorcester, MAJob Description We are seeking a qualified Medical Coding Specialist to interpret medical record data, assign ICD‑CM, CPT codes and modifiers, manage coding staff and workflows, and ensure coding quality and compliance. Qualifications High School education, plus recognized medical coding certification and training in medical terminology from an accredited program (AHIMA, NHA, AAPC).Certified CPC and experience in IR coding.
Coding Specialist III UMass Memorial HealthCoding Specialist IIIWorcester, MassachusettsExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
Coding Specialist II, Professional Billing UMass Memorial Health Care IncCoding Specialist II, Professional BillingWorcester, MA$23.81–$35.08 / hourExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, PBCBO, HIM, etc.) will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesProvidence, Rhode Island$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
NewCoding Specialist III, Professional Billing UMass Memorial Health Care IncCoding Specialist III, Professional BillingWorcester, MA$25.83–$38.36 / hourExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
Coding Specialist Outpatient Telecommute-Surgical Coder Brown University HealthCoding Specialist Outpatient Telecommute-Surgical CoderRI$24.29–$40.07 / hourMonitors and resolves rejected accounts on the Claims Edit Report and e Clinical Works error reports by established timeframe researching coding conflicts including chargemaster, medical necessity and various other coding and billing issues. Reviews the outpatient clinical documentation of extract data and assign appropriate ICD-10-CM and CPT codes in accordance with the outpatient ICD-10-CM Official Guidelines for Coding and Reporting and the AHA HCPCS Coding Clinics.
Coding Specialist II, Professional Billing UMass Memorial HealthCoding Specialist II, Professional BillingWorcester, MassachusettsExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Individual Departments, (Emergency Medicine, Trauma Center, Endoscopy Suite, PBCBO, HIM, etc.) will have unique procedures, processes and/or focus, so responsibilities and tasks can differ depending on departmental needs.
SIU Code Auditor Fallon HealthSIU Code AuditorWorcester, MassachusettsThe SIU Code Auditor will conduct coding audits of medical records provided by providers to check for missing documentation and other medical documentation for E&M, DME, medical, home health services, and may include some behavioral health care services to identify potential over-payments and suspected fraud waste and abuse. Reporting, education, and regulatory support: Assist with claim denial reporting, respond to regulatory agency complaints, support required fraud reporting to state and federal agencies, and recommend to members, providers, or employee education based on findings.
Coding & Compliance Auditor South Shore Health Systems IncCoding & Compliance AuditorWeymouth, MA$73,000–$104,400 / yearResponsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator - American Health Information Management Association (AHIMA). The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders.
SIU Code Auditor Fallon Community Health Plan IncSIU Code AuditorWorcester, MABrief summary of purpose: The SIU Code Auditor will conduct coding audits of medical records provided by providers to check for missing documentation and other medical documentation for E&M, DME, medical, home health services, and may include some behavioral health care services to identify potential over-payments and suspected fraud waste and abuse. Reporting, education, and regulatory support: Assist with claim denial reporting, respond to regulatory agency complaints, support required fraud reporting to state and federal agencies, and recommend to members, providers, or employee education based on findings.
NewCoding Specialist III, Professional Billing UMass Memorial HealthCoding Specialist III, Professional BillingWorcester, MassachusettsExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. 4. Requires good interpersonal and communications skills and maintains a professional manner when working with team members, management and other staff members.
Coding and Compliance Auditor South Shore HealthCoding and Compliance AuditorWeymouth, MAThe Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. Support all departments of the Health System with coding guidance: Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Ambulatory Coding Lead Signature HealthcareAmbulatory Coding LeadWest Bridgewater, MAResponsible for insuring accurate diagnosis and procedure coding as well as providing documentation and coding related feedback and educational services to providers and coders. Monitors coding productivity and assigns/prioritizes daily work schedules for Coding Specialists, Risk Coders and charge entry staff.
Lead Coding Instructor Code NinjasLead Coding InstructorCanto, MassachusettsWe are looking for a Lead Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Growth Opportunities: Code Ninjas is a rapidly growing organization, and strong team members have opportunities for career progression into leadership and management roles within the center.
Coding Instructor Code NinjasCoding InstructorHopkinton, MassachusettsWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Coding Instructor Home Helpers of South ShoreCoding InstructorBelmont, MA, MAAs part of our school outreach program, we offer classes in all surrounding public school districts of Acton, Westford, Concord, Lexington, Arlington, Bedford, Burlington and Belmont areas. An ideal candidate for this position will be someone who has completed or currently pursuing undergraduate/graduate in Computer Science or similar STEM related fields.
NewAI Pilot Vibe Coding Specialist Mind RiftAI Pilot Vibe Coding SpecialistProvidence, RIRemoteBachelor's or Master's Degree in Engineering, Applied Mathematics, Computer Science, or related technical fields is a plusPython web scraping: Build reliable scraping scripts using BeautifulSoup, Selenium (or equivalents) for multi-level sites, dynamic JS content (infinite scroll, AJAX), and API endpoints via provided proxyData extraction expertise: Navigate complex hierarchical structures (regions companies details), handling archived pages and varied HTML formatsData processing: Clean, normalize, and validate scraped data; deliver high-quality datasets in well-structured formats (CSV, JSON, Google Sheets) with clear, consistent presentationHands‑on experience with LLMs and AI frameworks to enhance automation and problem‑solvingStrong attention to detail and commitment to data accuracySelf‑directed work ethic with ability to troubleshoot independentlyEnglish proficiency: Upper‑intermediate (B2) or above (required)BenefitsGet paid for your expertise, with rates that can go up to $32/hour depending on your skills, experience, and project needsWork fully remote on your own schedule with just a laptop and stable internet connection. As a Vibe Code specialist, you'll handle data scraping tasks requiring technical precision for web extraction and processing, utilizing various tools such as our provided Apify and OpenRouter alongside your own resourceful approaches.
Coding Instructor Home HelpersCoding InstructorAarlington, MassachusettsWe recognize our direct care staff as our greatest asset and offer: competitive compensation, initial & ongoing training, flexible hours, and a FRIENDLY & SUPPORTIVE WORK ATMOSPHERE. As part of our school outreach program, we offer classes in all surrounding public school districts of Acton, Westford, Concord, Lexington, Arlington, Bedford, Burlington and Belmont areas.
NewRemote AI Training Engineer - Code & Train Models DataAnnotationRemote AI Training Engineer - Code & Train ModelsProvidence, RIRemoteA leading AI development company is seeking proficient programmers to contribute to cutting-edge AI systems while enjoying fully remote work opportunities. Candidates should have fluency in English and preferred experience in Kotlin, along with strong skills in other programming languages.
Plumbing, Mechanical, and Energy Code Inspector (Closed) City of East ProvidencePlumbing, Mechanical, and Energy Code Inspector (Closed)East Providence, RISummary: Under the general supervision of the Building Official, the Plumbing Mechanical and Energy Code Inspector performs technical work inspecting plumbing and mechanical installations for conformity with BOCA Basic Plumbing Code, BOCA Basic Mechanical Code, State regulations, and City Ordinances. • Knowledge of warm air heating, ventilating, and air conditioning systems, steam and hot water heating systems, boiler and pressure vessel maintenance and inspection, mechanical, refrigeration, gas, liquid, and solid fuel piping and equipment, and air pollution control equipment.
General Practice Care - Lead Veterinarian - Swansea , {State_Code UsvtaGeneral Practice Care - Lead Veterinarian - Swansea , {State_CodeSwansea, MassachusettsAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Lead Veterinarian to provide clinical leadership, oversee day -to -day medical operations, and ensure superior patient and client care to members of its community. This hospital is open to considering experienced veterinarians who are prepared to take on a senior clinical leadership role, overseeing team performance and working collaboratively with the practice manager and medical director.
General Practice Care - Associate Veterinarian - Swansea , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - Swansea , {State_CodeSwansea, MassachusettsAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
Emergency Care - Associate Veterinarian - Swansea , {State_Code UsvtaEmergency Care - Associate Veterinarian - Swansea , {State_CodeSwansea, MassachusettsAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. The ideal team member for this hospital is a veterinarian who thrives in high -volume environments and remains calm and levelheaded under pressure!
General Practice Care - Associate Veterinarian - North Kingstown , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - North Kingstown , {State_CodeNorth Kingstown, Rhode IslandAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
Administrative Assistant-Medical Billing Providence Comprehensive Treatment CenterAdministrative Assistant-Medical BillingProvidence, Rhode Island$19.66–$22.61 / hourFull timeProvidence Comprehensive Treatment Center (CTC), located in Providence, RI, is part of Acadia Healthcare's Comprehensive Treatment Centers—the nation's leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. Familiarity with MAT Protocols and Guidelines: The billing specialist should understand how Medication-Assisted Treatment works, including services like opioid substitution therapy (e.g., methadone, buprenorphine) and how these treatments are billed differently from other medical services.
Administrative Assistant-Medical Billing Acadia Healthcare Co IncAdministrative Assistant-Medical BillingProvidence, RI$19.66–$22.61 / hourOur Team: Providence Comprehensive Treatment Center (CTC), located in Providence, RI, is part of Acadia Healthcare''s Comprehensive Treatment Centers-the nation''s leader in medication-assisted treatment (MAT) for individuals seeking recovery from Opioid Use Disorder. Your Job as an Administrative Support/Medical Biller: The Administrative Support/Medical Biller role will perform routine administrative functions such as preparing correspondence and reports, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to patients or visitors.
Billing Compliance Reviewer Dana-Farber Cancer Institute IncBilling Compliance ReviewerBROOKLINE, MARemote$84,000–$91,300 / yearPartner with clinical providers, coding/HIM, revenue integrity, pharmacy, nursing, research billing, and practice operations to remediate findings, implement internal controls, and monitor corrective actions; track effectiveness of remediation through defined metrics. Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits, analyzes documentation and coding for medical necessity and regulatory adherence, and recommends corrective actions to mitigate compliance risk.
Medical Billing / Claims Administrator Ametros FinancialMedical Billing / Claims AdministratorMassachusettsHandle inbound and outbound calls, emails, and chats related to claims, coverage guidelines, and provider inquiries providing expert-level support and guidance to a wide variety of audiences. The Claims Specialist plays a critical role in the end-to-end management of member claims, ensuring accuracy, timeliness, and compliance across all claim-related activities.
Director Billing Compliance Dana-Farber Cancer Institute IncDirector Billing ComplianceBROOKLINE, MARemote$154,200–$170,800 / yearResponsibilities include leading routine monitoring, assessing for and identifying areas of risk assessments, conducting investigations, responding to audits, providing consultation/guidance, and sharing program findings with providers and leadership. Reporting to the VP, Chief Compliance Officer with a dotted line reporting relationship to the VP, Revenue Performance Management, the Director of Billing Compliance is a strategic leader and subject matter expert responsible for ensuring the integrity, accuracy, and compliance of billing practices across the organization.
Sr Billing Specialist RIH Rhode Island HospitalSr Billing SpecialistRhode IslandMust use and have knowledge of courteous telephone technique and good customer service skills.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inThe interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inEXPERIENCE:p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inTwo years’ related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. Training in CDT coding, anatomy, physiology, and dental terminology.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inExperience with Dental software, preferably Dentrix.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.
Outpatient Services Rep RIH Rhode Island HospitalOutpatient Services RepRhode IslandBrown 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. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing data Prints reports using both the online scheduling and billing systems.
Sr Billing Specialist Brown University HealthSr Billing SpecialistProvidence, RI$22.04–$36.37 / hourMust use and have knowledge of courteous telephone technique and good customer service skills.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inThe interpersonal skills to exchange factual information with patients and outside agencies with cultural sensitivity and professionalism.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inEXPERIENCE:p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inTwo years' related experience coding and billing using dental billing software and demonstrated expertise and accuracy of code assignment. Training in CDT coding, anatomy, physiology, and dental terminology.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inExperience with Dental software, preferably Dentrix.p class=MsoBodyText margin-top:0inp class=MsoBodyText margin-top:0inDemonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages.
Coder - Per Diem Westborough Behavioral Healthcare HospitalCoder - Per DiemWestborough, MA$33,000–$47,000Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings.
Outpatient Services Rep Brown University HealthOutpatient Services RepProvidence, RI$21.90–$22.91 / hourBrown 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. Evaluates file prior to schedule visit and follows up with other Hospital departments to obtain missing data Prints reports using both the online scheduling and billing systems.
Medical Billing Specialist PHYSICIAN MANAGEMENT RESOURCES LLCMedical Billing SpecialistNeedham, MAIn this role, you will be responsible for supporting clients in their day-to-billing operations including reviewing, coding, and processing medical claims and well providing a high-level approach to creating workflow processes, analyzing and sharing RCM results. The successful candidate will possess the following: End to end knowledge of the revenue cycle: charge capture, coding, billing, follow up, denials, and payment posting including a strong understanding of payer rules, contracts, and reimbursement methodologies.
Patient Accounting Billing Specialist Dana-Farber Cancer Institute IncPatient Accounting Billing SpecialistBROOKLINE, MARemote$53,900–$58,300 / yearResponsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations.
NewInsurance Authorization Specialist South Shore TherapiesInsurance Authorization SpecialistMassachusettsInsurance Authorization Specialist – 30 to 40 hrs Pay: $22-$24/hr Job description: South Shore Therapies, a premier pediatric OT and Speech practice, is seeking an Insurance Authorization Specialist to join our billing and authorization administration team. Expertise in medical terminology, coding systems, and managed care procedures will be vital in facilitating smooth patient care coordination and reimbursement processes.
Certified Professional Coder, Full Time Days, 40 Hours, Central Business Office Day Kimball Healthcare IncCertified Professional Coder, Full Time Days, 40 Hours, Central Business OfficeCTCertified Professional Coder Job Summary Under the general supervision of the Director of Professional Revenue Cycle, the Certified Professional Coder performs all phases of abstracting, diagnosis coding, charge capture and posting through record analysis. Conduct quarterly chart audits; in collaboration with the Director of Professional Fee Revenue Cycle, provide one-on-one or small group education to clinical staff on audit results while maintaining professionalism.
Clin Charge Capture Spec UMass Memorial HealthClin Charge Capture SpecWorcester, MassachusettsExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Clin Charge Capture Spec UMass Memorial Health Care IncClin Charge Capture SpecWorcester, MA$20.94–$29.27 / hourExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorMA$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Special Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerRI$54,300–$159,120 / yearThe Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.
Payment Integrity Program Development Manager Devoted Health ServicesPayment Integrity Program Development ManagerMassachusettsRemoteThat’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
RN Clinical Auditor (43914) Neighborhood Health Plan of Rhode IslandRN Clinical Auditor (43914)Smithfield, RIQualifications: Required: • Registered Nurse with an active, current, unrestricted license in RI in good standing • Minimum of three (3) years experience in healthcare coding directly related to determining appropriate diagnosis, procedure and other codes used in billing for services, utilization management, medical record auditing, or health care quality improvement • Knowledge of clinical medical record documentation requirements • A high-level knowledge of medical terminology • Proficient with various technology software tools, including Microsoft Office • Excellent written and verbal communication skills, and strong attention to detail • Ability to maintain confidentiality • Ability to take direction and support a multitude of individuals • Ability to work independently and prioritize activities. Preferred: • Working knowledge of fraud, waste and abuse policies and practices • Evaluation and management coding and auditing expertise • Knowledge of Behavioral Health billing & coding guidelines and/or regulatory guidelines • Electronic medical record review experience • Electronic investigative case management and/or healthcare claims data mining tool experience.
Outpatient Services Rep LEP RIH Rhode Island HospitalOutpatient Services Rep LEPRhode IslandUses non-English language skills and oral communications to provide high level of culturally appropriate customer service to those patients and families who have limited English proficiency, explaining clinic procedures, obtaining demographic and financial information in order to complete registration and related forms and records. As needed, provides customer assistance to patients with limited-English proficiency (LEP) through use of second language skills (non-English) to explain basic information regarding clinic policies and procedures, billing procedures and to assist in completing registration and related forms.