58 Results for

Medical Billing and Coding Jobs in Pawtucket, RI

Jobs

New!

Auburn, MA6 days ago

$25–$35 Per Hour

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New!

Dorchester, MA5 days ago

$115,518–$173,328 Per Year
Full-time
Employee

Assesses patient and community needs and develops proposals for service expansion and new treatment modalities (e.g., group services, psychological testing, short-term therapy), including the growth and management of SUD and other Behavioral Health programs to enhance patient care and better serve the community. Provides administrative supervision for all HHSI CHC Behavioral Health staff in coordination with the Operations Department, including scheduling, ensuring appropriate staffing levels and coverage, facilitating staff meetings, and serving as a liaison between Behavioral Health and other HHSI departments.

Pomfret Center, CT7 days ago

Hartford HealthCare’s Behavioral Health Network (HHC BHN), the largest and most comprehensive behavioral health system in New England, has a new opportunity available for a Nurse Practitioner (NP) or Physician Assistant (PA) to provide admission physical exams, psychiatric evaluations and medication management at The Ridge, a newly created residential addiction treatment facility, located in Windham, CT. We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group & Family Therapy, Intensive Outpatient programs and Community Support Programs.

Weymouth, MA30+ days ago

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. 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.

Town of Northborough, Massachusetts30+ days ago

Remote

The Coding Educator ensures the TPR organization meets all governmental and payer coding guidelines by providing continuous education to staff, auditing documentation using specific quality tools, and serving as the primary liaison for coding vendors to prevent claim denials. Saint Vincent Medical Group, within Saint Vincent Physician Services, strives to provide patient-centered healthcare and invite our patients and their families to be a part of the care team as shared members in the decision-making and treatment process.

Providence, RI30+ days ago

$24.50–$32 Per Hour

_Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections._. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

Providence, RI30+ days ago

Work with Practices/Clinics Providers Coding Team Corporate Compliance Risk Management Contracting and Payers to help assure that all departments are consistently on the same page and able to provide accurate feedback to coders and providers. Share completed audit results with Validation Team Leadership who will relay results to Coding Manager and/or Director so they can provide feedback to the individual coders as needed.

Providence, RI30+ days ago

Responsibilities: Consistently apply the corporate values of respect honesty and fairness with the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. Stays abreast of all coding updates including new/deleted ICD-10 codes new/ deleted CPT codes new/ deleted HCPCS codes and any coding guideline changes.

Providence, RI30+ days ago

Remote

$71,100–$97,800 Per Year

The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

New!

Dartmouth, Massachusetts6 days ago

$35–$38 Per Hour

Assign appropriate codes using International Classification of Disease system (ICD-9) and/or Current Procedural Terminology (CPT) for diagnosis, procedures and services. Responsible for correctly coding claims based on the services a patient receives in order to obtain reimbursement from insurance or government healthcare programs.

Providence, RI30+ days ago

The employee agrees to be accessible by telephone/e-mail within a reasonable time period during the agreed upon work schedule and to formally maintain timely and accurate work and rest period records and to submit such work hours weekly to department management in accordance with Brown University Health�s system wide written �Telecommuting� policy. Reads and comprehends the inpatient medical record identifying all treated diagnoses and procedures reporting the correct code(s) adhering to rules set forth in �Official Coding Guidelines.� Performs coding validation on codes computer-assisted and auto-suggested codes from 3M.

Providence, RI30+ days ago

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS: Work is performed in a typical office setting requiring sitting in a normal seated position for extended periods of time; reaching by extending hand or arm in any direction; and finger dexterity to manipulate keyboard. INDEPENDENT ACTION: Incumbent functions independently within department policies and procedures; generally referring specific problems to supervisor only where clarification of departmental policies and procedures may be required.

New!

Pawtucket, Rhode Island4 days ago

Providence, RI30+ days ago

Remote

$59,300–$80,900 Per Year

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

Providence, RI30+ days ago

The Radiology Manager directs counsels and assists TMH Educational Coordinator and works closely with Brown University Health Radiology Education Coordinator in order to provide the maximum clinical experience for affiliated student radiographers. Summary: Under the general supervision of the Director of Imaging Operations and in accordance with established policies and procedures organizes directs coordinates and supervises the specialty imaging staff and operations for the MRI department.

Providence, RI30+ days ago

Performs pre-visit planning by reviewing and updating the patient record prior to the appointment with recent test results consults correspondence etc. and determines needed services based on practice protocols. Summary: Reports to the Ambulatory Clinical Manager and/or Practice Manager or other assigned Supervisory personnel and under general supervision of the attending Licensed Independent Practitioner and functions in accordance with established policies and procedures in an Ambulatory setting.

Providence, RI30+ days ago

Framingham, MA30+ days ago

Responds to hourly variations in patient volume, clinician and room availability to continually maximize efficient use of space and resources in the clinic; identifies and provides necessary clinical and administrative preparation pertaining to patient care according to protocols; assists with patient care as warranted and within their scope of practice. In addition, this role focuses performing the following duties: Prepares patient rooms, escorts patients to rooms, takes vitals and documents patient information; assists physicians with procedures and educates patients on specimen collection.

Fall River, Massachusetts13 days ago

$20.64–$35.22 Per Hour

Nestled in local communities, Southcoast Health provides inclusive, ethical workplaces where our highly skilled caregivers offer world-class, comprehensive healthcare close to home. Responsibilities: Position reports to the Practice Manager, Administrator, perform all complex surgical scheduling and all non-surgical procedures ordered by providers in a multi-specialty surgical practice.

Westborough, MA18 days ago

$33,000–$47,000

Conducts 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.

Providence, RI30+ days ago

Remote

This position leads the strategy implementation and continuous improvement of technology and automation initiatives across the revenue cycle focusing on enhancing operational efficiency and financial performance across a large multi-state academic medical center and multi-specialty medical group using the Epic healthcare system. Lead the evaluation deployment and optimization of revenue cycle technology and automation solutions including robotic process automation (RPA) AI/ML tools and workflow automation with a primary focus on Epic revenue cycle modules.

Weymouth, MA30+ days ago

The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires clarification and he/she proactively works with medical leadership to address concerning documentation trends. Under experienced leadership the Professional Surgical Coder I is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding.

Providence, RI30+ days ago

Remote

$28.52–$42.79 Per Hour

This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. + The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.

Warwick, RI30+ days ago

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health. The Revenue Integrity Specialist may be a resource to coding, reimbursement, and departmental areas for questions related to charges, auditing and the charge master.

Providence, RI30+ days ago

In addition ancillary duties performed provide tracking and status of follow-up care as it pertains to specific diagnostic coding billing/payment resolution and generation of system reports which reflect scheduling activities. Summary: Under the general supervision of but according to established policies and procedures the incumbent performs various administrative duties to expedite each patient's visit for clinical care.

Canton, MA18 days ago

$90,000–$110,000 Per Year

Meanwhile, from a regional perspective, both The Boston Globe and Louisville Business First also recognized our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work in 2025. At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only unparalleled benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2025.

New!

Weymouth, MA3 days ago

Identifies need to clarify documentation in records and initiates assertive communication with physician or other care provider by using the most appropriate communication method for that individual – physician documentation request, face to face contact, phone call, etc. This position is responsible for the concurrent review of the clinical documentation in the medical record and concurrent querying of medical staff caregivers to obtain accurate and complete documentation, which appropriately supports the severity of patient illness.

Warwick, RI18 days ago

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. Demonstrates knowledge of accounts receivable payment policies and hospital contracts as they relate to billing, collection, follow-up, claim reimbursement, patient liability, and local, state and federal programs.

Westborough, Massachusetts16 days ago

4-6 years of related experience in the healthcare industry, business, with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience. Overview: Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs.

Framingham, Massachusetts20 days ago

$80,000–$85,000 Per Year

As the Revenue Cycle Analyst, you will play an essential role in analyzing, driving and improving revenue cycle operations for Primary Care by coordinating with outsourced Revenue Cycle Management (RCM) vendor(s) to ensure timely follow-up and resolution of unpaid, incorrectly paid, and denied medical claims. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities.

Providence, RI30+ days ago

Remote

This strategic leadership role requires a deep understanding of healthcare revenue cycle management regulatory compliance and operational efficiency to optimize cash flow and support organizational financial goals. Summary: The Senior Director of the Brown Health Medical Group Professional Billing Group will lead and oversee all aspects of professional billing operations ensuring accurate timely and compliant billing and collections processes.

Providence, RI25 days ago

Full-time

Where the Controller owns financial reporting and technical accounting, and the CEO owns strategic financial direction, this role ensures the cash, people, compliance, and administrative systems underneath run with precision, care, and follow-through. The role is designed to grow in scope and altitude over time, with a defined path toward Director of Finance, HR & Administration — eventually peer to the Director of Operations on the Leadership Team — as the company scales toward Horizon ‘38.

Providence, RI30+ days ago

Responsibilities: PRINCIPAL DUTIES AND RESPONSIBILITIES: Consistently applies the corporate values of respect honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. May work with the Principal Trainer and others on the Brown University Health team to prepare curriculum and the Epic training environment which may include pilot training to confirm accuracy of the educational materials.

Providence, RI18 days ago

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. Collaborates with the Executive Director Operations to enhance existing services and/or implement new business strategies to build and maintain desired patient panel levels for both new and existing physicians/providers.

Providence, RI23 days ago

The role of a Certified Outpatient Coder at Care New England is to ensure accurate assignment of ICD-10 CM, CPT and HCPCS codes on a wide range of patient medical records for outpatient services. • Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-10-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines and other appropriate classification systems.

Providence, RI30+ days ago

Uses 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.

South Attleboro, Massachusetts30+ days ago

Remote

The Senior Director - Health Plans is a key member of the THI Leadership Team and is responsible for engaging health plans with Medicare, Medicaid, Marketplace, and/or commercial members, with the goal of unlocking existing healthcare dollars to invest in healthy food, safe housing, and other drivers of health. The Senior Director - Health Plans may or may not have direct reports but will be responsible for leading a cross-functional team of both THI’s program staff and cross-cutting functions (including research and analytics, communications, and mobilization) to achieve these goals.

Hopedale, Massachusetts30+ days ago

Supervise the work of one or more Physical Therapist Assistants (PTAs), Rehab Techs, and/or Physical Therapy students, following state practice act guidelines by providing consultation and clinical supervision; creating and ensuring treatment plans are executed; and assisting the RDO and DOR with clinical development of PTAs and rehab techs in the various covered communities. Directly supervise PTA and Rehab Tech in skilled tasks during group and individual treatment in a manner that promotes efficient and effective utilization of resources and facilitates the ongoing development of clinical skills in accordance with State Practice Acts, Omnibus Reconciliation Act (OBRA), and Reliant Rehabilitation policy.

Providence, Rhode Island10 days ago

HealthDrive delivers on-site podiatry, optometry, dentistry, audiology, and behavioral health services to residents in long-term care, skilled nursing and assisted living facilities. Traditional daily patient care will include comprehensive diagnostic audiological examinations, hearing aid evaluations, hearing aid selections and repair.

Providence, RI30+ days ago

$87,700–$125,300 Per Year

This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

New!

Weymouth, MA1 day ago

The Oncology Registered Nurse is focused on patient assessment, patient education, the coordination of care, administration of therapy, symptom management and supportive care for the Oncology and Hematology patients at Dana-Farber Cancer Institute. The nurse’s role includes administration of chemotherapy and other medications and infusions, telephone nursing care, direct patient care and charge capture/billing for all services rendered.

Providence, RI30+ days ago

Other information: BASIC KNOWLEDGE: High school graduate with knowledge of medical business office practices human resource management/training proficient in medical systems and additional training or experience in healthcare billing/coding. Organizes directs and controls follow up activities for Brown University Health and affiliates for inpatient outpatient and Hospital billed physician claims for all insurance payers.

Warwick, RI30+ days ago

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. Under the direction of the Care New England Supervisor, Professional Revenue Cycle, the Professional Biller II will service incoming telephone calls from patients who may question, challenge, or inquire about their account with CNE.

New!

Worcester, MA3 days ago

About Navitas Healthcare, LLC:It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. This role involves managing cardiopulmonary conditions, operating ventilatory support systems, and delivering advanced respiratory therapies to ensure optimal patient outcomes.

Worcester, MA26 days ago

With the belief that they were there when we needed them, so we must be there now that they need us, Veterans Inc., the largest provider of supportive services to Veterans and their families in New England, is seeking an Accounts Payable Specialist to become a valued member of Veterans Inc. team! The Accounts Payable Specialist ensures proper classification of expenses across grants and contracts, supports compliance with funding requirements, and contributes to audit readiness and strong internal controls.

Providence, RI30+ days ago

Ensures that all physician orders are complete legible and scanned within the electronic medical record for viewing Coordinates all information for managing insurance denials including necessary follow-up and change in workflow associated with denials management. Develops and maintains effective working relationships with other department personnel including physicians department chiefs division directors and department administrative personnel to expedite information exchange and resolution of common issues.

Providence, RI30+ days ago

Other information: Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing. Consistently applies the corporate values of respect honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly geographically accessible and high-value services within the environment of a comprehensive integrated academic health system.

New!

Taunton, Massachusetts3 days ago

$18.05–$21.44 Per Hour

Taunton Comprehensive Treatment Center (CTC), located in Taunton, MA 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. Our approach to holistic addiction care extends beyond clinical treatment, incorporating recovery coaching, community outreach and partnerships to ensure patients receive comprehensive, patient-centered support.

Franklin, Massachusetts30+ days ago

$85,000–$100,000 Per Year

Physical substation design including yard layouts, plans, sections and details, grounding, lightning protection, control building arrangements, interior and exterior raceways, auxiliary AC/DC power systems, and associated bills of material. From pipelines to power plants, roadways to reservoirs, schoolyards to security solutions, clients look to TRC for breakthrough thinking backed by the innovative follow-through of an industry leader.

Franklin, Massachusetts30+ days ago

$100,000–$130,000 Per Year

Lead in the execution of engineering activities: Physical substation design, including yard layouts, plans, sections, and details, grounding, lightning protection, control building arrangements, interior and exterior raceways, auxiliary AC/DC power systems, and associated bills of material. We recognize that the expertise of our staff is our strongest asset, so we generously reward employees for successful performance and invest in their careers through training and the development of new skills and certifications.

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Medical Billing and Coding Jobs in Pawtucket, RI

Jobs

Medical BillerJobot

Director of Behavioral Health for Community Health CtrsHarbor Health Services, Inc.

Nurse Practitioner or Physician Assistant – Addiction Treatment Medical Staff Office - Willimantic, CTRushford

Medical Coding Auditor/ComplianceSouth Shore Health

Coding Educator - RemoteSaint Vincent Physician Services, Inc

Lead Coordinator, Revenue Cycle Management, BillingCardinal Health

Coding Validator TelecommuteBrown University Health

Coding Quality Reviewer and EducatorBrown University Health

Inpatient Medical Coding AuditorHumana

Medical CoderSouthcoast Behavioral Health

Coding Specialist - Inpatient TelecommuteBrown University Health

Billing SpecialistBrown University Health

AIA Billing SpecialistEncore Fire Protection

Consultative Coding ProfessionalCenterWell

Mgr Medical Imaging - Sign On BonusBrown University Health

Medical Assistant - Urgent CareBrown University Health

MG Medical AssistantBrown University Health

Medical Assistant - Primary Care - Framingham, MATufts Medicine

Specialty Surg Booking Spec-Medical AssistantSouthcoast Health System, Inc.

Coder - Per DiemWestborough Behavioral Healthcare Hospital

Dir Revenue Cycle Tech and AutomationBrown University Health

Professional Coder ISouth Shore Health

Coder III - OP (Cath Lab-CIRCC)Baylor Scott & White Health

Revenue Integrity SpecialistCare New England

Outpatient Services RepBrown University Health

Healthcare Attorney (Canton, MA - Hybrid)The Phia Group

Clinical Documentation Improvement SpecialistSouth Shore Health

Third Party SpecialistCare New England

FWA Program Auditor IUniversity of Massachusetts Medical School

Revenue Cycle Analyst - Primary CareHealthDrive

Senior Director Professional Revenue CycleBrown University Health

Finance, HR & Administration ManagerRed House Design Build

Credentialed TrainerBrown University Health

Practice Administrator, Physician PracticeCare New England Medical Group

Outpatient Certified CoderCare New England

Outpatient Services Rep LEPBrown University Health

The Health Initiative Senior Director, Health PlansPositively Partners

Physical Therapist Senior LivingReliant Rehabilitation

AudiologistHealthDrive

Manager, Revenue Cycle ManagementCardinal Health

Registered Nurse - InfusionSouth Shore Health

Supv PFSBrown University Health

Professional Biller IICare New England

Respiratory Therapist - RESPTHP 0513 PK#03NavitasPartners

Accounts Payable SpecialistVeterans Inc.

Supv Prior AuthorizationBrown University Health

Clinical Manager OncologyBrown University Health

Administrative Support I - Part-timeTaunton Comprehensive Treatment Center

Electrical Engineer IITRC Companies, Inc.

Substation EngineerTRC Companies, Inc.

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