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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.

YEAR

Ipsen SA

Regional Reimbursement Director, Neuroscience, New England

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

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

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.

RIH Rhode Island Hospital

Billing Specialist

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.

Brown University Health

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.

Lifespan

Trauma Registrar

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.

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

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

General Responsibilities: The Dental Patient Service Representative is responsible for welcoming and assisting patients with; scheduling of appointments, taking charge of all aspects of registering the patient, answering all incoming calls, collecting charges, taking complete and accurate messages, and documenting appropriately. Takes complete and accurate messages, schedules appointments, takes charge of all aspects of registering patients, answers all incoming calls, collects charges for the office visit.

Thundermist Health Center

Patient Service Representative Dental

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QUALIFICATIONS: Registered nurse with current licensure to practice in the State of Rhode Island with 3 years of clinical documentation experience (BSN required, master's degree preferred), or Physician assistant or nurse practitioner with current licensure to practice in the State of Rhode Island with 3 years of clinical documentation experience, or Successful completion of education required for a medical degree with 3 years of clinical documentation experience. Under general supervision and within Brown University Health policies and procedures, is responsible for concurrent auditing of medical record documentation to assist with evaluating and improving the quality of clinical documentation of services to adequately reflect severity of illness, expected risk of mortality, and complexity of care of the patient.

Sr Clinical Doc Spclst

This salaried, full-time position is ideal for a developer with approximately 5 years of experience and strong API and data expertise, who is comfortable working across the back-end stack to deliver high-quality, performant, and reliable services. Integrate back-end applications with third-party systems and APIs (e.g., ERP and CRM platforms such as NetSuite and Salesforce), handling asynchronous requests, scheduled jobs, and data synchronization.

Acclaro Corporation

Web Developer

MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE: High school degree or the equivalent experience EXPERIENCE: Two years of clinical referral experience required and/or at least one year of related experience in coding/billing and medical record operations in an ambulatory care facility Health Information/Medical Record Department. Acts as a liaison/resource with patients, referring providers, community providers and practice team members regarding referral issues utilizing the highest level of customer service.

Referral Specialist

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. 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

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

CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Staff Software Development Engineer, who will serve as a senior technical leader on a cross-functional product team responsible for designing, developing, and delivering scalable healthcare technology solutions.

Staff Software Development Engineer

Reporting to the Program Manager, the Computer Systems Analyst will utilize Agile methodologies to lead and manage the software development efforts required to design, develop and maintain a Continuous Integration/Continuous Deployment (CI/CD) pipeline in support of Advanced Interactive Management Technology Center (AIMTC) systems. Collaborate with AIMTC clients, business analysts, and other stakeholders to gather and analyze requirements for web applications, ensuring that the developed solutions meet business needs, are aligned technical direction and meet the specified Government schedule.

<p>INDUS Technology, Inc. provides systems engineering, technical and program management services for government and industry clients. Superior performance, experienced personnel and complete dedication to customer needs are the hallmarks of INDUS Technology’s work to date. Through superb technical performance, strategic partnerships with primes and defense related community activities, INDUS has become a well-known and sought after contractor in the Defense Industry. INDUS is a growing firm which continues to expand and redefine its capabilities as it stretches to meet the challenges of the Defense industry in the twenty-first century.</p>

INDUS Technology Inc

Computer Systems Analyst

Provides clinical instruction on the proper use of ECMO equipment, related procedures and management to other health care providers, in addition, Evaluates, assesses, monitors, maintains and troubleshoots equipment used for the delivery of ECMO Maintains and ensures the availability and functionality of a standby ECMO circuit and all emergency ECMO equipment at the bedside for any circuit emergency. Assists the physician in the initiation of ECMOAssembles, primes and evaluates the acid / base status of the ECMO circuit prior to the start of ECMO.Analyzes and evaluates clinical patient data to determine appropriate adjustments to the ECMO system and maintain prescribed parameters for acid-base balance, anticoagulation, circuit pressures, platelets, hematocrit and temperature.

ECMO Specialist

Stakeholder leadership, business alignment, and enterprise decision-making:Build durable relationships with Sales Operations, Service, Product, Application Support, Security, Enterprise Architecture, Data, Integration, Infrastructure, Risk, Finance, Procurement, and business-segment leaders; translate competing priorities into enterprise choices. Enterprise Salesforce strategy, roadmap, and governance:Collaborate with key stakeholders to establish a multi-year Salesforce vision, target-state architecture, org strategy, capability roadmap, and investment plan aligned to Ryder's sales, service, customer, data, and digital strategies.

Ryder System Inc

Director Salesforce Platform

The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate In addition, our leaders will demonstrate an aptitude for: Ensure Accountability and Build Effective Teams Drive Vision and Purpose and Optimize Work Processes By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals. RESPONSIBILITIES: 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.

Medical Coding Manager Jobs in Rhode Island

Regional Reimbursement Director, Neuroscience, New England Ipsen SA

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

Nurse Practitioner, NP Gentiva Health Services Inc (Inactive)

Billing Specialist RIH Rhode Island Hospital

Billing Specialist Brown University Health

Trauma Registrar Lifespan

Trauma Registrar Brown University Health

Senior Analyst, Corp Compliance CVS Health Corp

Clinical Doc Spclst Brown University Health

Patient Service Representative Dental Thundermist Health Center

Sr Clinical Doc Spclst Brown University Health

Web Developer Acclaro Corporation

Referral Specialist RIH Rhode Island Hospital

Revenue Compliance Auditor Brown University Health

APP - Nurse Practitioner or Physician Assistant ConcertoCare

Staff Software Development Engineer CVS Health Corp

Computer Systems Analyst INDUS Technology Inc

ECMO Specialist RIH Rhode Island Hospital

Director Salesforce Platform Ryder System Inc

Program Supv EPBH Emma Pendleton Bradley Hospital

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