Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)AZ$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Certified Coder-HHK-Sacaton Gila River Health CareCertified Coder-HHK-SacatonSacaton, AZPosition Summary: Analyzes, codes, abstracts, and compiles medical records of patients to document patient condition and treatment largely for billing purposes by performing the following duties personally. Utilizes and maintains continually updated knowledge and understanding of Current Procedural Terminology, Healthcare Common Procedure Coding, and International Statistical Classification of Diseases.
Certified Coder Lee Hecht HarrisonCertified CoderPhoenix, AZ$25–$34 / hourThis contract role is ideal for detail-oriented coding professionals with a strong background in neurology coding who are looking for a competitive hourly rate and stability within a specialty practice. Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.
Certified Coder American Vision PartnersCertified CoderPHOENIX, ArizonaFull timeOur practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. Company Intro: At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible.
Certified Coder - Cardiology IMS Care CenterCertified Coder - CardiologyAvondale, ArizonaThis position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the Organization's and Department's established policies and procedures. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems.
Certified Coder - Cardiology IMS Care Center LLCCertified Coder - CardiologyAvondale, AZPart timeThis position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the Organization's and Department's established policies and procedures. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems.
Profee Coder Academic General Med Banner HealthProfee Coder Academic General MedAZRemote$23.16–$34.74 / hourRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder - Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Profee Coder Surgical Urology Banner HealthProfee Coder Surgical UrologyPhoenix, AZRemoteRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder - Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Profee Coder GI Trauma Surgery Banner HealthProfee Coder GI Trauma SurgeryAZRemote$23.16–$34.74 / hourRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder - Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Ideal Candidates: Minimum 1 year recent experience in Gen Surg, Trauma, and/or GI coding (clearly reflected in your attached resume); Experience with split shared EM coding a plus, as well as experience with Trauma (academic); Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below.
Profee Complex Coder Surgical Cardiology Banner HealthProfee Complex Coder Surgical CardiologyAZRemote$25.54–$38.30 / hourRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Ideal Candidates: 3 years recent experience in Surgical Cardiology Profee EM coding (clearly reflected in your attached resume); Specialty Cardiology coding experience preferred; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below.
Profee Complex Coder Surgical Cardiology Banner HealthProfee Complex Coder Surgical CardiologyArizonaRemoteRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Profee Coder GI Trauma Surgery Banner HealthProfee Coder GI Trauma SurgeryArizonaRemoteRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder – Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
NewMedical Coder - Remote YO AI LabsMedical Coder - RemotePhoenix, AZRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
NewCoder Complex Podiatry Surgery Banner HealthCoder Complex Podiatry SurgeryTucson, AZRemote$25.54–$38.30 / hourRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Coder Educator Phys Pract Banner HealthCoder Educator Phys PractAZRemote$30.56–$50.93 / hourThis position assists with the development of education/training materials, conducts and coordinates training and development of Health Information Management staff and other Banner staff as appropriate, including physicians/providers, and provides technical staff training in the usage of information systems components of the medical records database system. Must possess a current knowledge of business and/or healthcare as normally obtained through the completion of a bachelor's degree in business administration, healthcare administration or related field, plus advanced training in Health Information Management requirements and systems and in adult learning principles.
Lead Medical Coder Tohono O'odham Nation HealthcareLead Medical CoderTucson, AZFull timePerforms the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers. Knowledge of legal regulations and requirements on confidentiality, specifically to the Privacy Act of 1974 and Health Insurance Portability and Accountability Act of 1996 (HIPAA).Knowledge of and skill in applying a comprehensive body of rules, procedures, and operations, such as health information management, medical records activities, and computerized data entry and retrieval systems.
Certified Medical Coder Feed My People Food BankCertified Medical CoderPhoenix, ArizonaRemoteAfter work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications.
Revenue Cycle Medical Coder (7179) Terros HealthRevenue Cycle Medical Coder (7179)Phoenix, AZStay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices. Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment.
NewSr. Inpatient Clinical Coder TEEMA GroupSr. Inpatient Clinical Coder"-", AZRemote$80,000–$90,000The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management.
ED/Observation Coder Kingman Regional Medical CenterED/Observation CoderKingman, AZBenefits (Full Time Employees) We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities: Exceptional Colleagues Join us and youll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability. Ensure complete and accurate charge capture of ED and Observation services, including procedures, supplies, injections, infusions, and other billable items supported by the physician orders and clinical documentation.
Medical Biller / Coder & Credentialing Specialist Tucson Dermatology, Ltd.Medical Biller / Coder & Credentialing SpecialistTucson, AZPosition Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes.
NewCPC Coder- Onsite TTF, LLCCPC Coder- OnsitePhoenix, AZTTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. The TTF Coding and HIM Division partners with healthcare organizations nationwide to match top talent in the Coding and HIM industry with organizations that want to hire the best talent.
Coder I Outpatient HonorHealthCoder I OutpatientArizonaOutpatient: CPC-H (Certified Professional Coder-Hospital Outpatient), or CPC (Certified Professional Coder), or COC (Certified Outpatient Coder), or CCS (Certified Coding Specialist), or RHIT () or RHIA (Registered Health Information Administrator) Required . Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Chinle, AZ$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
HIM Coder III Tucson Medical CenterHIM Coder IIIPhoenix, AZLICENSURE OR CERTIFICATION: Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician-based (CCS-P), or Certified Professional Coder (CPC), or Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC). Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital's policies and procedures.
Certified Coding Specialist- AZ- Clinic Finance Midwestern UniversityCertified Coding Specialist- AZ- Clinic FinanceGlendale, AZMore than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. The Certified Coding Specialist protects and recovers the clinic's patient reimbursement by acting as a coding/billing resource for all MWU clinics, educating providers, monitoring accounts receivable, and collecting delinquent accounts.
Professional Coding Manager HonorHealthProfessional Coding ManagerPhoenix, ArizonaThe Coding Manager for Professional Services is a Certified Professional Coder (CPC) responsible for the leadership, supervision, and performance of the professional services coding team across the HonorHealth Network. The Coding Manager also plays a key role in organizational data analysis related to coding trends, communicating insights and leading improvement initiatives.
Revenue Cycle Medical Coder (7179) Terros, Inc.Revenue Cycle Medical Coder (7179)Phoenix, AZStay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices. Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthAZ$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
IT Clinical Engagement Specialist II NE GTN Technical StaffingIT Clinical Engagement Specialist II NEPhoenix, AZThe specialist will work closely with clinical leaders, IT field services, application teams, informatics teams, end users, and external vendors to ensure that clinical technology effectively supports patient care and operational needs. A large healthcare organization is seeking Clinical Applications Engagement Specialists to support the implementation, testing, adoption, and optimization of electronic health record (EHR) systems and other clinical applications.
Senior Director, Ambulatory Services Banner HealthSenior Director, Ambulatory ServicesPhoenix, AZMust demonstrate skills and business acumen through direct leadership experiences such as: Anticipating and responding to the needs of internal and external customers; managing a budget and financial plans; building partnerships with management, staff, and stakeholders to achieve department goals and objectives; managing problems and situations where uncertainty is inherent; persuading others to adopt a particular stance on an issue; developing and evaluating best practices and emerging trends for organizational applicability and appropriateness; constructing new and innovative solutions for complex and varying problems and situations while considering the larger perspective or context; mentoring and coaching staff by providing open and honest feedback to enhance performance; developing and implementing strategic goals and initiatives that support organizational success; demonstrating excellent human relations, organizational and communication skills; demonstrating a passion about continuously improving and providing high quality care and service excellence to customers, patients, families, employees and/or physicians. Depending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Driver's License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association.
Senior Director, Telehealth Operations Banner HealthSenior Director, Telehealth OperationsPhoenix, AZSkilled in coaching and developing direct reports and/or other employees that results in enhanced performance outcomes; setting and pursuing aggressive priorities and goals that demonstrate a strong commitment to overall organizational success; effectively allocating resources in order to accomplish goals and objectives; quickly assessing and assimilating facility and industry financial dynamics in order to act quickly and appropriately to changing environmental factors; negotiating win-win scenarios with outside vendors/partners while representing the facility and organization in the best possible light; developing collaborative and positive relationships with medical staff, employees, volunteers, the community, and/or other applicable parties; measuring and managing work outputs. Depending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Driver's License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association.
QNXT Medical Claims Processor (Healthcare BPO) ICONMA, LLCQNXT Medical Claims Processor (Healthcare BPO)Phoenix, AZ$28.57–$42.85 / hourDemonstrate proficiency in using office productivity tools and workflow applications to manage queues update records and communicate with stakeholders in a structured manner Communicate clearly in spoken and written form to document claim actions escalate issues and collaborate with team members and supervisors in a professional setting. Verify coding consistency for diagnoses procedures and modifiers using provided references to minimize claim errors denials and rework -Identify discrepancies or missing information in claim submissions and coordinate with internal teams to obtain clarifications and ensure timely resolution.
QNXT Medical Claims Processor (Healthcare BPO) IconmaQNXT Medical Claims Processor (Healthcare BPO)Phoenix, AZ$28.57–$42.85 / hourDemonstrate proficiency in using office productivity tools and workflow applications to manage queues update records and communicate with stakeholders in a structured manner Communicate clearly in spoken and written form to document claim actions escalate issues and collaborate with team members and supervisors in a professional setting. Verify coding consistency for diagnoses procedures and modifiers using provided references to minimize claim errors denials and rework -Identify discrepancies or missing information in claim submissions and coordinate with internal teams to obtain clarifications and ensure timely resolution.
Senior Manager, Corporate Compliance - Risk Adjustment CVS HealthSenior Manager, Corporate Compliance - Risk AdjustmentScottsdale, ArizonaThis position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements. As a Senior Manager, Medicare Compliance – Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements.
Quality Nurse – QAPI Coordinator Innovative Health CareQuality Nurse – QAPI CoordinatorScottsdale, Arizona$75,000–$85,000The Quality Nurse will conduct clinical chart audits, review documentation for accuracy and compliance, ensure appropriate ICD-10 and CPT coding practices, and support adherence to Medicare and state regulatory requirements. Position Summary The Quality Nurse – QAPI Coordinator is responsible for supporting and managing the organization’s Quality Assurance and Performance Improvement (QAPI) program under the direction of the Program Director.
IT Clinical Engagement Specialist II PDS Inc, LLCIT Clinical Engagement Specialist IIPhoenix, AZDepending upon assigned area of responsibility, this position may require applicable certifications and/or licensures, including but not limited to: PT/OT; RT; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Associate in Risk Management (ARM); Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC). The Clinical Engagement Specialist II proactively leads the collaboration efforts of service area leaders, IT field services, clinical application and informatics teams to increase efficiencies and promote continuity of care through technology and workflow improvements.
QNXT Medical Claims Processor (Healthcare BPO) Iconma LLCQNXT Medical Claims Processor (Healthcare BPO)Phoenix, AZDemonstrate proficiency in using office productivity tools and workflow applications to manage queues update records and communicate with stakeholders in a structured manner Communicate clearly in spoken and written form to document claim actions escalate issues and collaborate with team members and supervisors in a professional setting. Verify coding consistency for diagnoses procedures and modifiers using provided references to minimize claim errors denials and rework -Identify discrepancies or missing information in claim submissions and coordinate with internal teams to obtain clarifications and ensure timely resolution.
Cardiovascular Service Line Executive Banner HealthCardiovascular Service Line ExecutivePhoenix, AZDepending upon assigned area of responsibility, position may require applicable certifications and/or licensures, including but not limited to: RN; MD or DO; Driver's License; Certified Healthcare Protection Administrator (CHPA); Certified Protection Professional (CPP); Chartered Property Casualty Underwriter (CPCU); Associate in Risk Management (ARM); CPA; SPHR; Registered Health Information Administrator (RHIA); Registered Health Information Technologist (RHIT); Certified Healthcare Facility Manager (CHFM); Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); JD from an American Bar Association accredited school; admission to a State Bar Association. Leads the design, development and implementation of a comprehensive Service Line strategic plan to drive growth, operational effectiveness, supply-chain management, clinical effectiveness, personnel management, physician collaboration and support, and fiscal management.
NewBusinessOperations - Grievance & Appeals Coordinator I - 210056 MindlanceBusinessOperations - Grievance & Appeals Coordinator I - 210056Remote-AZ, AZRemoteCandidate Requirements Required: High School Diploma/GED Preferred: Required: Preferred: Years of experience required: 2 +years AZ Medicaid or healthcare administration. Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
Auditor, Risk Adjustment Oscar HealthAuditor, Risk AdjustmentTempe, AZRemote$82,717–$108,566 / yearResponsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Charge Master Analyst Sutter HealthCharge Master AnalystPhoenix, AZ$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorAZ$72,765–$88,935 / yearStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Clinical Documentation Improvement Lead Healthcare Outcomes Performance CompanyClinical Documentation Improvement LeadPhoenix, Arizona
Charge Capture Analyst- Full Time Summit Healthcare ExternalCharge Capture Analyst- Full TimeShow Low, ArizonaThis position requires knowledge of general office equipment including: fax, printers, copy machine, phone systems, and commonly used association wide computer programs (including Hospital Information Systems, MS Office, e-mail, and internet). Physical motions include finger dexterity, standing, walking, stooping, talking, reaching, feeling, sitting, bending, kneeling, grasping, listening/hearing, handling, lifting up to 20 pounds, and repetitive motions of the hands, wrists, and feet.
Auditor, Risk Adjustment Oscar Health IncAuditor, Risk AdjustmentArizona, AZRemote$82,717–$108,566 / yearResponsibilities: Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar''s unlimited vacation program and annual performance bonuses.
Audit and Coding Consultant HonorHealthAudit and Coding ConsultantPhoenix, ArizonaUnder the direction of senior leadership, the Audit and Coding Consultant audits, develops educational materials, educates providers and coders regarding coding/documentation guidelines. ESSENTIAL FUNCTIONS Ensure appropriate methodology to include financial controls, identification of trends and unusual patterns, reimbursement deficiencies, and to improve processes.
Program Integrity Auditor CVS Health CorpProgram Integrity AuditorAZ$46,988–$122,400 / yearThe Auditor will also be recommending follow-up action including (but not limited to) provider education, recoupment of funds or rebilling of claims, and referral to state regulators for any suspected fraud, waste, or abuse (FWA). Serve as an audit team member for a health plan(s) which currently administers benefits to Medicaid members across multiple lines of business including acute, behavioral health, individuals with developmental disabilities, and children in out-of-home care.
Clinical Documentation Improvement Lead The Center for Orthopedic and Research EClinical Documentation Improvement LeadPhoenix, AZPart timeMinimum 5 years of clinical documentation improvement, coding, or revenue cycle experience in orthopedic/MSK specialties required. • Partner with physicians, APPs, coding teams, and operational leaders to improve documentation workflows and reduce.
Medical Billing Specialist American Vision PartnersMedical Billing SpecialistPHOENIX, ArizonaFull timeOur practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. Responsibilities: MAIN: Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.