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Key Responsibilities: Project Management: Project Planning & Design: Oversee multiple construction projects simultaneously, ensuring projects are completed on time, within budget, and to the institution's specifications. The CPM will work closely with architects, contractors, engineers, and university stakeholders to coordinate all aspects of the construction process from concept through to project closeout.

YEAR

STV Group, Incorporated

Project Manager- Higher Education

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Job Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen products within the Neuroscience therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Neurology products.

ImCheck Therapeutics SAS

Regional Reimbursement Director, Neuroscience, New England

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Job Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen US portfolio products within the Oncology therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Oncology products.

Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic

Ipsen SA

Experience reviewing medical records, claims data, diagnosis codes, modifiers, and supporting documentation to determine whether HCC submissions, RAF impact, billed services, and coding outcomes are accurate, complete, and supported. 2+ years of experience in healthcare compliance, auditing, monitoring, billing, coding, claims review, medical record review, risk adjustment, investigations, or risk assessments within a healthcare organization, provider practice, health plan, or government healthcare program.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Senior Analyst, Corp Compliance

Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.

HOUR

Gentiva Health Services Inc (Inactive)

Nurse Practitioner, NP

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. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Performs patient insurance billing duties such as researching claims in system, including review and verification of patient account information against insurance program specifications.

Brown Health Medical Group

Sr. Billing Specialist

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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, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation's top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. This role focuses on proactive review and resolution of missing or incorrect charges through daily monitoring of Epic Revenue Guardian reports and charge-related work queues, reconciliation of charges against clinical documentation, and collaboration with operational, clinical, and coding teams to ensure compliance with federal, state, and third-party payor guidelines.

Care New England Health System

Revenue Integrity Specialist

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. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Performs patient insurance billing duties such as researching claims in system, including review and verification of patient account information against insurance program specifications.

Brown University Health

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. Independently organizes and conducts retrospective audits of documentation, care delivery, coding, and billing to ensure compliance with Brown University Health policies and federal and state rules, primarily Medicare and Medicaid regulations.

Revenue Compliance Auditor

Must 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.

Billing Specialist

Handles executive-level internal and external communications which includes; handling incoming phone calls, returning phone calls, responding to voice-mails, managing incoming e-mails by forwarding and responding to e-mails as appropriate, and creating and mailing letters and memos on behalf of Executive and department. Acts as project manager on assigned projects, provides administrative assistance as needed on other special projects and maintains departmental file sharing and intranet site(s), as requested.

Reinsurance Group of America Inc

Executive Assistant (open to remote)

This is an ideal position for a clinician who seeks an opportunity for "top of license" practice, enjoys a collaborative team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems. This exciting role allows you to deliver clinical care flexibly through a blend of in-person care delivery at your patient's home and virtual care delivery from your own home, with the support of nurses, community health workers, medical assistants, nurse case managers, clinical social workers, and clinical pharmacists.

ConcertoCare

APP - Nurse Practitioner or Physician Assistant

IRecruitee

RESPONSIBILITIES: Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers and one another. As the only ACS verified Level I Trauma Center in the state, we provide essential trauma care to over 4,200 patients admitted with traumatic injuries every year.

Trauma Registrar

Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes. Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings.

Senior Investigator, Special Investigations Unit (Aetna SIU)

They will work with leaders to establish strategic priorities, oversee large-scale Epic initiatives, manage application portfolios, and partner with operational leaders to reduce denials, improve clean-claim rates, accelerate cash collections, and strengthen revenue integrity. This individual serves as the primary liaison between Information Services, Finance, Revenue Cycle Operations, Patient Access, and executive leadership to ensure technology investments drive measurable improvements in financial performance, operational efficiency, regulatory compliance, and patient experience.

IS Application Director

SUMMARY: Under general supervision of Manager of Clinical Documentation, The Clinical Documentation Specialist is responsible for concurrent auditing of medical record documentation to assist with evaluating and improving the quality of clinical documentation of services to accurately reflect severity of illness, expected risk of mortality, and complexity of care of the patient. Physician Assistant or Nurse Practitioner with current licensure to practice in the State of Rhode Island with 3 years of relevant clinical experience, or successful completion of education required for a medical degree with 2 years of clinical documentation experience.

Clinical Doc Spclst

Responsibilities include patient registration, appointment scheduling, greeting and checking in patients, managing patient information, and supporting efficient patient flow. East Providence-950 Warren Avenue - 950 Warren Avenue East Providence, Rhode Island 02914 Work Type:

TMH The Miriam Hospital

Patient Service Rep

EXPERIENCE:Graduated for a Physician Assistant program with a master’s degree and has current board certification from the NCCPA or graduated from a master’s program for nurse practitioners and has current board certification from ANCC or AANP.Current RI License and DEA licenseBLS and ACLS certificationWORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Fast paced, hospital environment with fluctuating caseload of 6-10 patients, stressful conditions associated with patient care at times. The core Success Factors include:Instill Trust and Value DifferencesPatient and Community Focus and CollaborateRESPONSIBILITIES:Delivers high-quality, cost-effective care incorporating guideline-directed medical therapy (GDMT) in a timely, efficient, and equitable manner to facilitate optimal care outcomes for a patient population with acute cardiac diseases.

Coding Manager Jobs in Rhode Island

Project Manager- Higher Education STV Group, Incorporated

Regional Reimbursement Director, Neuroscience, New England ImCheck Therapeutics SAS

Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic ImCheck Therapeutics SAS

Regional Reimbursement Director, Neuroscience, New England Ipsen SA

Regional Reimbursement Director, Oncology, Northeast & Mid Atlantic Ipsen SA

Senior Analyst, Corp Compliance CVS Health Corp

Nurse Practitioner, NP Gentiva Health Services Inc (Inactive)

Sr. Billing Specialist Brown Health Medical Group

Revenue Integrity Specialist Care New England Health System

Sr. Billing Specialist Brown University Health

Revenue Compliance Auditor Brown University Health

Billing Specialist Brown University Health

Executive Assistant (open to remote) Reinsurance Group of America Inc

APP - Nurse Practitioner or Physician Assistant ConcertoCare

Trauma Registrar Brown University Health

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

IS Application Director Brown University Health

Clinical Doc Spclst Brown University Health

Patient Service Rep TMH The Miriam Hospital

Nurse Practitioner - Primary Care CMPI Coastal Medical Physicians

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