Hiring a REMOTE Certified MedicalCoder that lives in Arizona!
Schedule: M-F 8-5 PM MST
Pay Range: Between $25-$29/hr depending on experience & qualfiications
Day to day:
Expertly assign and sequence diagnostic/procedural codes (ICD-10, CPT, etc.) per payer regulations and industry standards.
Conduct thorough reviews of claims, configurations, and patient charts to verify the accuracy and compliance of billable services.
Drive best practices, coding recommendations, and policy setting within the Revenue Cycle Management (RCM) department.
Recommend and implement strategic protocols for coding modifications to maximize revenue and minimize denials.
Provide targeted training and support to RCM team members and clinical practitioners on appropriate billing and coding requirements.
Collaborate with Compliance and Contracting teams to ensure organizational adherence to coding standards.
Maintain a flexible, compassionate, and professional approach while supporting team goals.
Must Have Qualifications:
CPC Certification
Experience with NextGen
Benefits:
- In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).
401(k) Retirement Plan (After 6+ months of service, during a 401K enrollment period)
Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!
Prescription Programs
Short Term Disability Insurance
Term Life Insurance Plan
$25-29 hourly 16h ago
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Pro Fee Coder - Urology
Savista
Medical coder job in Arizona
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may interact with client staff and providers.
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.
Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines.
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
SKILLS AND QUALIFICATIONS:
Candidates must successfully pass pre-employment skills assessment. Required:
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.
Two years of recent and relevant hands-on coding experience
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers
PREFFERED SKILLS:
Recent and relevant experience in an active production coding environment strongly preferred
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
Experience using Rcx, Cerner, Optum (a plus)
Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
California Job Candidate Notice
$22.1-34.7 hourly Auto-Apply 60d+ ago
Revenue Cycle Medical Coder - Central Ave (5478)
Terros, Inc. 3.7
Medical coder job in Phoenix, AZ
Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person's health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.
HOPE ~ HEALTH ~ HEALING
Terros Health made the list!!
"Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media.
The Revenue Cycle MedicalCoder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle.
* Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations
* Reviewing claims and configuration to ensure compliance with coding guidelines and best practices
* Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services
* Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements
* Recommending and implementing strategic protocols for coding review and code modifications
* Completing overarching coding practice evaluations
* Collaborating with cross functional teams such as Compliance and Contracting
* Stay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices
Apply with your resume at ********************
Benefits & Wellness
* Multiple medical plans - including a no premium plan for employees and their families
* Multiple dental plans - including orthodontia
* Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
* 4 Weeks of paid time off in the first year
* Wellness program
* Pet Insurance
* Group life and disability insurance
* Employee Assistance Program for the Whole Family
* Personal and family mental and physical health access
* Professional growth & development - including scholarships, clinical supervision, and CEUs
* Tuition discounts with GCU and The University of Phoenix
* Working Advantage - Employee perks and discounts
* Gym memberships
* Car rentals
* Flights, hotels, movies and more
* Bilingual pay differential
$58k-80k yearly est. 34d ago
Surgery Coder
Wickenburg Community Hospital 4.0
Medical coder job in Surprise, AZ
Wickenburg Community Hospital is a beautiful and sophisticated rural-access hospital located in Wickenburg, Arizona. WCH is a 8-bed Emergency Department, 19-bed Acute department and many ancillary services. We also have 3 Primary Care Clinics. Here at WCH, we strive to maintain the highest standards of professionalism and care. Join us today and let us be part of your success story.
We offer:
Full Benefits
PTO/Sick Leave
Wellness Benefits
Wickenburg Community Hospital is a non-profit organization and qualifies for the Public Service Loan Forgiveness (PSLF) program.
General Description
We are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity.
This is a remote position with a 4 day on-site work rotation, every 6-7 weeks.
Essential Job Duties
Review operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes.
Abstract relevant information from medical records into the health information system.
Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific).
Query physicians when documentation is unclear, conflicting, or incomplete.
Meet productivity and accuracy standards as established by the department.
Collaborate with the clinical documentation integrity (CDI) team to support proper documentation practices.
Stay updated with current coding changes and surgical procedures through continuous education and training.
Assist in audit processes and respond to coding-related denials as needed.
Serve as backup to Acute and ED Coding
Qualifications
:
High school diploma or GED.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification from AAPC or AHIMA.
Minimum of 2 years of surgical coding experience in an acute care or outpatient surgical setting.
In-depth knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
Familiarity with EHR systems
Experience with same-day surgery or ASC coding.
Skills & Competencies
Strong attention to detail and organizational skills.
Ability to work independently and meet tight deadlines.
Excellent written and verbal communication skills.
Knowledge of medical terminology, anatomy, and physiology.
Commitment to maintaining confidentiality and data security
Physical Requirements/Working Conditions
Must be able to sit for long periods
Must be able to operate standard office equipment
Must be able to lift and carry up to 20 lbs
Must be able to work paying close attention to detail with frequent interruptions.
Ability to work in a fast pace environment.
Adequate hearing and vision for effective communication.
Follow complex instructions.
Think logically in following procedures and instructions.
Work well under stress, with interruptions and deadlines.
Effectively communicate dept needs to other departments.
$53k-65k yearly est. Auto-Apply 60d+ ago
Specialist - Concurrent Coding / Inpatient Coder
Direct Staffing
Medical coder job in Scottsdale, AZ
Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary:The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems.Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves issues, educates and works closely with Clinical Documentation Improvement Specialist. Identifies areas of documentation improvement for both ICD9 and ICD10 coding standards. Position Accountabilities:The following are essential job accountabilities:1. Reviews and codes accounts that need Concurrent Coding and DRG assignment. Concurrently reviews patient charts and assigns appropriate codes to diagnoses and procedures, in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. Reviews charts and entire medical records, assigning ICD codes to each data element. Concurrently reviews and manages the most complex coding cases. Works closely with Clinical Documentation Improvement Specialist and clinicians to capture accurate documentation. Enters findings of concurrent coding reviews into CDI Software application. Effectively uses applicable software applications to assign codes, determines a DRG and accurately enters codes into computer.Percent of Time 30%2. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Contacts and works with physicians as needed for clarification of details of disease process or clarification of documentation to ensure correct coding. Expedites charts as necessary to obtain additional physician documentation. Assists in obtaining required Present on Admissions documentation.Percent of Time 25%3 Records and sequences clinical data in correct order using national definitions of the Uniform Hospital Discharge Data Set (UHDDS). Applies transfer rule for correct discharge disposition of records according to established policy.Percent of Time 15%4. Ensures coding compliance; applies all coding guidelines and principles as defined in the Coding Clinic, and leading authorities. Complies with standardized coding standards and conventions and regulations, corporate compliance standards, and reimbursement policies. Stays current on all Medicare and other Governmental payer rules/updates.Percent of Time 10%5. Maintains department best practice productivity and quality standards. Actively participates in DRG assurance program. Discusses coding questions with CDI team and Supervisor and reports unusual occurrences to Supervisor, Director of Health Information Management, or Compliance officer. Acts as a technical resource; facilitates problem/issue resolution. Makes suggestions and recommendations for improvements. Assists in performance of all quality initiative medical audits.Percent of Time 10% 6. Collaborates with HIM leadership for an effective department and smoothly running process. Covers for absences/vacations. Works professionally with all customers (MD's, departments, nursing, etc). Assists HIM management on chart audit reviews, as assigned.Percent of Time 10%7. Performs other related duties as assigned or requested.
Qualifications
Qualifications:Basic Education CCS, RHIT, or RHIA certification&Associates Degree Basic Experience 3 years inpatient coding experience in an acute care facility. Basic Field of Expertise Anatomy & physiology, medical terminology proficiency. Knowledge of IPPS methodology Preferred Education Bachelors Degree in HIM or related area Preferred Experience 5 years inpatient coding experience in an acute care facility. Concurrent Coding experience. Utilization Management experience. Experience using 3M encoder software. Preferred Field of Expertise Skills Strong analytical and problem solving skills. Answer phones, pc keyboard proficiency, knowledge of office automation applications, input data into computer program and research information. Type 40 words/min. High level of professionalism and interpersonal skills.
Does this describe you:
CCS, RHIT, or RHIA Certification?
3 plus years of Inpatient Coding experience in an Acute Care facility?
Concurrent Coding experience?
Associates degree or higher
Utilization Management experience
Proficient in IPPS Methodology, Medical Terminology, 3M Encoder Software
Will have 3 plus years in Concurrent Coding, Inpatient Coding in an Acute Care environment. Knowledge of IPPS Methodology, 3M Encoder Software.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
$41k-59k yearly est. 1d ago
Medical Coder - (Audit Specialist)
Az Asthma & Allergy Institute
Medical coder job in Peoria, AZ
The MedicalCoder/Audit Specialist position is an exempt salaried position that ensures that AAAI's coding, documentation, and billing practices are accurate, compliant, and aligned with payer regulations. This role reduces risk exposure, strengthens revenue capture, manages payer portals, and supports providers through education and proactive auditing. This position supports timely submission of insurance claims to a wide variety of payers and functions as an intermediary between healthcare providers, clients, patients and health insurance companies.
Must be certified from an accredited organization such as AAPC (CPC) (CCS) is required in coding and / or billing.
Reports To: Medical Practice Administrator
Principal Duties and Responsibilities
1. Revenue Protection & Growth
Accurate Coding = Correct Reimbursement: Ensures all CPT/ICD-10 codes and HCPCS are properly supported, reducing underpayments.
Audit-Driven Optimization: Identifies missed billable opportunities (e.g., modifiers, add-on codes).
Payer Portal Management: Monitors real-time claim status, eligibility verification, and payer communications to reduce revenue leakage.
ROI Impact: Every 1% improvement in coding accuracy equates to significant annual revenue recovery across 7 AAAI clinics.
2. Denial Prevention
Front-End Risk Mitigation: Reduces avoidable denials through pre-claim audits and provider training.
Analyze Data: analyze patient records and documentation to extract relevant information for coding.
Trend Analysis: Tracks payer denial patterns and provides feedback loops to billing and operations.
Portal-Driven Resolution: Uses payer portals to identify denial root causes and expedite corrections/resubmissions.
Result: Higher first-pass claim acceptance → faster cash flow → lower AR days.
3. Compliance & Risk Reduction
Regulatory Alignment: Keeps AAAI compliant with CMS and payer policies, including HIPAA, to maintain patient confidentiality and data security.
Audit Preparedness: Reduces exposure to recoupments during external audits
Documentation Support: Ensures providers' charts withstand legal and payer scrutiny.
Portal Accuracy: Verifies payer policies and coding requirements directly within payer portals to avoid compliance risks.
Stay Updated: keep abreast of changes in coding standards and regulations to ensure compliance and accuracy in coding practices.
4. Provider & Staff Support
Provides coding education to physicians, PAs, and clinical staff.
Develop quick-reference tools to improve documentation accuracy.
Acts as a resource for operational leaders on payer rules, portal updates, and coding changes.
Other duties as assigned.
Required Knowledge, Skill and Abilities
1. Must have experience with third party billing of physician services.
2. Strong organizational skills with ability to manage multiple workstreams.
3. Excellent communication and interpersonal skills.
4. Excellent written and verbal communication skills.
5. Knowledge of regulatory requirements and healthcare laws.
6. Ability to analyze data and make informed decisions.
7. Strong organizational and time management skills.
8. Ability to work well under pressure and in a fast-paced environment.
9. Ability to engage confidently with physicians, staff, and community partners.
10. Proficiency in Microsoft Office Suite and EMR/credentialing systems.
11. Ability to understand and interpret policies and regulations.
12. Ability to read and interpret medical charts.
13. Ability to examine documents for accuracy and completeness.
14. Ability to understand and interpret EOB's/ERA's
15. Strong understanding of medical terminology.
Education
Must have a high school diploma or equivalency.
Must be certified from an accredited organization such as AAPC (CPC) (CCS) is required in coding and / or billing.
An associate or bachelor's degree in health information management is preferred.
Experience
Minimum of four years of directly related experience.
Minimum of two years' billing and/or collections experience in a health care organization. Two or more years preferred.
Other Requirements
Success Metrics
≥ 95% coding accuracy rate.
Year-over-year reduction in avoidable denials.
Measurable increase in reimbursement capture (CPT utilization, correct modifier application, portal-driven optimization).
Full compliance during external audits.
Working Conditions
OSHA Category 3: Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues are not a condition of employment. Position is in a well-lighted office environment. Occasional evening and weekend work. Requires sitting and standing associated with a normal office environment. Manual dexterity using calculator. Standard office equipment will be operated including computers, fax machines, copiers, printers, telephones, calculators, etc.
Az Asthma & Allergy Institute is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company
$41k-59k yearly est. 60d+ ago
Medical Coder
Tohono O'Odham Nation Healthcare 3.7
Medical coder job in Tucson, AZ
PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Under general supervision, this position serves as a certified professional coder; performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; perform chart analysis; peer review; and serves as a medical documentation and coding technical expert to TONHC providers.
Scope of Work:
This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The incumbent works independently under the general supervision of the Supervisor or designee.
Essential Duties and Responsibilities:
(Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
Assigns codes to diagnoses and procedures using ICD (International Classification of Diseases), HCPCS (Healthcare Common Procedure Coding System), and CPT (Current Procedural Terminology) codes.
May be assigned to medical inpatient coding; reviews physician's patient medical documentation and determines the most appropriate corresponding code.
Perform the full range of coding per current ICD coding conventions and the official coding guidelines under Federal, State, and Cooperating Parties.
Ensures codes are accurate and sequenced correctly per government and insurance regulations.
Reviews Electronic Health Record (EHR) data and ensures providers and other clinicians assign the appropriate ICD codes; follows up with the provider on insufficient or unclear documentation.
Assigns the appropriate CPT code for all outpatient medical, surgical, non-physician professional services, and diagnostic services.
Utilizes the CPT Assistant or other coding software to assist in the proper use of codes.
Observes the coding rules established by AMA (American Medical Association).
Assigns the appropriate HCPCS code for items, supplies, and non-physician services used in reimbursement claims processing.
Appropriately assigns modifiers to codes and verifies site, unit number, and location of services based on the documentation of the record.
Assigns and reports codes clearly and consistently supported by physician documentation in the health record.
Assists and educates physicians and other clinicians in proper documentation practices, further specificity, sequencing, or inclusion of diagnoses or procedures to reflect acuity, severity, and other events.
Establishes a working relationship with providers; consults physicians and other clinicians for clarification and additional documentation before code assignment when necessary.
Work with computerized information systems, including an electronic health record, encoding software, the internet, and other software applications.
Maintains and enhances coding skills, stays abreast of changes in codes, coding guidelines, and regulations.
Abstracts and enters all data for coding, billing, GPRA indicators and CMS, The Joint Commission (TJC), and the governmental reporting process.
Abstracts and enters all data into a computer system for statistical purposes, third-party billing, and continuity of patient care.
Provide analysis of documentation and coding issues regarding areas of concern of the health record, including lack of documentation, legibility, system issues, EHR, and other matters.
Assists with the formulation of query forms and formats for providers to be used for clarification and documentation.
Identifies inconsistencies within the medical record and participates in QA functions and peer reviews.
Participates in developing hospital and health centers coding policies and ensuring coding policies complement the official rules and guidelines.
Assist with technical issues within the computer systems, including the EHR.
Assist in maintaining and updating the ADT and PCC software packages.
Provides expertise and support in EHR development and maintenance of charge lists, pick lists, templates, and subject matter experts.
Monitors and reports any discrepancies in the EHR in regards to proper code assignments.
Ensures the quality of data in information systems by conducting audits and continuously analyzing the data.
Attends meetings and serves as a resource person for coding.
Assists with coding and training of coworkers, providers, contractors, student interns, and other employees.
Serves as a resource for PCC data entry staff, assisting with coding, EHR; and, documentation issues.
Contributes to a team effort and performs other job-related duties as assigned.
Knowledge, Skills, and Abilities:
Knowledge of the Tohono O'odham culture, customs, and traditions.
Knowledge of applicable federal, state, tribal laws, regulations, and requirements.
Knowledge of computer software, including word processing, database, and spreadsheet application.
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).
Thorough and detailed 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.
Extensive knowledge of official coding conventions and guidelines established by the AHIMA, AHA, CMS, NCHS, etc.
Extensive knowledge of ICD/CM (International Classification of Diseases/Clinical Modification), and HCPCS (Healthcare Common Procedure Coding System), CPT (Current Procedural Terminology) appropriate Level coding.
Thorough knowledge and understanding of Diagnostic Related Group (DRG) and Ambulatory Patient Classification (APC) systems and associated encoding software applications.
Ability to abide by and promote compliance with the AHIMA Standards of Ethical Coding and with the Compliance Plan and Coding Compliance Plan of the TONHC Hospital and Clinics; and the Internal Control Policy of IHS.
Knowledge of the healthcare industry pertains to the functions of the position, capacity, and willingness to obtain continuing education required to maintain certification and stay apprised of changes in coding and the health care industry.
Thorough knowledge of pharmacology, including the ability to reference the Physician's Desk Reference (PDR).
Thorough knowledge of the RPMS software program, specifically the PCC, ADT, Scheduling, and EHR applications.
Knowledge and ability to use computers, scanners, and reference materials for day-to-day tasks within the hospital.
Thorough and detailed knowledge of and ability to conduct chart reviews and coding audits to ensure accuracy and appropriate coding and compliance with rules and regulations.
Ability to use standardized computer software such as spreadsheets, word processors, electronic email systems, and database software programs.
Skill and commitment to accuracy and detail.
Skill in providing superior customer service to external and internal customers.
Skill in operating various word-processing, spreadsheets, and database software programs.
Skill in organizational and office technology.
Ability to communicate effectively with others, orally and written.
Ability to prepare reports in a well-written, concise format using applicable software applications.
Ability to generate reports and analyze data from these systems.
Ability to establish performance improvement functions, track and report outcomes and conclusions or follow up orally and in writing.
Ability to organize and plan work.
Ability to deal with individuals from a variety of diverse backgrounds.
Ability to work independently, use sound judgment, and meet deadlines.
Ability to provide accurate reports.
Minimum Qualifications:
High school diploma or general education diploma;
Medical Coding of Professional MedicalCoder Certification, or closely related field, and
Three years of work experience in medical coding.
Licenses, Certifications, Special Requirements:
Must type 40 WPM.
Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.
$41k-51k yearly est. 19d ago
ORTHOPEDIC SURGICAL CODER (AZ)
Flagstaffboneandjoint
Medical coder job in Flagstaff, AZ
Preferred: Local candidates with Arizona residency, having a good working knowledge of Arizona insurances
General summary of duties: Responsible for assisting the Billing Manager with the full revenue cycle of the organization including coding, billing, charges, denials, adjustments, and reimbursements.
Supervision received: Reports to Billing Manager
Education: CPC certification required. BS or equivalent preferred
Pay: DOE (Depending on Experience)
Responsibilities include:
Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.
Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.
Interact with and provide support to the practice to answer questions and resolve claim denials.
Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other insurance plans as well as, their impact on reimbursement. Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.
Identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Meet or exceed productivity and quality standards as assigned by management.
Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.
Requirements
• Must have CPC certification and surgical billing experience as well as claims adjudication experience.
• Must have knowledge of surgical coding and the ability to review and natively code complex operative procedure reports.
• Must have experience with working with Commercial, Medicare, Medicaid, and secondary insurance plans.
• Must be able to adequately communicate and coach providers on proper billing practices.
• Must be familiar with current coding trends including ICD 10.
• Experience with MS Office and Athena EMR helpful.
• Skills in establishing and maintaining effective working relationships with patients, medical staff, and the public.
• Work at an efficient and fast pace.
• Must be self-motivated.
• Must be highly organized and have excellent attention to detail.
• Skills in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Physical/Mental Demands:
• Sitting/standing for 8-9 hours a day.
• Must be able to view computer screen for long periods.
• Requires hand-eye coordination and finger dexterity.
• Occasional stress related to workload and assisting patient/staff/physicians with problems.
About us
Since 1978, Flagstaff Bone and Joint has thrived as a successful private, physician-owned orthopedic and spine practice in the heart of Flagstaff. Our goal is to always respect patients' time and money while fostering a culture of excellence. FBJ's standards for quality are held very high. We are customer-centric, collaborative, and fast-paced, and our teams enjoy a positive employee culture where they can build growth and skills to further their careers in healthcare. Our employees are our greatest asset and we hope you consider joining our fun and dedicated team
Our work culture includes:
• Fun, engaging, ambitious team environment
• Modern and beautiful office setting
• Growth and professional development opportunities
• Regular social events
• On-the-job training
• High employee satisfaction
• Caring, compassionate and transparent leadership
• Over 100 employees on the FBJ team!
FBJ offers the following benefit programs (for full-time employees):
• Medical Insurance - Blue Cross Blue Shield of AZ (must work 30 hrs / week or more)
• Health Savings Account (H.S.A.)
• Voluntary Dental Insurance
• Voluntary Vision Insurance
• Telehealth medical care through BCBS
• Voluntary Life Insurance
• Group life insurance in the amount of $50,000
• Voluntary Short-Term Disability
• 401k & 401k ROTH Retirement plan with Pension Plan * After 1 year
• Eight paid days off for holidays (after 90-day Introductory Period)
• Paid Time Off: 80 hours of PTO in your first year, with 120 hours provided to you on your anniversary date
Notes about our benefit programs:
• Medical benefits begin the first of the month following 60 days
• Paid Time Off (PTO) begins after 90-day Introductory Period
• Annually, FBJ contributes the equivalent of $413 monthly to each employee's medical insurance premium to offset the cost
• FBJ contributes the entire premium for $50k of group term life insurance
• $350 credit to be used at FBJ, if you or your family needs care with us
• Positions working less then 40 hrs / week will have pro-rated PTO amounts
• Finalization of hiring is contingent on a clear background check.
Group Information- Flagstaff Bone and Joint, PLLC:
• We are a well-established, private practice providing quality musculoskeletal care to Northern Arizona since 1978.
• Our center strives to provide state-of-the-art care along with comprehensive medical education and superior customer service.
• We have a competent team of staff with a supportive atmosphere and brand-new clinic and ambulatory surgical center facilities.
• We have Arizona clinic locations: Cottonwood, Flagstaff and Kingman.
• Our center provides integrated ancillary services for patient convenience including digital x-ray, ultrasound, custom bracing, durable medical equipment, EMG/nerve conduction studies, and occupational and physical therapy. FBJ Core Ideology: Always respect patients' time and money while fostering a culture of excellence.
$41k-59k yearly est. 60d+ ago
ORTHOPEDIC SURGICAL CODER (AZ)
Flagstaff Center Bone and Joint
Medical coder job in Flagstaff, AZ
Description:
Preferred: Local candidates with Arizona residency, having a good working knowledge of Arizona insurances
General summary of duties: Responsible for assisting the Billing Manager with the full revenue cycle of the organization including coding, billing, charges, denials, adjustments, and reimbursements.
Supervision received: Reports to Billing Manager
Education: CPC certification required. BS or equivalent preferred
Pay: DOE (Depending on Experience)
Responsibilities include:
Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.
Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.
Interact with and provide support to the practice to answer questions and resolve claim denials.
Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other insurance plans as well as, their impact on reimbursement. Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.
Identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Meet or exceed productivity and quality standards as assigned by management.
Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.
Requirements:
• Must have CPC certification and surgical billing experience as well as claims adjudication experience.
• Must have knowledge of surgical coding and the ability to review and natively code complex operative procedure reports.
• Must have experience with working with Commercial, Medicare, Medicaid, and secondary insurance plans.
• Must be able to adequately communicate and coach providers on proper billing practices.
• Must be familiar with current coding trends including ICD 10.
• Experience with MS Office and Athena EMR helpful.
• Skills in establishing and maintaining effective working relationships with patients, medical staff, and the public.
• Work at an efficient and fast pace.
• Must be self-motivated.
• Must be highly organized and have excellent attention to detail.
• Skills in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Physical/Mental Demands:
• Sitting/standing for 8-9 hours a day.
• Must be able to view computer screen for long periods.
• Requires hand-eye coordination and finger dexterity.
• Occasional stress related to workload and assisting patient/staff/physicians with problems.
About us
Since 1978, Flagstaff Bone and Joint has thrived as a successful private, physician-owned orthopedic and spine practice in the heart of Flagstaff. Our goal is to always respect patients' time and money while fostering a culture of excellence. FBJ's standards for quality are held very high. We are customer-centric, collaborative, and fast-paced, and our teams enjoy a positive employee culture where they can build growth and skills to further their careers in healthcare. Our employees are our greatest asset and we hope you consider joining our fun and dedicated team
Our work culture includes:
• Fun, engaging, ambitious team environment
• Modern and beautiful office setting
• Growth and professional development opportunities
• Regular social events
• On-the-job training
• High employee satisfaction
• Caring, compassionate and transparent leadership
• Over 100 employees on the FBJ team!
FBJ offers the following benefit programs (for full-time employees):
• Medical Insurance - Blue Cross Blue Shield of AZ (must work 30 hrs / week or more)
• Health Savings Account (H.S.A.)
• Voluntary Dental Insurance
• Voluntary Vision Insurance
• Telehealth medical care through BCBS
• Voluntary Life Insurance
• Group life insurance in the amount of $50,000
• Voluntary Short-Term Disability
• 401k & 401k ROTH Retirement plan with Pension Plan * After 1 year
• Eight paid days off for holidays (after 90-day Introductory Period)
• Paid Time Off: 80 hours of PTO in your first year, with 120 hours provided to you on your anniversary date
Notes about our benefit programs:
• Medical benefits begin the first of the month following 60 days
• Paid Time Off (PTO) begins after 90-day Introductory Period
• Annually, FBJ contributes the equivalent of $413 monthly to each employee's medical insurance premium to offset the cost
• FBJ contributes the entire premium for $50k of group term life insurance
• $350 credit to be used at FBJ, if you or your family needs care with us
• Positions working less then 40 hrs / week will have pro-rated PTO amounts
• Finalization of hiring is contingent on a clear background check.
Group Information- Flagstaff Bone and Joint, PLLC:
• We are a well-established, private practice providing quality musculoskeletal care to Northern Arizona since 1978.
• Our center strives to provide state-of-the-art care along with comprehensive medical education and superior customer service.
• We have a competent team of staff with a supportive atmosphere and brand-new clinic and ambulatory surgical center facilities.
• We have Arizona clinic locations: Cottonwood, Flagstaff and Kingman.
• Our center provides integrated ancillary services for patient convenience including digital x-ray, ultrasound, custom bracing, durable medical equipment, EMG/nerve conduction studies, and occupational and physical therapy. FBJ Core Ideology: Always respect patients' time and money while fostering a culture of excellence.
$41k-59k yearly est. 2d ago
Certified Medical Coder (Onsite) -- Tucson, AZ
Desert Willow Medical Billing & Practice Management LLC
Medical coder job in Tucson, AZ
Job Description
Responsibilities
• Review provider medical coding of services rendered for medical claim submission
• Review and respond to medical coding inquiries submitted by providers and staff
• Work directly with providers to resolve specific medical coding issues
• Analyze data for errors and report data problems
• Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input
• Work with clinical and non-clinical groups to identify undesirable coding trends
• Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee
• Abide by HIPAA and Coding Compliance standards
• Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment
• Accomplish other tasks as assigned
Qualifications
• 2+ years coding
• 2+ years medical billing experience (preferred but not required)
• Experience with insurance and revenue cycle management processes
• Ability to read and understand insurance EOB's
• Proficient in reviewing edits between CPT, ICD10, and HCPCS codes
• Experience in reviewing insurance review denials and payer policies
• Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA
• Leadership qualities with the ability to effectively educate providers remotely
• Acute attention to detail with a strong, self-sufficient work ethic
• Excellent organization and use of time management skills
• Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise
• Proficient with computers and navigating within multiple applications
• Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)
• Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers
• Goal-oriented and a consistent performer
• Must be self-motivated, punctual, dependable, and able to work independently
• Must be trustworthy, honest and have a positive and professional attitude
Experience with wound care (preferred but not required)
Experience with insurance and revenue cycle management processes
Benefits & Schedule
• Compensation: $21.00 - $23.00 hourly
• Classification: Hourly, Non - Exempt
• Schedule: Part-time, 20-25 hours per week (onsite)
Location & Work Setting
• Onsite in Tucson, Arizona
• This role requires physical presence and active collaboration with providers, billing, and clinical staff.
• Not remote. Local applicants only.
$21-23 hourly 13d ago
Outpatient Medical Coder (CPC)
TTF Search and Staffing
Medical coder job in Wickenburg, AZ
Job DescriptionTTF is recruiting for an ONSITE Outpatient Coder for a well-respected healthcare organization in the North-West Phoenix or Wickenburg area. This is a full-time, Direct Hire, Monday-Friday position offering a competitive salary range with the possibility of working remotely after training. Qualified candidates will have 3+ years' experience Coding in an outpatient setting. Candidates must also have a CPC, CCS, or RHIT certification from AAPC or AHIMA.
Please send your resume to Chelle at CBodnar@ttfrecruit.com for consideration.
TTF 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. We never charge a fee to candidates and all conversations are kept confidential. We would like to be your career consultant and look forward to working with you.
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. We place Remote Coders, Coding Managers, Coding Directors, and ICD10 Certified Trainers on a contract and direct-hire basis. Our goal is to offer above market compensation to talented coders and coding professionals with RHIT, RHIA, CCS, CPC and other coding certifications. TTF is an equal opportunity employer.
#IND2
$42k-59k yearly est. 13d ago
Medical Records Specialist
Arizona Department of Administration 4.3
Medical coder job in Tucson, AZ
DEPARTMENT OF VETERANS' SERVICES
For Veterans and those who care for them.
MEDICAL RECORDS SPECIALIST
Arizona State Veterans' Home - Tucson
555 East Ajo Way
Tucson, Arizona 85713
Posting Details:
Salary: $16.20- $17.05 hourly (DOE)
Grade: 14
Closing Date: January 23, 2026
Job Summary:
Would you like to be part of an amazing team that helps veterans thrive? At the Arizona Department of Veterans' Services (ADVS), we are committed to serving and honoring veterans, service members, and their families by ensuring that they receive the highest quality services so that they can thrive for a lifetime!
We are looking for an outstanding Medical Records Specialist.
Your rewards:
• Incomparable Benefits: Our program provides the opportunity to receive a pension and healthcare benefits for a lifetime!
• Meaningful Work: Your dedication will directly enhance the lives of veterans and their family members, providing them with the care and respect that they deserve.
• Professional Growth: You will have the opportunity to engage in continuous learning and improvement through the Arizona Management System (AMS).
Your contribution:
• Outstanding Service: Provide the best assistance to veterans to improve their quality of life
• Continuous Improvement: Participate in facility meetings, training sessions, and the implementation of the Arizona Management System (AMS) to achieve continuous improvement and efficiency
• Team Collaboration: Work with other professionals to improve your knowledge, skills, and abilities
Job Duties:
Ensure that resident's face sheet are complete and accurately reflecting Patient Health Information
Research hospital or transfer paperwork as necessary & add missing information to the face sheet electronic record, including but not limited to diagnosis (ICD10) codes, allergies, code status, Living Will & Power or Attorney, contact information such as physician, hospice, pharmacy, radiology and laboratory provider
Ensure that Pre-Admission Screening and Resident Review (PASRR) is included with transfer paperwork (May transcribe orders from hospital/transferring facility into electronic record for verification by nursing staff)
Audit electronic records to ensure all observations are completed, consents are signed, medication reconciliation is complete, initial care plans are complete, and orders are complete with diagnosis
Audit records for each admission and return at 7,14, 21 days to assure each interdisciplinary department has completed all observations with accuracy and then proceeding with closing them
Audit records at 21 days to ensure completion of full MDS and completion of all necessary care plans, audit records on an ongoing basis to ensure progress notes from clinic consult visits are received in a timely manner and to ensure accurate order entry including category and compliance with regulations, policies and procedures
Check for event and observation accuracy and completion
Provide appointment reminders to residents 3-7 business days prior to an appointment
Ensure all signed documentation upon discharge are scanned and uploaded into the electronic medical record and completing all discharge tasks
Respond to request for medical records, maintaining compliance with state and federal HIPAA laws
If a subpoena for records is received, contact Office of Attorney General for their review and direction prior to release of information
Conduct quarterly/Annual audits of observations, events, orders, preventative health and care plans
Conduct a variety of ongoing audits including but not limited to lab and radiology orders/reports, physician and nursing orders checking for accuracy of category, flow sheet and correct diagnosis, monitors and consents, and resident height and weight
Provide updates by Physicians in EMR then updating face sheet as necessary
Initiate Lab and X-ray requisitions based on orders as well as insurance requirements
Initiate request and track professional consultation orders by gathering required documents. faxes, emails, and communicating with clinicians to obtain specialty appointments
Learn, implement, and monitor AMS methods and actively participate in AMS by attending huddle board meetings and utilizing AMS concepts and tools for problem solving, work/process improvements, and creating standard work flows
Preform bi-annual in-service training on HIPAA for staff meetings
Knowledge, Skills & Abilities (KSAs):
Knowledge of:
Medical Terminology
Regulatory standards
Medical office practices
Medical records maintenance, security paper, and electronic ICD10 coding and indexing
HIPAA rules and regulations
Security rules and regulations
Record retention and disposal
Skills in:
Verbal and written communication skills
Auditing a medical record
Analytical data
Problem solving
Data Entry
Ability to:
Transcribe doctors' orders
Prioritize multiple tasks
Maintain confidentiality
Learn and implement the concepts and tools of the Arizona Management System (SMS)
Selective Preference(s):
Medical records experience in a skilled nursing or long-term care facility
Pre-Employment Requirements:
Ability to obtain and retain a fingerprint clearance card issued by the Arizona Department of Public Safety
Current Negative TB skin test (Mantoux skin test) within the last twelve months or a written statement from a physician, physician's assistant or a registered nurse practitioner indicating freedom from Tuberculosis, if the past has had a positive skin test or Tuberculosis
If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Benefits:
The Arizona Department of Veterans' Services offers a comprehensive benefits package to include:
Sick leave
Vacation with 10 paid holidays per year
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
Health and dental insurance
Retirement plan
Life insurance and long-term disability insurance
Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance
Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
Position in this classification participate in the Arizona State Retirement System (ASRS). Please note, enrollment eligibility will become effective after 27 weeks of employment.
Contact Us:
If you have any questions please feel free to contact Paul Sharp at ******************** or ************** for assistance.
The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.
$16.2-17.1 hourly 60d+ ago
Coder-Health Information-8125
Kingman Healthcare 4.3
Medical coder job in Kingman, AZ
Description
Professional Services Certified Coding Reviewer Position Code: Coder-8125
Department: Health Information Management Safety Sensitive: YES
Reports to: HIM Director/Manager Exempt Status: NO
Position Purpose:
All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country.
Key Responsibilities
Ensures data quality in compliance with State, Federal and regulatory requirements.
Evaluates medical record documentation and charge reports to ensure completeness, accuracy and
compliance with the Correct Coding Initiative Edits.
Codes all professional charges to ensure accurate and timely billing
Perform coding reviews and/or surgical coding for practices and providers.
Evaluates and report audit findings or reviews and reports on results to physicians and/or operations
directors.
Provides technical guidance, training, and on-going coding education when instructed, to physicians
and their office staff and other ancillary departments on both general and specific coding issues to
include documentation and guidance in quality coding for proper collection of health data.
Evaluate insurance requests and claim denials to assist the Business Office with the revenue cycle.
Manage work activities, work assignments and schedules to ensure accurate and timely submission of
information.
Provides reports as requested on data collected, abstracted and coded.
Review bulletins, newsletters and periodicals and attends workshops to stay abreast of current issues,
trends and changes in the laws and regulations governing medical record coding and documentation.
Demonstrates dependability, teamwork, and maintains patient confidentiality.
Develops and maintains excellent relationships with providers, provider's staff, operational directors,
and business office staff.
Works well with individual practices, the Business Office, and Operation Directors.
Strives to be a productive member of this institution, attends departmental meetings as required,
maintains certification, and obtains continued education units (CEU).
Completes all other duties, projects, and assignments as directed/requested.
Qualifications
Advanced knowledge of ICD-10-CM, CPT, HCPCS, Medical Terminology and medically approved
abbreviations required.
Thorough understanding of CMS coding and billing guidelines required.
Excellent written and verbal communication skills and critical thinking skills.
Ability to work independently and make independent decisions based on specialized knowledge.
Computer literacy and familiarity with the operation of basic office equipment, required.
Education: High school diploma or equivalent
Certification/Licensure: Maintains current Certified Coding Specialist (CCS) issued by the American
Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) issued by the
American Academy of Professional Coders (AAPC), or currently enrolled in AHIMA or AAPC and actively
working towards obtaining Coding Specialist (CCS) issued by the American Health Information Management
Association (AHIMA) or Certified Professional Coder (CPC) issued by the American Academy of
Professional Coders (AAPC). Certification required within 12 months of hire or placement in this position.
Preferences
Experience: Experience in a medical billing/coding office.
Special Position Requirements
[Optional section: any travel, security, risk, hazard or related special conditions which apply to the position]
· Travel to off-site locations as required.
Exposure Categories: Category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids or tissues
Work Requirements
[Optional section: work requirements for physical or other important issues which relate to the job]
· Ability to stand and walk in the performance of job responsibilities.
· Ability to work at a computer for extended periods.
· Some bending and lifting may be required.
Date Staff Position Description Created / Revised: 03/21/2019
$48k-64k yearly est. Auto-Apply 60d+ ago
Certified Coding Specialist- AZ- Clinic Finance
Midwestern University 4.9
Medical coder job in Glendale, AZ
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. This position will report to the Assistant Manager of Patient Accounts.
Essential Duties and Responsibilities:
Reviews coding used for Multispecialty Clinics and Eye Institute to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines and definitions
Review electronic health records (EHR) to determine what information is appropriate for coding purposes
Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E & M coding guidelines
Train and educate finance staff on billing and coding
Participate in clinic coding assessments/audits, both internal and with external vendors
Participate in the development of coding policies and procedures as needed
Identify key issues and take appropriate action to ensure revenue maximization on individual accounts
Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc.) are on file and properly filled out for patients when required
Research coding/billing guidelines for new specialties
Work in conjunction with the Assistant Manager and Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
Assist in implementing changes directed by regulatory agencies
Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, and participating in professional organizations
Other duties may be assigned
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Must be able to work in a constant state of alertness and safe manner and have regular, predictable, in-person attendance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Other Qualifications
The position requires strict compliance with all policies and procedures. This position requires a significant amount of interaction with the public and many internal customers and therefore, the individual must be able to develop positive rapport effectively.
Education and/or Experience
High school diploma or GED required. Associate degree preferred. A minimum of 3-5 years of coding experience in a medical office setting and a current Certified Professional Coder (CPC) certification required. Expert knowledge of ICD-10, CPT, HCPCS, modifiers, and medical terminology required. Experience working with Medicare, Medicaid, Third party payers is also required. Expert in interpreting LCD and NCD coverage criteria. Knowledge of the revenue cycle, charge master, manual book coding/computer coding experience. Excellent interpersonal, communication and customer service skills are required. Strong analytical and problem solving skills. Excellent verbal and written communication skills are a must. Must be able to work independently and multi-task working on several projects at once.
Computer Skills
Computer proficiency in MS Office (Word, Excel, Outlook) is required. Experience using medical practice management software is required.
Language Skills
Intermediate skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Basic skills: Ability apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Mathematical Ability
Basic skills: Ability to add, subtract, multiply, and divide all units of measure using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to interpret bar graphs.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to sit, talk and hear. The employee must regularly use hands to handle or feel and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must frequently lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Midwestern University is a private, not-for-profit organization that provides graduate and post-graduate education in the health sciences. The University has two campuses, one in Downers Grove, Illinois and the other in Glendale, Arizona. More 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. Over 500 full-time faculty members and 400 staff members are dedicated to the education and development of our students in an environment that encourages learning, respect for all members of the health care team, service, interdisciplinary scholarly activity, and personal growth.
We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short/long term disability and pet insurance. We offer flexible spending accounts including healthcare reimbursement and child/dependent care account. We offer a work life balance with competitive time off package including paid holiday's, sick/flex days, personal days and vacation days. We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection and an employee assistance program. Wellness is important to us and we offer a wellness facility on-site with a fully equipped fitness facility.
Midwestern University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race; color; religion; creed; national origin or ancestry; ethnicity; sex (including pregnancy); gender (including gender expressions, gender identity; and sexual orientation); marital status; age; disability; citizenship; past, current, or prospective service in the uniformed services; genetic information; or any other protected class, in accord with all federal, state and local laws, and regulation. Midwestern University complies with the Smoke-Free Arizona Act (A.R.S. 36-601.01) and the Smoke Free Illinois Act (410 ILCS 82/). Midwestern University complies with the Illinois Equal Pay Act of 2003 and Arizona Equal Pay Acts.
$45k-52k yearly est. 60d+ ago
Medical Records Clerk
Sunset Health 3.9
Medical coder job in Yuma, AZ
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: * Provides historical data: Obtain health records for next day appointments and same-day requests. * Filters labs, prescription requests, and other patient information through multiple interfaces. * Handle high volume of incoming clinical tasks, phone calls, and in-person medical record requests.
* Scanning and sorting high volumes of incoming documents, faxes, and mail. Critical attention to detail needed to ensure accuracy.
* Reviewing clinical history and obtaining / releasing notes following medical record policies and procedures; Follow up on all incoming and outgoing record requests signed out for over 10 days.
* Monitor provider inbox and PAQ's; reporting discrepancies and distributing tasks as needed.
* Follow up on all pending patient diagnostics according to referral policies and procedures. Ensure referral status is completed.
* Use multiple software systems to obtain and complete patient medical records per Sunset Health guidelines. Updates patient records; identifying inactive charts to be entered into archive database.
* Adhere to HIPAA confidential practices for patient information being aware of the organization's protocols and adhering to their requirements. Works with internal and external departments and agencies to conduct audits and reports as needed.
* Actively participating in staff meetings and working toward accomplishing department goals and objectives; Accomplishing related results as needed.
* Demonstrates an understanding of organizational structure by utilization of appropriate channels of communication regarding all facets of departmental activities.
* Proper business use of computers, fax/copy machines, keeping work areas clean and organized.
* Use of good time-management skills; contributing to increased productivity.
* Adhering to all Sunset Health policies and procedures.
Performs other duties as assigned
$32k-37k yearly est. 3d ago
Certified Caregiver-Compassionate Care Specialist
Via Elegante Assisted Living and Memory Care
Medical coder job in Sierra Vista, AZ
Job Description
*Up to $1000 Signing Bonus for Certified Caregivers*
*Up to $500 Signing Bonus for CNA's*
*Caregiver Certificate Scholarship Opportunities - If not already Certified*
Join Our Compassionate Team at Via Elegante Assisted Living and Memory Care
Are you passionate about providing exceptional care and making a meaningful impact in the lives of seniors? At Via Elegante Assisted Living and Memory Care, we believe in treating our residents like respected family members, delivering high-quality service with compassion and integrity.
Who We Are
Family-owned and operated since 2003, Via Elegante is the premier provider of Assisted Living and Memory Care in Southern Arizona. Our mission is to bring peace of mind to everyone in our community, guided by our core values:
1. Proactive and Responsive - We anticipate needs and respond with urgency.
2. Embrace Growth and Change - We are committed to continuous learning and improvement.
3. Go Above and Beyond - We take pride in exceeding expectations.
4. Compassionate and Empathetic - We care deeply for our residents and each other.
5. Ethical and Honest - We operate with honesty and integrity in all that we do.
We are proud to offer a supportive and rewarding work environment where your voice is valued, and your growth is encouraged. Many of our current leaders started as caregivers and grew with us over the years.
Why Join Via Elegante?
Supportive Team Environment - We believe in open communication and maintaining a workplace where everyone feels respected and heard.
Career Growth Opportunities - We promote from within, helping you build a fulfilling career.
Comprehensive Benefits Package:
401(k) with matching
Health, Dental, and Vision Insurance
Flexible Spending Account and Health Savings Account
Life Insurance
Paid Sick Time and Paid Time Off
Paid Training and Tuition Reimbursement
Referral Program
Flexible Scheduling - Choose from day, night, and PRN shifts to fit your lifestyle.
Competitive Pay - Starting pay ranges from $18.00-$20.00 per hour, with opportunities to grow to $20.00-$23.00 per hour as you gain experience and take on more responsibility. Some shifts include guaranteed overtime, offering even greater earning potential up to $64,000/year.
About the Role
As a Certified Caregiver at Via Elegante, you will play a vital role in enhancing the quality of life for our residents. Working at our Tucson Mountains community you will provide compassionate care and foster a supportive environment for residents.
Key Responsibilities:
Personal Care and Wellness:
Provide dignified assistance with personal care, promoting independence and honoring choices.
Recognize and support the spiritual, social, recreational, emotional, and physical needs of residents.
Health Monitoring and Support:
Conduct routine health assessments, including vital signs and blood glucose checks.
Assist with mobility and safety during transfers, using assistive devices as needed.
Assistance with Activities of Daily Living:
Aid with personal hygiene tasks, including bathing, dressing, and grooming.
Provide end-of-life comfort care, ensuring peace and dignity for residents.
Nutritional Care and Medication Management:
Assist with eating and accommodate special dietary needs.
Monitor nutritional intake and hydration levels.
Requirements:
Valid Arizona Caregiver Certification or CNA/LNA (16-hour bridge to CG required)
Valid Fingerprint Clearance Card
Valid Arizona Memory Care Certification (can be provided by Via Elegante)
Valid in-person CPR and First Aid Certification
Proof of Negative TB Test (can be provided by Via Elegante)
Strong problem-solving skills and a compassionate approach to caregiving
Available Shifts:
Day Shift: 7:00 am - 7:30 pm
Night Shift: 7:00 pm - 7:30 am
Float/PRN Shifts: Flexible hours and times
Job Types: Full-time, Part-time, Float, PRN
Join Our Team Today!
If you are dedicated to making a difference and want to work in a positive, team-oriented environment, apply now to join the Via Elegante family. We look forward to welcoming you to a community where compassion and respect are at the heart of everything we do.
Clear background check and drug screening
$18-20 hourly 27d ago
Billing and Coding Specialist
Axiom Care
Medical coder job in Phoenix, AZ
The Billing and Collections Specialist will process insurance claims for medical services rendered and follow claims until paid. The Billing and Collections Specialist will also monitor that all active clients' utilization management is current and work with the clinical team to ensure clients' treatment is covered by insurance.
Responsibilities
· Review documentation for accuracy for coding and billing purposes
· Submit claims and all communications pertaining to the claims being submitted.
· Keep and update active reports for billing and billable items.
· Utilization review (submitting and monitoring prior authorizations)
· Reviewing denials for reprocessing
· Posting insurance payments against claims in billing software
· Verifying eligibility of clients prior to billing
· Following-up on insurance eligibility for pending enrollments
· Attends meetings as needed for clearinghouse, billing, provider relations, etc.
· As part of Axiom Care's commitment to Culturally and Linguistically Appropriate Services (CLAS), this position supports efforts to provide inclusive and accessible translation services for clients. Responsibilities may include participating in CLAS-related training, supporting language access initiatives, and promoting cultural sensitivity in day-to-day operations.
· Perform other duties as assigned by management.
Who is Axiom Care?
Axiom Care is a Phoenix-based provider of substance use treatment and recovery housing. Dedicated to transforming lives, Axiom Care serves financially vulnerable and justice-involved individuals, creating a pathway to a brighter future.
Axiom Care offers comprehensive services encompassing multiple levels of care, including drug and alcohol detoxification, residential treatment, intensive outpatient treatment, medication assisted treatment, supportive housing, integrated care, and re-entry support. Axiom Care is accredited by the Joint Commission and licensed with all seven AHCCCS insurers.
What we offer?
Medical, Dental, and Vision
Employee Assistance Program
Group Term Life/Voluntary Term Life/AD&D/Short Term Disability/Voluntary Accident Coverage
401(k) Savings Plan
Tuition Reimbursement
PTO and Sick Time
Navajo Nation Preference:
• Preference is given to qualified Navajo Nation and/or Native American Applicants in accordance with the Title 15 N.N.C. Chapter 7.
Requirements
· Excellent verbal and written communication skills.
· Excellent interpersonal and customer service skills.
· Excellent sales and customer service skills.
· Excellent organizational skills and attention to detail.
· Excellent time management skills with a proven ability to meet deadlines.
· Strong analytical and problem-solving skills.
· Ability to prioritize tasks and to delegate them when appropriate.
· Ability to function well in a high-paced and at times stressful environment.
· Proficient with Microsoft Office Suite or related software.
Education and Experience
· High school diploma or equivalent.
· At least two years related experience required.
Physical Requirements
· Prolonged periods of sitting at a desk and working on a computer.
· Must be able to lift up to 15 pounds at times.
Disclaimer
The above is intended to describe the general content of and requirements for the performance of this job.
It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements.
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
$32k-43k yearly est. 44d ago
Medical Records Specialist w/HRD-FT
Enhabit Inc.
Medical coder job in Tempe, AZ
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
* 30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
* Continuing education opportunities
* Scholarship program for employees
* Matching 401(k) plan for all employees
* Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
* Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
* Flexible spending account plans for full-time employees
* Minimum essential coverage health insurance plan for all employees
* Electronic medical records and mobile devices for all clinicians
* Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
* Must possess a high school diploma or equivalent.
* Must have demonstrated experience in the use of a computer, including typing and clerical skills.
* Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
* Six months experience in medical records in a health care office is highly preferred.
Requirements
* Must possess a valid state driver license
* Must maintain automobile liability insurance as required by law
* Must maintain dependable transportation in good working condition
* Must be able to safely drive an automobile in all types of weather conditions
* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
$28k-36k yearly est. Auto-Apply 40d ago
Medical Records Clerk - Avondale
IMS Care Center 3.7
Medical coder job in Avondale, AZ
Responsibilities: • Maintains patient charts by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures. • Processes patient and 3rd party requests for records by following established procedures
• Sends charts to assigned areas of the practice by following established routing procedures.
• Ensures medical records are assembled in standard order and are accurate and complete.
• Keeps health care providers informed by communicating availability or unavailability of the record.
• Maintains patient confidence by keeping patient records information confidential.
Requirements:
• At least 1 year of medical office or electronic filing
• Excellent attention to detail
• Excellent communication skills-both written and verbal
• Good computer skills and being familiar with Microsoft (Word and Excel)
Education
• High school diploma required
• Associates degree in Health Information Technology preferred.
Joining Integrated Medical Services is more than saying “yes” to making the world a healthier place. It's discovering a career that's challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. Our hope is that each day you'll uncover a new reason to love what you do. If this sounds like the workplace for you, apply now!
You can look forward to a generous compensation package including medical, dental, vision, short-term and long-term disability, life insurance, paid time off and a very lucrative 401K plan.
*IMS Care Center LLC IMSCC is a tobacco-free work environment
IMS Care Center LLC IMSCC is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
It is the policy of IMS Care Center LLC IMSCC to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.
At Legacy House of Avondale, we offer more than just a job; we offer a supportive and caring community where you can grow your career! Join us as a full-time OR part-time Certified Caregiving Specialist - Experienced Caregiver to start enjoying a competitive wage of $16.00 - 20.00 an hour and great benefits that include:
Medical
Dental
Vision
Vacation
PTO
A 401(k)
If you're ready to use your caregiving certification to enhance the lives of seniors in Avondale, AZ, apply today to become our Certified Caregiving Specialist - Experienced Caregiver!
DISCOVER WHO WE ARE
Following a "personal touch" philosophy, our Legacy House of Avondale team takes the time to get to know our guests and residents. We always look for ways to provide care beyond what is expected. Recently opened in the spring of 2018, our senior living community provides both assisted living and memory care services. We believe in an individual's worth and respect their uniqueness.
Our associates strive to make a heart-to-heart connection with those we serve. We are guided by three core values: thrift, continuous improvement, and personalization. We value our trusted associates, knowing that we could not offer our personal touch without them. A variety of benefits are extended to our associates to remind them of their importance to us!
THE DIFFERENCE THAT YOU'LL MAKE
As our full- or part-time Certified Caregiving Specialist - Experienced Caregiver, you will play a vital role in the lives of our residents. You'll begin your day by providing essential support and companionship, assisting with daily activities such as meals, grooming, and light housekeeping. Your attention to detail ensures a safe environment, providing peace of mind to residents and their families. Engaging residents in stimulating activities enhances their well-being, making each interaction an opportunity to make a difference.
Every day, you'll contribute to our warm and friendly environment, fostering a place where seniors can thrive. Your dedication to providing exceptional care ensures that our residents receive the support they need, promoting their independence and quality of life!
SCHEDULE OPTIONS
You'll have the flexibility to choose from a variety of full- or part-time shifts:
Day shift: 6:00 AM to 2:30 PM, including one weekend day a week
Evening shift: 2:00 PM - 10:30 PM, including one weekend day a week
Overnight shift: 6:00 PM - 6:00 AM, including one weekend day a week
WHAT WE NEED FROM YOU
We're looking for a full- or part-time Certified Caregiving Specialist - Experienced Caregiver who can meet the following:
Caregiver certification
CPR/first aid certification
Current food handler's card
Physical ability to assist residents with mobility, including lifting and standing for extended periods of time
Compassionate and empathetic attitude toward seniors and their unique needs
Excellent communication skills and the ability to work effectively as part of a team
Meet the qualifications listed above? Ready to use your caregiving certification to make a positive impact in our community? If so, apply today with our initial 3-minute, mobile-friendly application - you won't regret it!