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.
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. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Assists with the leadership and guidance to the day-to-day inpatient and outpatient medical coding service and staff.
Critical 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.
Medical Biller / Coder & Credentialing Specialist Tucson Dermatology, Ltd.Medical Biller / Coder & Credentialing SpecialistTucson, AZFull timeThe 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. Our multi-location healthcare organization is seeking a highly organized professional who understands both medical billing/coding and provider credentialing and can support operational improvements within the revenue cycle.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)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.
Profee Coder Complex Neurosurgery Neurology Banner HealthProfee Coder Complex Neurosurgery NeurologyAZRemote$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 Candidate: 3 years recent/consistent experience in Neurology Profee EM coding (clearly reflected in your attached resume); Neurosurgery Specialty experience preferred; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below.
Profee Coder Complex Neurosurgery Neurology Banner Health CorporateProfee Coder Complex Neurosurgery NeurologyArizonaRemoteRequires 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.
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.
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 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 Coder GI Trauma Surgery Banner HealthProfee Coder GI Trauma SurgeryPhoenix, AZRemote$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 Health CorporateProfee 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 Health CorporateProfee 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.
NewCertified 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.
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.
NewCertified 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-SacatonAZPosition 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.
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.
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.
NewCPC 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.
CPC 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.
Certified 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.
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.
Coder I LifePoint Health IncCoder ISierra Vista, AZOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Thanks to our year-round temperate climate, affordable housing, low cost of living, access to healthcare and education facilities, not to mention the breathtaking natural beauty of majestic mountain ranges and the San Pedro River and outdoor activities, Cochise County residents enjoy an excellent quality of life.
Coder II, Inpatient Phoenix Children's HospitalCoder II, InpatientAZAssigns diagnosis codes and procedure codes utilizing the current version of ICD diagnosis and procedure codes and CPT-4 coding classification systems in compliance with hospital guidelines, ICD-9-CM Official Guidelines for Coding and Reporting, and UHDDS definitions. This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes for Inpatient medical records or outpatient Infusion accounts.
Sr. Clinical Coder Cook SystemsSr. Clinical CoderPhoenix, ArizonaWe partner with Fortune 500 enterprises and high-growth companies alike to deliver agile technology solutions, AI-driven talent strategies, and our signature FastTrack program that develops the next generation of tech talent. As a subject matter expert, this role provides coding-related information to various departments and functions as the designated recipient for factual network provider claim review requests.
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.
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.
Medical Assistant TTF, LLCMedical AssistantTucson, AZThe TTF Physician Office Staffing Division places MA’s, Medical Assistants, Medical Front Office, Medical Back Office, Physician Referrals and Authorizations, Schedulers, Nurse Practitioners, Physician Assistants, Licensed Practical Nurses, Licensed Vocational Nurses, Medical Billers/Collectors, Coders, Office Managers/Administrators, and other positions. TTF is a healthcare 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.
Medical Assistant TTF Search and StaffingMedical AssistantTucson, AZThe TTF Physician Office Staffing Division places MA’s, Medical Assistants, Medical Front Office, Medical Back Office, Physician Referrals and Authorizations, Schedulers, Nurse Practitioners, Physician Assistants, Licensed Practical Nurses, Licensed Vocational Nurses, Medical Billers/Collectors, Coders, Office Managers/Administrators, and other positions. TTF is a healthcare 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.
Certified 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.
NewSIU Coding Manager & Audit Lead CVS HealthSIU Coding Manager & Audit LeadPhoenix, AZCVS Health is seeking the Certified Professional Coder (CPC) Manager to oversee a team of medical coders within the Special Investigations Unit, ensuring compliance through comprehensive record reviews across medical and related healthcare providers. You will lead, train, and mentor CPCs, conduct audits for CPT/HCPCS compliance, and drive performance with clear goals and measurable outcomes.
Mgr/Sr Manager, Payment and Coding Policy- Hybrid Blue Cross and Blue Shield AssociationMgr/Sr Manager, Payment and Coding Policy- HybridPhoenix, AZAZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building.
Emergency Medicine Billing Specialist Banner HealthEmergency Medicine Billing SpecialistTucson, AZActs as a liaison between providers and specialty third party coding group leadership regarding all issues of coding work flow including reconciling visits seen versus charged, documentation requirements and any items requiring resolution to support timely processing. Acts as a revenue cycle operational consultant with expertise in emergency medicine documentation and coding to continually educate and give feedback to Faculty Physicians regarding effective practices to capture RVU's for services rendered.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorAZ$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Audit and Coding Consultant 78 HonorHealth Medical Group SupportAudit 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.
NewCharge Master Analyst Sutter HealthCharge Master AnalystAZ$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.
Auditor, Risk Adjustment Oscar Health IncAuditor, Risk AdjustmentAZRemote$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.
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.
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.
NewSenior Manager, Corporate Compliance - Risk Adjustment CVS Health CorpSenior Manager, Corporate Compliance - Risk AdjustmentScottsdale, AZ$75,400–$165,954 / yearThis 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.
Program Manager Revenue Integrity CommonSpirit HealthProgram Manager Revenue IntegrityPhoenix, AZEssential Functions: Collaboration: Establish collaborative working relationship with research revenue producing departments (Physician Investigators, Research Program Leaders), revenue integrity teams, Optum 360 personnel, information systems personnel, technical and clinical personnel to identify research chargeable activities, establish charge capture mechanisms, and to properly code (or add modifiers) research charges for timely and accurate recording of research claim related revenue consistent with research regulations, state and federal requirements. Research Revenue Cycle: Manage research patient charge revenue cycle beginning with management of Medicare Cost and Coverage Analysis Worksheet (MCCAW) personnel required to translate MCCAW into research patient billing grid to identify billable versus non-billable research charges.
Coding Specialist II - Hospitalist SavistaCoding Specialist II - HospitalistArizonaRequired: An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
NewCoding Specialist II - Orthopedics Profee SavistaCoding Specialist II - Orthopedics ProfeeArizonaRequired: An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
NewRemote Professional Fee Audit Specialist Flexible Schedule DatavantRemote Professional Fee Audit Specialist Flexible SchedulePhoenix, AZRemote$35–$45 / hourThis fully remote position requires over 5 years of Professional Fee coding and auditing experience, and candidates must possess CPC certification. Datavant is looking for a Professional Fee Auditing Specialist to conduct audits on medical records while ensuring compliance and providing coder education.
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.
Program 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.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTPhoenix, AZRemote$35–$45 / hourBy joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.* 2,500 Sign on Bonus **As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Systems: Cerner PowerChart, 3M360.What you will bring to the table:3+ years experience coding and auditingAssociate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCSPreferred: CCS, RHIT, or RHIA credentials.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTPhoenix, AZRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTPhoenix, AZRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.