JobotNewSenior Inpatient Coder (CIC/CCS) JobotSenior Inpatient Coder (CIC/CCS)Phoenix, AZRemote$30–$40 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals.
American Vision PartnersCertified Coder American Vision PartnersCertified CoderPHOENIX, ArizonaOur 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.
United Wound HealingCertified Medical Coder (Remote Production Role) United Wound HealingCertified Medical Coder (Remote Production Role)phoenix, AZRemote$25–$33 / hourCertified Medical Coder(Remote Production Role)Our mission to change wound care and improve the lives of others isn't easy, but it's worth it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7.
IMS Care Center LLCCertified 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.
Banner HealthNewProfee 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.
Banner HealthNewProfee Radiology Coder Banner HealthProfee Radiology CoderPhoenix, 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.
Banner HealthNewAcute Inpatient Complex Coder Banner HealthAcute Inpatient Complex CoderMesa, AZRemote$26.40–$44 / hourRequires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other appropriate coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Requires a proficiency and expertise level as typically obtained by three or more years of inpatient coding experience in Acute Care inpatient facility or healthcare system; or any combination of education and experience to successfully achieve skill proficiency for complex inpatient work .
CommonSpirit HealthNewCoder CommonSpirit HealthCoderPhoenix, AZIf you're eager to contribute to an organization that is making a profound difference, where innovation meets compassion, and where your commitment to social justice and health equity will be not just welcomed, but celebrated - then Dignity Health Medical Group is waiting for you. Here's what sets us apart and why you belong with us: Impact that Resonates: You'll be part of a team delivering comprehensive clinical services, making a tangible difference in the lives of countless individuals.
Terros HealthRevenue 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.
Genesis OB/GYNCertified Coder Genesis OB/GYNCertified CoderPeoria, AZFull timeThe ideal candidate will have 2-3 years of OB/GYN coding experience, experience with Athena EHR system, excellent attention to detail and the ability to work independently. Review and accurately code OB/GYN medical records, procedures, surgeries, and office visits using ICD-10-CM, CPT, and HCPCS codes.
TTF, LLCNewCPC 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.
TTF Search and StaffingNewCPC Coder- Onsite TTF Search and StaffingCPC 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.
Midwestern UniversityCertified Coding Specialist- AZ- Clinic Finance Midwestern UniversityCertified Coding Specialist- AZ- Clinic FinanceGlendale, AZPart timeMore 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.
The Center for Orthopedic and Research ECoder II The Center for Orthopedic and Research ECoder IIPhoenix, AZPart timeProvides education and support to clinical areas regarding appropriate documentation and coding of services to achieve. · Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents.
Coding Concepts LLCCritical Access Medical Coder (Full-Time ONLY) Coding Concepts LLCCritical Access Medical Coder (Full-Time ONLY)Gilbert, AZRemoteResponsibilities: Accurately assign codes for a variety of services, including Inpatient (IP) Profee, Observation, Emergency Department (ED), Clinic, and other applicable areas. In this role, you will play an essential part in ensuring accurate coding and supporting the operational integrity of a Critical Access Hospital environment.
ValenzNewCertified Medical Claims Auditor ValenzCertified Medical Claims AuditorPhoenix, AZRemoteFull timeVālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.
StratAcuity Staffing Partners IncClinical Service Desk Analyst I StratAcuity Staffing Partners IncClinical Service Desk Analyst IPhoenix, AZ$25–$28 / hourDepending upon assigned area of responsibility, position requires applicable certifications and/or licensures, including but not limited to: RN/LPN; Certified PACS Associate (CPAS); 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). Incumbents must possess knowledge and experience equivalent to completion of a bachelor's degree in computer science or related business discipline and have a license for a clinical position in a practicing state; or certification in a clinical healthcare setting; or at least 2 years working in a clinical environment and/or providing technical support for clinical applications.
Innovative Health CareQuality 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 SummaryThe 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.
ValenzNewSr. Compliance Specialist - Payment Integrity ValenzSr. Compliance Specialist - Payment IntegrityPhoenix, AZRemoteFull timeOversee and support the organization’s multi-state Utilization Management licensing program by tracking licensing requirements across applicable jurisdictions, coordinating license applications and renewals, maintaining supporting documentation, and partnering with operational leaders to ensure ongoing compliance with licensing conditions and regulatory obligations. Interpret, analyze, and operationalize applicable regulatory requirements, including the No Surprises Act (NSA), Fraud, Waste & Abuse (FWA) laws, CMS requirements, and state Department of Insurance (DOI) regulations impacting payment and billing practices.
Aledade IncClinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemotePhoenix, AZRemote$69,000–$91,000 / yearCurrent medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Oscar HealthNewAuditor, 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.
CareOregon IncInvestigations Unit Investigator, Senior CareOregon IncInvestigations Unit Investigator, SeniorAZ$90,225–$110,275 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Help identify potential areas of FWA vulnerability and risk; assist department leadership in developing and implementing corrective action plans for resolution of problematic issues and provide general guidance on how to avoid or deal with similar situations in the future.
CVS Health CorpProgram 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.
Banner HealthNewCardiovascular 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.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Phoenix, AZRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
American Vision PartnersMedical Billing Specialist American Vision PartnersMedical Billing SpecialistPHOENIX, ArizonaOur 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.
Sonora Quest LaboratoriesNewDirector, Revenue Cycle Sonora Quest LaboratoriesDirector, Revenue CyclePhoenix, AZThis leader will drive operational excellence, develop high-performing teams, leverage automation and technology solutions, and partner with executive leadership to enhance financial performance and ensure leadership continuity. Must possess analytical/strategic skills and ability to balance and manage multiple projects and people simultaneously, must possess current knowledge of accounting principles, and knowledge of third-party receivables.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)AZ$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
ValenzNewClinical Bill Review Analyst ValenzClinical Bill Review AnalystPhoenix, AZRemoteFull timeVālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.
State of ArizonaNewAuditor 3 State of ArizonaAuditor 3Phoenix, AZRemote$50,000–$58,000 / yearThe information obtained by this position is used for a variety of activities such as: determination of fines, restitution and cost avoidance; internal deliberation''s regarding settlement amounts for fines and restitution, participate in the decisions regarding opening and closing of criminal and civil investigations. Major duties and responsibilities include but are not limited to: Complete required health care fraud audits and investigations to establish if program violations have occurred through billing, health care records, financial documentation, access to mainframe computer systems at AHCCCS, DES, MVD and DPS.
Molina Healthcare IncSenior Auditor, Delegation Oversight Molina Healthcare IncSenior Auditor, Delegation OversightPhoenix, AZCertified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare Management (CPHM), and/or other health care certification/licensure. Leverages highly skilled analytical insights and experience to identify delegate systemic issues and risks that impact the business; collaborates with health plans and/or corporate departments and other business owners to actively address and mitigate risk to Molina.
Salt River Pima-Maricopa Indian CommunityAmbulance Billing Specialist Salt River Pima-Maricopa Indian CommunityAmbulance Billing SpecialistScottsdale, AZ$62,007–$83,706 / yearPerforms a variety of medical billing-related responsibilities to ensure accuracy of financial data, which may include auditing of medical charts and medical billing, preparing patient refunds, collection accounts and deposits; conducts research; determines and raises pertinent issues, summarizes findings and presents results; and administers programs in assigned area. To obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).