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  • $18.5 - $42.35 per hour

     ...Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are... 
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    CVS Health

    Woonsocket, RI
    19 days ago
  • $18.5 - $38.82 per hour

     ...more compassionate. And we do it all with heart, each and every day. **Primary Job Duties & Responsibilities** + Ensures accurate coding and documentation of medical services, procedures, and diagnoses to support proper reimbursement and revenue generation. + Assigns... 
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    CVS Health

    Woonsocket, RI
    26 days ago
  • $27 - $37 per hour

     ...healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on **ICD-10-CM** (International Classification of Diseases) and **PCS*... 
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    Cognizant

    Providence, RI
    a month ago
  • $128.35k - $166.1k

     ...whether through a school project, coursework, or club) Experience with Hardware and/or SW design concepts and SW engineering skills / coding skills Compensation Dell is committed to fair and equitable compensation practices. The pay range for this position is $128... 
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    Dell

    South Walpole, MA
    2 days ago
  • $90k - $190k

     ...acute health concerns. Perform annual wellness visits, health risk assessments, and thorough documentation using HCC and ICD-10 coding standards. Coordinate care with specialists, hospitals, and other community resources. Support population health initiatives,... 
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    She Recruits, LLC

    Woonsocket, RI
    a month ago
  •  ...preferred Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). Compensation & Benefits: Competitive Salary Quarterly bonus based on quality metrics 6 weeks of... 
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    Spencer Britt

    Woonsocket, RI
    5 days ago
  • $31 per hour

     ...Location:** Remote (Flexible Hours, Monday-Friday) **About the Role** Cognizant Technology Solutions is seeking an experienced **ICD-10 Coding Consultant - Outpatient** to join our team and support one or more of our healthcare clients. This is a **remote position**... 
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    Cognizant

    Providence, RI
    a month ago
  • $19.6 per hour

     ...educational and life experiences to realize our bold vision for healthcare. Role and responsibilities You will: Review, analyze, and code diagnostic information in a patient\'s medical record based on client specific guidelines for the project. The coder will ensure... 
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    Datavant

    Providence, RI
    5 days ago
  •  ...advancement. Requirements: Attend a 30-week paid training program to gain skills and certifications in network security, programming, coding, computer languages, computer systems, communication network operations, and network administrations. Advanced certifications... 
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    United States Army

    Providence, RI
    8 days ago
  • $66.4k - $109.53k

    SUMMARY: Under the direction of the Manager of Coding Policy and Education, research coding and documentation guidelines and creates/updates policies as needed. Develops Brown University Health training materials, works with Manager to publish materials online and updates... 
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    Brown University Health

    Providence, RI
    a month ago
  •  ...therapy or healthcare setting. • Proficiency with insurance verification and claims processing. • Knowledge of ICD-10 CM diagnostic coding required. • Strong attention to detail and organizational skills. • Excellent communication skills with patients and insurance... 
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    Prehab Sports Medicine Services

    Warwick, RI
    9 days ago
  • $20 - $24 per hour

     ..., CCMA, NCMA) OR: 1 years' experience as a Medical Assistant Knowledge of Medical Terminology/Anatomy preferred CPT/ICD 10 coding Influenza vaccination is mandatory Strong computer and customer service skills Ability to type 40 WPM while remaining proficient... 
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    ASPIRE DERMATOLOGY

    Johnston, RI
    12 hours ago
  • $105k - $140k

     ...state Nurse Practitioner license Active DEA license Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). (preferred) For more information contact:... 
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    Optigy Group LLC

    Providence, RI
    1 day ago
  • $82k - $164k

     ...develop complex time domain signal models for use in design support and requirements analysis.  Experience with the development and coding of system models, algorithms, test vectors and analysis tools in support of analyzing radar requirements and performance.... 
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    Raytheon

    Tewksbury, MA
    3 days ago
  • Job Title: HEDIS Reviewer III Address: West Virginia Job Description Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Interprets relevant clinical criteria through review of medical records and annotates...
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    A-Line Staffing Solutions

    Woonsocket, RI
    3 days ago
  • $59.3k - $80.9k

     ...Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met. Work assignments are varied and frequently require interpretation... 
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    Humana

    Providence, RI
    11 days ago
  •  ...of all medical notes required to determine if the services billed are supported for reimbursement using current industry standard coding, CMS guidelines, plan benefits, contractual reimbursement terms, and company policies Communicate adverse determination to Provider... 
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    Flagship Staffing Services

    Smithfield, RI
    27 days ago
  •  ...a solution that scrapes through digital assets and enables advanced retrieval using RAG-based search. The team currently has an AI code base that is not RAG-enabled, and your mission will be to design and implement an end-to-end RAG system on Google Cloud Platform (GCP... 

    Insight Global

    Woonsocket, RI
    18 days ago
  • $10k

     ...business office phone call handling history. + Strengths in mathematical, written, and verbal skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs,... 
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    CVS Health

    Woonsocket, RI
    a month ago
  • $28.95 - $47.76 per hour

    Overview SUMMARY: Reports to PFS Manager responsible for audit and education. Performs coder and provider audits of ICD-10 codes, CPT codes and HCPCS codes. Prepares training materials and provides education as needed. Stays abreast of industry and payer changes pertaining... 
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    Brown University Health

    Providence, RI
    5 days ago
  • Job Title: HEDIS Reviewer II Address: Working Offsite from Caremark Location anywhere in US. Please note: Actual location may vary. RI ... Job Description Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting...
    Full time
    Local area
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    Monday to Friday
    Flexible hours

    A-Line Staffing Solutions

    Woonsocket, RI
    12 hours ago
  • $30.39 - $50.16 per hour

    SUMMARY: Ensures accurate coding and data quality, creating consistency and efficiency in inpatient and/or outpatient services through ongoing performance of ICD-10-CM and/or CPT coding validation and accurate MS DRG, APR DRG and/or outpatient APC. Brown University Health... 
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    Brown University Health

    Providence, RI
    5 days ago
  • $79.4k - $119.2k

     ...reimbursement and cash recovery from commercial payors. This role will help manage the operational and administrative processes for coding, billing, and payor follow-up - including overseeing appeals, development requests, and payor projects. Key Responsibilities and... 
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    Adaptive Biotech

    Providence, RI
    1 day ago
  •  ...● Practice Management ● Clinical Operations ● Administrative Support ● Reception, Clerical, Call Center ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing/Coding Benefits ~401k retirement plan ~ Weekly pay... 
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    WCS Healthcare Partners

    Providence, RI
    9 days ago
  • CRNA Administrator​ at Yale New Haven Health summary: The CRNA Administrator provides expert anesthetic care in collaboration with physicians to ensure safe and patient-centered anesthesia management during medical and surgical procedures. This role emphasizes continuous...
    Work experience placement
    Immediate start

    Yale New Haven Health

    Lincoln, RI
    1 day ago
  • About the job Data Entry Operator | Junior (Remote) Important: You Will Receive An Email Within Next 2 Minutes After Applying , Check Your Inbox or Spam Folder For next steps. A Data Entry Clerk, is responsible for inputting data and making changes to existing...
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    Only Data Entry Clerk

    Woonsocket, RI
    5 days ago
  • $144.2k - $288.4k

     ...design decisions. This leader will demonstrate executive level qualities, lead the conversation, have an eye for great design, hands-on coding as required and a knack for pushing projects from conception to end users. This leader will partner with Value Architects, Product... 
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    Hispanic Alliance for Career Enhancement

    Woonsocket, RI
    5 days ago
  • $66 - $73 per hour

     ...company is seeking an experienced IAM Development Architect to join its enterprise security team. This role is not requiring much coding, less than 10%, 90% solution architecting using Java to derive IAM solutions to build secure code. The client is over $370Bn in revenue... 
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    Insight Global

    Woonsocket, RI
    19 days ago
  • $64.89k - $173.04k

     ...Responsibilities:** + _Feature Development_ - Build robust, scalable features using React Native and Swift for our clinical applications + _Code Review & Quality Assurance_ - Participate in code review processes to learn best practices and maintain high coding standards across... 
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    Internship
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    CVS Health

    Woonsocket, RI
    5 days ago
  • CRNA Case Reviewer​ at Yale New Haven Health summary: The CRNA Case Reviewer provides expert anesthesia care in collaboration with surgical teams, ensuring patient safety and comfort during medical procedures. This role requires comprehensive knowledge of anesthetic...
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    Immediate start

    Yale New Haven Health

    Cumberland, RI
    1 day ago