NewCoding and Compliance Auditor South Shore HealthCoding and Compliance AuditorBraintree, 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.
NewTravel RN Case Manager - $2,706 per week Prime StaffingTravel RN Case Manager - $2,706 per weekNorth Providence, RIModified Time:8/24/2026 7:00:00 AM Account Manager: Anson Frederick Account Manager Email: COVID-19 Vaccine: Required - Medical Exemptions Only Flu Vaccine: Required - Medical/Religious Exemptions and Declinations Allowed Submittals:Low Job Requirements & Qualifications Previous Charge Experience: - Years of Experience: 1 Patient Ratio Experience: Charting System Experience: Required Charting System Name: Any Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: - Certifications: BLSSkills: Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Admission Criteria, Care coordination, Discharge Planning, Utilize InterQual Criteria, Utilize Milliman Guidelines, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation Unit Details Staffing & Scheduling Scheduling Type: - Patient Ratios Days: 1 Patient Ratios Nights: - Patient Ratios Weekends: - Float Required: - Call Required: - Weekend Coverage: - Number of Weekend Shifts Per Contract: as needed Pre-Approved Time Off: one Orientation Hours: - Facility & Patient Care Details Patient Age Groups: Adults, Geriatrics Daily Census: 18-20 patients Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: - Special Procedures/Unit Details: - Special Equipment: - #Tier2 Travel Compliance RTO required with submission No min. ID: 64458334 Shift: Day 5x8-Hour (08:00 - 16:30) Description: Case Manager - 8H AM - 1YR - RI State License reqShift Details: 5/8H Days 08:00 - 16:30*Weekends Required: As NeededFirst Time Travelers AcceptedYears of Experience: 1 YearRequired Certs/Licenses:RI State LicenseBLSPatient Age Group:AdultsGeriatricsElectronic Documentation Required: AnyRequired Skills:Acute HospitalLong Term Acute Care/Rehab/Skilled NursingAdmission CriteriaCare CoordinationDischarge PlanningUtilize InterQual CriteriaUtilize Milliman GuidelinesCMS: Centers for Medicare and Medicaid ServicesCPT (Current Procedural Terminology) coding and billingDepartment of HealthDRG (Diagnosis Related Groups)HEDIS (The Healthcare Effectiveness Data and Information Set) MeasuresHIPAA (The Health Insurance Portability and Accountability Act)ICD 10 CodingNCQA (National Committee for Quality Assurance)OSHA: Occupational Safety and Health AdministrationThe Joint Commission/ Core Measure/National Safety GoalsWorker s CompensationDischarge Planning ExperienceAttire: Business casual with white lab coat.
Mental Health - $50-55 per hour DGE Psychological ServicesMental Health - $50-55 per hourProvidence, RIRemote$53–$55 / hourWe are seeking a dedicated and compassionate mental health professional to join our team as a Licensed Mental Health Counselor (LMHC), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), or Psychologist with the necessary license or permit to practice. This position offers an exciting opportunity to make a meaningful impact through direct support, clinical counseling, and innovative therapeutic interventions in various settings such as outpatient clinics, inpatient facilities, or telehealth platforms.
NewMedical Coder and Biller (E/M Coding Experience) Child Health AssociatesMedical Coder and Biller (E/M Coding Experience)Auburn, MAFull timeWe're looking for someone with strong Evaluation & Management (E/M) coding experience who is detail-oriented, organized, and enjoys working collaboratively to support accurate coding, timely billing, and quality patient care. Medical Coder/Biller – Full TimeChild Health Associates is looking for an experienced Medical Coder/Biller to join our Billing team!
Medical Billing Specialist Medical Billing Specialists, Inc.Medical Billing SpecialistNorwood, MAFull timeIt is essential to follow the constantly changing policies of various insurance payers in order to proactively anticipate operational and workflow-related changes that the billing operation must adhere to in order to avoid unnecessary denials and loss of provider reimbursement. The company is a reputable third-party medical billing firm providing comprehensive billing and consulting services to clients across a wide range of provider specialties.
Coding And Compliance Auditor South Shore HealthCoding And 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.
Coding Specialist - Telecommute Brown University HealthCoding Specialist - TelecommuteProvidence, RI$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 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.
Ambulatory Coding Auditor/Educator Signature HealthcareAmbulatory Coding Auditor/EducatorWest Bridgewater, MARequires some travel to meet with and educate providers in hospital or clinic locations Education/Experience/Licenses/Technical/Other: Education: Associate Degree required; BA Preferred Experience (Type Length): 5 or more years in Ambulatory or Hospital Outpatient. The Ambulatory Coding Auditor/Educator is an internal resource to clinicians by providing training, consultation, audit and coordinated feedback on their medical service documentation and coding to ensure that Signature Healthcare receives appropriate reimbursement and conforms to applicable guidelines and regulations.
Insurance Biller/Professional Billing South Shore HealthInsurance Biller/Professional BillingWeymouth, MA$21.05–$29.45 / hourFosters an environment that nurtures collaboration, teamwork and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationship. Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency.
Patient Billing Representative Actalent IncPatient Billing RepresentativeWestwood, MA$25–$27 / hourUnderstand hospital and professional billing practices, including reading and interpreting Explanation of Benefits (EOBs), billing commercial and government payers, resolving claim denials, and assisting with coordination of benefits (COB). If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Ambulance Billing & Revenue Cycle Specialist EPOCH HEALTHCARE LLCAmbulance Billing & Revenue Cycle SpecialistNorwood, MAFull timehandle claims submission, payment posting, denials management, and collections for Medicare. • Enter BLS/ALS level-of-service codes, mileage, diagnosis codes (ICD-10), and procedure codes.
Billing Clerk Aspire Behavioral Health and Developmental Disability ServicesBilling ClerkMAQUALIFICATIONS: Knowledge of basic accounting, data entry, balancing accounts, ability to follow processing guidelines according to agency procedures, ability to use appropriate software (e.g., MS Office, EMR), ability to handle money and checks, skills in basic math, ability to address patients/customers in a courteous and professional manner, knowledge of billing policies and procedures. Communicates with insurance providers to reach resolutions for billing issues and reports to appropriate staff and CIMO of all issues that will cause a claim rejection, billing, coding and use of modifier issues and errors.
NewBilling Specialist RIH Rhode Island HospitalBilling 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.
NewBilling Specialist Brown University HealthBilling 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.
Insurance Biller/Professional Billing South Shore Health Systems IncInsurance Biller/Professional BillingWeymouth, MA$20.30–$27.32 / hourFosters an environment that nurtures collaboration, teamwork and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationship. Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency.
IS Application Analyst - Epic Resolute Hospital Billing South Shore HealthIS Application Analyst - Epic Resolute Hospital BillingWeymouth, MARemote$59,609.13–$140,410.66 / yearReporting to the Access & Revenue IS Manager, the successful candidate will develop workflows, system configurations, change documentation, and train staff on Epic Epic Resolute Hospital Billing application functionality. South Shore Hospital, Southeastern Massachusetts's leading provider of emergency, acute, and outpatient care, is seeking an experienced Epic Resolute Hospital Billing Analyst to join our IS team.
Coding Specialist - Inpatient Telecommute Brown University HealthCoding Specialist - Inpatient TelecommuteProvidence, RI$26.80–$44.21 / hourThe 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. 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.
Medical Biller / Charge Entry Specialist (PT/FT) Eye Care SpecialistsMedical Biller / Charge Entry Specialist (PT/FT)Norwood, MAFull timePosition Summary (Onsite only)Eye Care Specialists is a busy multi-specialty ophthalmology practice with 7 physicians and 3 locations in Norwood and Norfolk.
Medical Biller Part Time or Full Time Eye Care SpecialistsMedical Biller Part Time or Full TimeNorwood, MAThe ideal candidate will be organized, accurate, and comfortable working both independently and as part of a team. We look forward to hearing from you!
IS Application Analyst - Epic Resolute Hospital Billing South Shore Health Systems IncIS Application Analyst - Epic Resolute Hospital BillingWeymouth, MARemote$59,609.13–$140,410.66 / yearReporting to the Access & Revenue IS Manager, the successful candidate will develop workflows, system configurations, change documentation, and train staff on Epic Epic Resolute Hospital Billing application functionality. South Shore Hospital, Southeastern Massachusetts''s leading provider of emergency, acute, and outpatient care, is seeking an experienced Epic Resolute Hospital Billing Analyst to join our IS team.
Billing Specialist Performance Physical TherapyBilling SpecialistProvidence, RIMore About Us We develop leading-edge physical therapists who practice at the top of their license, acting as primary care providers for musculoskeletal disorders and challenging themselves and their patients to reach new goals. Billing Specialist Providence RI - Administrative 05 Highbar Operations & Support Openings - Revenue Cycle Management Full Time Hourly On-site apply for this job.
Medical Office Coordinator Signature HealthcareMedical Office CoordinatorBrockton, MAWe believe our distinctive Signature Healthcare team approach is the way healthcare should be: medical professionals across many locations communicating and collaborating, taking advantage of technologies and resources to make a difference in the lives and health of our patients. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital, Signature Medical Group (SMG), a multi-specialty physician group of more than 150 physicians practicing in 18 ambulatory locations.
Medical Secretary - Reading Tufts MedicineMedical Secretary - ReadingMassachusettsIn addition, this role focuses on performing the following General Administration duties: Produces documents, collects, records, sorts and files information, handles mail, prepares routine reports, makes travel arrangements, arranges appointments, responds to inquiries, data entry, and operates office equipment. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands on” environment.
Medical Receptionist ConvenientMDMedical ReceptionistPlainville, Massachusetts$20–$25 / hourWorking alongside the clinical team, you will be responsible for greeting patients and visitors, completing patient registration, updating new and existing patient records, collecting payment, and ensuring patients with or without pre-existing reservations are seen in a timely manner. To support this belief, we’re building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another.
Gastroenterologist - Reliant Medical Group - Auburn UnitedHealth Group IncGastroenterologist - Reliant Medical Group - AuburnAuburn, MABe part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously in an ambulatory setting partnering with primary care with a sustainable and thriving national health care organization. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Medical Assistant II - Neurology - Atrius Health UnitedHealth Group IncMedical Assistant II - Neurology - Atrius HealthQuincy, MAClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Senior Medical Assistant - Braintree, MA UnitedHealth Group IncSenior Medical Assistant - Braintree, MABraintree, MAAdministrative Duties Responsible for routine and basic front and back-office duties to include answering phones scheduling and confirming appointments preparing schedules data entry including referral contracts post appointment information prefill document retrieval filing performing data entry and assisting in the examination process of patients under the direction of a physician or other licensed provider. Collaboration and Compliance Partner with Clinical Quality Leadership and other healthcare professionals to ensure compliance with all clinical policies and training programs maintain and enhance quality assurance processes adhere to best practices and clinical guidelines participate in performance improvement initiatives engage in continuous professional development.
Medical Director/Attending Physician HealthDriveMedical Director/Attending PhysicianRockland, MassachusettsPart timeOverview: HealthDrive is looking for a part-time (2-3 days per week) Medical Director/Attending Physician to collaborate with Nurse Practitioners that are attending to skilled nursing residents in both the sub-acute rehab and long-term care units. The Medical Director will participate in quality improvement initiatives, provide guidance to facility staff, oversee clinical care plans, compliance with state and federal regulations, and supervise facility clinical staff.
Behavioral Health Medical Director – Clinical Architect (Virtual Primary Care) Devoted Health ServicesBehavioral Health Medical Director – Clinical Architect (Virtual Primary Care)MassachusettsRemoteClinical & Startup Depth: You must show a minimum of 3–5 years of active clinical experience managing high-acuity SMI, severe mood disorders, schizophrenia, or complex geriatric populations, alongside a proven track record of operational leadership, budget management, or program building in a healthcare system or digital health startup. Value-Based Care Optimization: You will design clinical workflows strictly optimized for Total Cost of Care (TCOC) reduction, population health KPIs (symptom remission, PHQ-9 tracking, and ED diversion), completely unfettered by traditional fee-for-service billing red tape.
Supervisor of TPC and CCBHC Revenue Cycle Care New England Health SystemSupervisor of TPC and CCBHC Revenue CycleWarwick, RIThe Supervisor of TPC and CCBHC Revenue Cycle is an operational leader responsible for supporting the day-to-day revenue cycle functions for The Providence Center (TPC) and Certified Community Behavioral Health Clinic (CCBHC) services. Knowledge, Skills, & Abilities: Revenue Cycle Knowledge (Behavioral Health Focus): Understanding of revenue cycle processes within behavioral health, outpatient, or community-based settings, including billing, collections, and accounts receivable follow-up.
Medical Secretary Endoscopy Brown University HealthMedical Secretary EndoscopyEast Providence, RI$18.13–$29.90 / hourThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Oversees patient financial process to ensure patient payments (co-payments, deductibles, self pay) are obtained at time of service and are properly processed. May lift and position patients, and lift supplies up to 50 pounds INDEPENDENT ACTION: Incumbent functions independently within a broad scope of department policies and practices, generally refer specific problems to supervisor only where clarification of departmental policies and procedures may be required.
Medical Assistant - Ob/Gyn - Braintree, MA Tufts MedicineMedical Assistant - Ob/Gyn - Braintree, MABraintree, MA$22–$25.15 / hourThis position is responsible to respond 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. Performs and records vital signs (blood pressure, pulse, temperature, oxygen saturation, height and weight), records patient's stated level of pain, and reviews list of medications with patient.
Practice Coordinator - Medical Oncology South Shore Health Systems IncPractice Coordinator - Medical OncologyWeymouth, MA$21.06–$28.34 / hourEssential duties include administrative practice support and coordination for providers, nurse practitioners, oncology nurse navigators, infusion nurses, and research nurses; managing schedules for providers and nurses, ensuring safe practice by informing the Nurse Manager of high patient acuity levels so that proper staffing can be coordinated; scheduling appointments while following guidelines that promote and support a safe clinical practice, patient comfort, and continuity of care for complex visits. Responsibilities consist of checking in patients, scheduling multiple complex appointments for a high volume of patients in accordance with chemotherapy/immunotherapy treatment plans and scheduling guidelines, imaging, interventional radiology, concurrent chemotherapy/radiation therapy, and outside referral appointments.
Medical Assistant - OB/GYN - Braintree, MA Lowell General HospitalMedical Assistant - OB/GYN - Braintree, MABraintree, MA$22–$25.15 / hourThis position is responsible to respond 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. Performs and records vital signs (blood pressure, pulse, temperature, oxygen saturation, height and weight), records patient's stated level of pain, and reviews list of medications with patient.
Practice Coordinator - Medical Oncology South Shore HealthPractice Coordinator - Medical OncologyWeymouth, MA$21.10–$30.15 / hourEssential duties include administrative practice support and coordination for providers, nurse practitioners, oncology nurse navigators, infusion nurses, and research nurses; managing schedules for providers and nurses, ensuring safe practice by informing the Nurse Manager of high patient acuity levels so that proper staffing can be coordinated; scheduling appointments while following guidelines that promote and support a safe clinical practice, patient comfort, and continuity of care for complex visits. Responsibilities consist of checking in patients, scheduling multiple complex appointments for a high volume of patients in accordance with chemotherapy/immunotherapy treatment plans and scheduling guidelines, imaging, interventional radiology, concurrent chemotherapy/radiation therapy, and outside referral appointments.
Medical Secretary Endoscopy Brown Health Medical GroupMedical Secretary EndoscopyEast Providence, Rhode IslandThe core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Oversees patient financial process to ensure patient payments (co-payments, deductibles, self pay) are obtained at time of service and are properly processed. May lift and position patients, and lift supplies up to 50 pounds INDEPENDENT ACTION: Incumbent functions independently within a broad scope of department policies and practices, generally refer specific problems to supervisor only where clarification of departmental policies and procedures may be required.
Professional Biller II Care New England Health SystemProfessional Biller IIWarwick, RICare 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. Listens to patients issues, accesses the patient's account and either explains transactions as documented, or works with the patient to identify incorrect items that prevent the billing from being paid appropriately.
Professional Coder South Shore HealthProfessional CoderWeymouth, MA$26.30–$37.60 / hourResponsibilities if Required: Education if Required: License/Registration/Certification Requirements: Certified Coding Specialist- Physician Based- American Health Information Management Association (AHIMA), Certified Professional Coder (CPC)- American Academy of Professional Coders (AAPC). This role reviews clinical documentation, assigns appropriate diagnoses and procedures, identifies documentation gaps, and queries providers as needed to ensure coding accuracy, compliance, and optimal reimbursement.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteMARemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
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).
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. Prepares and maintains related reports using both the online scheduling and billing systemsMay respond to telephone callsnquiries by rotating into a centralized setting (i.e., a call room).Performs all duties in accordance with the Hospital’s mission, the defined role of ambulatory care and defined administrative/clerical rules, procedures and policies.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Outpatient Services Rep LEP Brown University HealthOutpatient Services Rep LEPProvidence, RI$22.35–$23.37 / hourUses 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. Prepares and maintains related reports using both the online scheduling and billing systemsMay respond to telephone callsnquiries by rotating into a centralized setting (i.e., a call room).Performs all duties in accordance with the Hospital's mission, the defined role of ambulatory care and defined administrative/clerical rules, procedures and policies.
NewCertified Professional Coder, Full Time Days, 40 Hours, Central Business Office Day Kimball Healthcare IncCertified Professional Coder, Full Time Days, 40 Hours, Central Business Officeputnam, CTCertified 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.
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. 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.
Outpatient Services Rep Brown University HealthOutpatient Services RepProvidence, RI$21.26–$21.81 / 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. 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.
Revenue Integrity Specialist Top Prospect Group LLCRevenue Integrity SpecialistGreater Boston, MARevenue Integrity Specialist (Professional Billing) Position Overview Serves as a Charge Generation Tracker (CGT) and regulatory resource to ensure compliance with coding and billing guidelines. Acts as a primary resource for providers and staff, supporting revenue integrity, charge capture, and coding accuracy.
NewFood Quality Technician Actalent IncFood Quality TechnicianBrockton, MA$18–$22 / hourThis role offers valuable experience in HACCP, GMPs, food safety programs, laboratory testing, and manufacturing operations, making it an excellent stepping stone for long-term growth within the food, beverage, and consumer products industries. You"ll work closely with Production, Quality Assurance, and Food Safety teams to perform testing, inspections, audits, and documentation activities that directly impact the quality of products reaching customers.
Advanced Practice Provider RIH Rhode Island HospitalAdvanced Practice ProviderRhode IslandThe APP reports directly to the Manager for APPs and the inpatient Medical Director for the Division of Cardiology and manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings. RESPONSIBILITIES: 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.