Medical Billing & Coding Specialist: Claims & Reimbursement

Providence Community Health Centers; Warwick (RI); On-site; USD 31,000 - 44,000; Full time

Job summary

Providence Community Health Centers seeks a Revenue Cycle Specialist to manage the financial aspects of patient care, including coding diagnoses and submitting claims. The role emphasizes accuracy, timely reimbursements, and HIPAA compliance within a unionized Warwick, RI site.

The position requires familiarity with ICD-10, CPT, HCPCS, and experience with EPIC EHR. Expected duties include payment posting, denial resolution, and patient communication.

Qualifications

• High School diploma or equivalent required.
• Certified Professional Coder (preferred).
• Two to three years’ experience in medical billing/payments.

Responsibilities

• Review charge entries by analyzing clinical documentation for ICD-10/CPT/HCPCS codes.
• Submit and follow up insurance claims to ensure timely reimbursement.
• Verify patient insurance eligibility and coverage.
• Post payments and adjustments to patient accounts.
• Respond to patient and payer inquiries regarding billing.
• Maintain HIPAA compliance and secure handling of PHI.

Skills

Medical terminology

Billing and coding

EPIC EHR

Communication

Attention to detail

Multitasking

Spanish (optional)

Education

High School Diploma

CPC (preferred)

Tools

EPIC EHR

Billing software

Microsoft Excel

Outlook/Word

Job description

Providence Community Health Centers seeks a Revenue Cycle Specialist to manage the financial aspects of patient care, including coding diagnoses and submitting claims. The role emphasizes accuracy, timely reimbursements, and HIPAA compliance within a unionized Warwick, RI site.

The position requires familiarity with ICD-10, CPT, HCPCS, and experience with EPIC EHR. Expected duties include payment posting, denial resolution, and patient communication.