Top Medical billing Jobs in Rhode Island: Your Guide to Exciting Healthcare Careers
Rhode island is home to a robust healthcare ecosystem with revenue cycle and medical billing opportunities across hospitals, clinics, and physician groups. If you’re looking for a stable,rewarding career in healthcare without years of schooling,medical billing and related roles might potentially be a perfect fit. This guide explores the top medical billing jobs in Rhode Island, what these roles entail, typical qualifications, salary ranges, and practical tips to land a position in the Ocean State.
Why Rhode Island is a Great Place for Medical Billing Careers
Rhode Island’s healthcare system is concentrated in cities like Providence,Warwick,Cranston,and Pawtucket,with major hospitals and health systems driving demand for billing,coding,and revenue cycle expertise. The work is often remote-pleasant or hybrid, offering versatility for students, caregivers, and professionals looking to transition into healthcare.Rhode Island clinicians and administrators rely on accurate coding, timely claims submission, and effective denial management to keep patient care moving forward-and that creates steady job opportunities in medical billing and related fields.
Top Medical Billing jobs in Rhode Island
Below is an overview of common roles you’ll find in Rhode Island’s healthcare market. For each role, you’ll see typical responsibilities, qualifications, and a sense of career growth. These roles can appear in hospitals, physician practices, health systems, and medical billing companies across the state.
1) Medical Billing Specialist (Rhode Island)
Submit clean claims,post payments,manage patient accounts,and follow up on unpaid or denied claims. High school diploma or associate degree; on-the-job training or a certificate in Medical Billing; strong familiarity with CPT/ICD-10 coding basics; attention to detail and data entry speed. practice management software (e.g., Epic, Cerner), Medicare/medicaid rules, payer policies, basic Excel. Approximately $38,000-$65,000 per year, depending on experience, employer, and certifications. Consistently strong demand, with opportunities in hospitals, private practices, and remote third-party billing firms.
2) Medical Coder / Coding Specialist (RI)
Translate clinical documentation into standardized codes used for billing and statistics (CPT, ICD-10-CM/PCS, HCPCS). Certificate or associate degree in Medical Billing/Coding; certified coder credentials (e.g.,CPC,CIC,CPB) from national bodies like AAPC or AHIMA. EHRs, coding guidelines, knowledge of payer coding rules, attention to documentation quality. roughly $40,000-$70,000 per year,with higher pay for specialized facilities or inpatient/outpatient coding. Strong, with routes into documentation improvement, compliance, and data analytics.
3) Revenue Cycle Analyst / Specialist (RI)
Analyze the full revenue cycle process-from patient access through final payment-to identify bottlenecks and reduce denials. Associate or bachelor’s degree in health facts management, accounting, or a related field; experience with claims data and analytics tools. Denials management, MD/EDI transactions, SQL basics, dashboards (e.g., Power BI, Tableau). Around $50,000-$85,000 depending on seniority and duty. Expanding role as hospitals focus on cash flow optimization and compliance.
4) Billing Auditor (RI)
Review medical bills and claims for accuracy, compliance, and coding consistency; identify and correct billing errors. Background in medical billing/coding; attention to detail; certifications such as CPC/COC or RHIA/RHIT preferred. Approximately $45,000-$75,000 depending on employer and experience. Growing field as healthcare organizations strengthen compliance programs.
5) Health Information Technician / Medical Records Specialist (RI)
Maintain and secure patient health records, ensure accuracy and accessibility for coding, billing, and clinical care. Associate degree in Health Information Technology (HIT) or related field; RHIT credential is advantageous. About $40,000-$70,000 per year. Essential role in every care setting; potential to advance into HIM management or data governance.
6) Patient Financial Services Representative (RI)
Communicate with patients about bills, insurance coverage, payment plans, and financial assistance; often the first line of contact for financial questions. Customer-service orientation, basic accounting or billing knowledge, strong communication skills. Roughly $34,000-$58,000 depending on role and experience. Good entry-point into the revenue cycle with opportunities to move into denials management or billing coordination.
7) Insurance Verifier / Eligibility Specialist (RI)
Verify patient insurance coverage and benefits before procedures, ensuring claims will be paid appropriately. High school diploma or certificate; customer service and data entry skills; familiarity with payer portals. About $32,000-$55,000 per year. Consistent demand as practices strive to minimize claim delays and denials.
8) credentialing Specialist (RI)
Manage provider enrollment and credentialing with insurance networks; ensure clinicians are properly authorized to bill. Background in HIM, administration, or business; knowledge of payer requirements; some roles require AHIMA or AAPC credentials. Approximately $45,000-$80,000 depending on responsibilities and setting. Growing field as networks expand and maintain compliance with payer systems.
9) Billing Coordinator / Supervisor (RI)
Oversee daily billing operations, ensure timely submission of claims, train junior staff, and optimize workflows. Several years of billing experience; leadership/management skills; relevant certifications helpful. Typically $50,000-$90,000+ with senior roles in larger health systems. Pathway to operations leadership within revenue cycle teams.
10) Remote Medical Billing Specialist (RI and nationwide options)
Perform billing duties from home, often for ambulatory clinics, physician groups, or third-party billing companies. Proven billing experience, strong internet connectivity, and reliability; some roles require CPC/CIC-type credentials. Similar to on-site roles, with remote positions offering competitive pay and flexibility. increasingly popular due to remote-friendly healthcare operations.
City Spotlight: Rhode Island’s Key Locations for Medical Billing Roles
Providence and its neighboring cities host the bulk of hospital systems, clinics, and physician groups. Below is a rapid snapshot of typical hubs and what they offer for medical billing professionals.
| City | Typical Healthcare Hubs | Opportunities Focus |
|---|---|---|
| Providence | Lifespan health system, Rhode Island Hospital, The Miriam Hospital | Billing operations, coding, denials management, revenue cycle analysis |
| Warwick | Kent Hospital, outpatient clinics | Insurance verification, patient finances, entry-level billing |
| Cranston | Outpatient clinics and specialty centers | medical billing coordination, credentialing support |
| Pawtucket | Community health centers, ambulatory services | Billing support roles, coding assistance, AR follow-up |
Note: Rhode Island’s healthcare employment is not limited to city borders. Remote and hybrid positions are increasingly common, enabling qualified RI workers to serve regional and national practices from home.
Education, Certifications, and Career Pathways
Whether you’re just starting or looking to advance, Rhode Island offers several pathways into medical billing careers. Here are the most reliable routes and credentials to consider.
High school diploma pairs well with a certificate in Medical Billing or an associated degree in Health Information Technology,Medical Administration,or similar. Some roles may benefit from a bachelor’s degree in health information management or healthcare administration. - American Academy of Professional Coders (AAPC): CPC (Certified Professional Coder), CPC-P, CPB, COC, and related credentials.
- American Health Information Management Association (AHIMA): RHIA (Registered Health Information Administrator), RHIT (Registered Health information Technician).
On-the-job training is common, especially for entry-level roles like insurance Verifier or Patient Financial Services representative. Internships or externships through local community colleges can be very helpful. Billing and coding guidelines change over time; ongoing training keeps you current with payer policies and ICD-10-CM/ICD-10-PCS updates. With experience, you can move from billing clerk to senior billing specialist, supervisor, or revenue cycle analyst. Certifications can unlock higher pay and leadership roles.
Benefits and Practical Tips for Building a Rhode Island Medical Billing Career
The demand for accurate billing and coding is driven by payer requirements and patient access to care, making these roles relatively stable. Look for hybrid or remote options, especially with larger hospital systems and national billing firms. Rhode Island salaries for billing professionals are competitive within the New England region, with potential increases as you gain credentials and experience. Invest in credentials such as CPC, RHIA, or RHIT; they often unlock higher pay and broader responsibilities. Join Rhode Island chapters of professional associations (e.g., local AHIMA/AAPC groups) to network and discover job openings.
Case Studies and First-Hand Experiences
Case Study 1: From retail to Rhode Island Medical Billing
Julia, a resident of Providence, transitioned from retail to healthcare billing after earning a 6-month Medical Billing certificate from a Rhode Island community collage. She started as an Insurance Verifier at a private practice and leveraged her credential to move into an AR denials role within a year. now she works as a Billing Analyst for a major health system, earning a stable salary and enjoying a clear path for advancement.
Case Study 2: Aiming High with certifications
Daniel began as a front-desk patient financial services rep in Cranston. He pursued an AHIMA RHIA certification while working part-time and landed a Health Information Technician role in a regional hospital system. his knowledge of medical records, coding, and compliance helped him transition into a revenue cycle leadership track within three years.
Job Search Tips: Finding the Best Medical Billing Roles in Rhode Island
Rhode Island Department of Labor and Training career portals, community college career centers, and hospital job boards are good starting points. Indeed, LinkedIn, Glassdoor, and specialized sites like AAPC and AHIMA job boards often list Rhode Island postings. Attend local AHIMA or AAPC chapter meetings, healthcare job fairs, and hospital recruiting events in providence and surrounding cities. Highlight experience with payer policies, denials resolution, EHRs used locally, and any Rhode Island-specific regulations or payer contracts if applicable. Be ready to discuss denials management, patient financial services, coding accuracy, and process improvement examples.
Additional Resources for Rhode Island Medical Billing Professionals
- Local health systems: Lifespan, Care New England, Veterans Affairs Medical Centre (Providence), and affiliated hospitals frequently post openings on their career portals.
- Professional associations: Rhode Island-area chapters of AHIMA and AAPC for networking,continuing education,and local job leads.
- Certification prep and practice exams: Official AAPC and AHIMA study materials can help you prepare for CPC, RHIA, RHIT, and related credentials.
Conclusion
If you’re seeking a stable, meaningful career in healthcare, Rhode Island’s medical billing and revenue cycle roles offer diverse paths-from specialist billing to coding, auditing, and leadership in patient financial services. The combination of a dense healthcare network, plenty of entry points for new entrants, and the growing acceptance of remote work makes rhode Island an excellent place to start or advance a career in medical billing. By pursuing relevant certifications, gaining practical experience, and leveraging local RI opportunities, you can build a rewarding professional journey in the state’s healthcare ecosystem.
Whether you’re just starting out or aiming for leadership in the revenue cycle, Rhode Island provides accessible routes to success.Consider enrolling in a reputable medical billing or health information technology programme, earning certifications like CPC or RHIA/RHIT, and actively networking with RI healthcare professionals. Your next exciting healthcare career could be just a certification, resume update, and local job posting away in the Ocean State.
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