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Medical Insurance Billing And Coding Jobs in Rhode Island

Brownhealth

Billing Specialist

Providence, RI

$22.04 - $36.37/hr

Functions as a coding/billing resource to department staff. Researches and reconciles coding errors ... including medical necessity and coding issues. Refers more complex questions or issues to the ...

Primary Health Solutions

Certified Coder

RI · On-site +1

$23.75 - $31.50/hr

Analyze coding related claim issues, process gaps and denials to trend feedback for providers by ... medical billing software. • Knowledge of unfair debt collection practices and insurance ...

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All JobsMedical Insurance Billing And Coding JobsMedical Insurance Billing And Coding Jobs in Rhode Island

Medical Insurance Billing And Coding information

See Rhode Island salary details

$13

$21

$28

How much do medical insurance billing and coding jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medical insurance billing and coding in Rhode Island is $21.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $22.60 per hour, depending on experience, location, and employer.

What is medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, procedures, and diagnoses into standardized codes for billing and insurance purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to submit claims to insurance companies for reimbursement. This role is essential to ensure healthcare providers are properly compensated and that patient records are accurate. Professionals in this field must have a strong understanding of medical terminology, coding systems like ICD-10 and CPT, and healthcare regulations.

What are the key skills and qualifications needed to thrive as a medical insurance billing and coding specialist?

To thrive as a Medical Insurance Billing and Coding Specialist, you need a solid understanding of medical terminology, coding systems (like ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, often supported by a certification such as CPC or CCA. Familiarity with electronic health records (EHR) systems, medical billing software, and insurance claim platforms is essential. Attention to detail, analytical thinking, and strong organizational and communication skills help you excel in this role. These competencies ensure accurate claims processing, minimize errors, and support timely reimbursements critical to healthcare operations.

What are some common challenges faced in a medical insurance billing and coding position, and how can they be overcome?

Professionals in Medical Insurance Billing and Coding often encounter challenges such as staying updated with frequently changing coding standards (like ICD-10 and CPT), handling claim denials, and ensuring accurate data entry. To overcome these challenges, it's important to participate in ongoing education, utilize up-to-date coding resources, and maintain strong communication with healthcare providers and insurance companies. Building attention to detail and organizational skills also helps minimize errors and improve claim acceptance rates.

What is the difference between Medical Insurance Billing And Coding vs Medical Office Administrative Assistant?

AspectMedical Insurance Billing And CodingMedical Office Administrative Assistant
CredentialsCertification in billing and coding (e.g., CPC, CCS)Administrative or office management training
Work EnvironmentHealthcare settings, hospitals, clinicsMedical offices, clinics, healthcare facilities
Job FocusProcessing insurance claims, coding diagnoses and proceduresScheduling, patient communication, administrative tasks
Industry UsageHigh overlap in healthcare billing departmentsCommon in front-office healthcare roles

While both roles are essential in healthcare settings, Medical Insurance Billing And Coding specialists focus on insurance claims and coding, whereas Medical Office Administrative Assistants handle broader administrative tasks. Understanding these differences helps job seekers identify the right career path in healthcare administration.

Is a career in medical insurance billing and coding worth it?

A career in medical insurance billing and coding offers stable employment opportunities, with demand driven by healthcare industry growth. It typically requires certification, attention to detail, and proficiency with coding systems like ICD-10 and CPT, making it a viable option for those interested in healthcare administration. The role often provides regular hours and the potential for remote work.

Is it hard to get a job as a medical insurance billing and coding specialist?

Medical insurance billing and coding specialists typically need certification and familiarity with coding systems like ICD-10 and CPT. Job availability depends on industry demand, experience, and certification, but entry-level positions are often accessible with proper training and education.
Medical Insurance Billing And Coding jobs near you
Infographic showing various Medical Insurance Billing And Coding job openings in Rhode Island as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $44,727 per year, or $21.5 per hour.

AUTHORIZATION SPEC/BILLER

Care New England Health System

Warwick, RI • On-site

Full-time

Re-posted 5 days ago

Care New England Health System rating

7.2

Company rating: 7.2 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

345th of 891 rated healthcare providers

Job description

Job Summary
Accurately prepares edits and submits bills in a timely manner, confirms eligibility, and obtains authorization in accordance with requirement of third-party payers. Conducts related activities to support the efficient operations of the department. Knowledgeable in all aspects of Agency policy and services. Maintains knowledge of all billing, eligibility verification, coordination of benefits, and authorization policies, regulations, rules and reimbursement.
Duties & Responsibilities
  • Obtains accurate and complete insurance coverage information and authorization for services utilizing electronic access when available.
  • Understands prior approval and all authorization requirements and timeframes.
  • Investigates and makes corrections in McKesson.
  • Incorporates all new processes and requirements into daily work as requested.
    Accurately completes assigned processes. i.e. Au notes CB notes and BN notes as well as Case Communications etc. Enters Information on patients' profile in Horizon -Such as Authorization, Copay, deductible, limitations specific to each patient's Insurance plan.
  • Proactively tracks and does follow up on authorization requests.
  • Determines insurance eligibility by checking patients with benefits and insurance coverage for services and coordination of benefits
  • Effectively prioritizes own work in order to complete job responsibilities. Displays ability to adjust priorities based upon understanding of policies and procedures.
  • Completes job responsibilities within required timeframe, according to established schedules or workflow requirements. Responsible for running daily reports to capture authorization requirements.
  • Works effectively with others, helping solve problems and promoting teamwork and cooperation among individuals and/or departments.
  • Coordinates and verifies patient information for completeness and accuracy, in a timely fashion; communicates with clinical staff, third-party payers and patients on a regular basis.
  • Verifies required signatures on patients' documents, i.e. Patient Client Authorization Form
  • Verifies all insurance data, coordinating benefits, responding to inquiries in a timely manner.
  • Verifies patients' insurance coverage and/or pay source, checking that all visits are made within established admission and discharge dates, if applicable.
  • Reviews and checks paperwork visits entered the final bill for accurate date of service, number of visits duplicates; identifies discrepancies, notifies appropriate personnel as needed. Submits claims in a timely manner.
  • Research payment sources and patient balances to check for co-insurance; follows appropriate steps to transfer balance to co-insurance and/or directly bill the patient. Follows guidelines and procedures for billing self-pay, bad debt funding sources.
  • Research old claims; identifies and resolves any existing problems; refers unusual or difficult problems to Seniorb Manager of Patient Financial Services as necessary.
  • Reviews, edits, and prepares claims to be submitted; forwards all appropriate information to third-party payers as necessary.
  • Works with Aging Report to decrease days in Accounts Receivables. Understands A/R balances and reimbursement practices.
  • Maintains Excel spreadsheets.
  • Conducts follow-up and collections procedures on each account. Maintains billing files and documentation.
  • Maintains knowledge of all billing policies, rules and regulations.
  • Demonstrates specialized level of knowledge of reimbursement practices and of third-party payer contracts.
    Posts third-party remittance advice accurately with attention to detail. Understands debits and credits
  • Provides assistance to Senior Manager of Patient Financial Services, i.e., with month-end processes, including financial reports and other requested projects.
  • Prepares, prints and submits all reports, documents and summaries on a regular basis
  • Utilizes interpersonal communication skills in order to exchange information in a clear and accurate manner within the agency as well as outside
  • Responsible for follow-up with Manager on all questions/problems discovered and keep Manager informed.
  • Establishes and maintains a work area that is well-organized, clean and net.
  • Operates and maintains equipment carefully and in accordance with procedures.
  • Takes initiative to help maintain commonly used equipment and work areas.
  • Immediately reports unsafe conditions to appropriate personnel.
  • Performs all other related duties as assigned.
  • Serves on appropriate Agency committees.

Requirements
  • High school diploma or equivalent required. Associate's Degree in related subjects preferred.
  • Six-months of job-related experience or equivalent required.
  • Demonstrated competency in office/clerical procedures, including typing, professional telephone skills, filing, photocopying and fax operations.
  • Previous experience with various software packages, PCs and database knowledge required.
  • Excellent command of the English language required. Ability to read, analyze and interpret general business reports.
  • Ability to effectively present information and respond to questions from staff and managers.
  • Ability to apply common sense instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

About Us
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. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.

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