Pro Fee Coder - Hospitalist
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
Auto-ApplySenior Coder
Medical coder job in Phoenix, AZ
**Job Summary and Responsibilities** The remote Senior Coder acts as a lead coder for their designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to Coding Leadership to help improve the efficiency of the team.
1.1 Employee will comply with all laws, rules, and regulations relating to the position.
1.2 The employee has a duty to report any suspected violations of the law to his/her immediate supervisor, compliance officer, or CEO.
1.3 Employee will follow the coding guidelines set by AHIMA (American Health Information Management Association,) NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding Ethics.
1.4 Selects appropriate assignments for coding from assigned work queues.
1.5 Assigns codes by encounter:
-Selecting the accurate principal diagnosis and procedure code;
-Sequencing codes to optimize reimbursement in conformance with policies;
-Coding only diagnoses and procedures which can be substantiated by documentation with the medical record; -Following coding guidelines;
-Distinguishing cases which require additional information from physicians and contacting the physician for clarification using either direct contact or the physician query form.
1.6 Where defined in policy: Verifies charges entered for the encounter match the documentation contained within the record.
1.7 Routes to department when charges do not agree.
1.8 Correctly utilizes coding applications & systems to appropriately code and abstract all assigned encounters.
1.9 Analyzes APCs and Modifier assignment to ensure all data has been considered to ensure accurate and compliant coding and charging.
1.10 HIM Coders shall use their skills, their knowledge of ICD and CPT rules, guidelines and requirements and any available resources to select appropriate diagnosis and procedural codes.
1.11 HIM Coders shall not change codes or narrative of codes so that the meanings are misrepresented, nor should diagnosis or procedures be included or excluded because the payment may be affected. Statistical clinical data is an important result of coding and maintaining a quality database shall be a conscientious goal.
1.12 Physicians will be consulted for clarification when conflicting or ambiguous documentation is noted in the record.
1.13 The HIM Coder is a member of the healthcare team and, as such, shall assist physicians who are unfamiliar with ICD, CPT or DRG methodology.
1.14 The HIM Coder is expected to strive for optimal payment to which the facility is legally entitled and will not engage in unethical and illegal practices to maximize payments by means that contradict regulatory guidelines.
1.15 Reviews unbilled to assure records are all coded within department timeframes.
1.16 Maintains patient, medical record, department, and employee confidentiality at all times.
1.17 Consistently demonstrates a positive attitude and fosters teamwork by offering assistance to others as needed.
1.18 Effectively uses tools provided to monitor coding backlog and coding errors needing correction.
1.19 Works with other departments to correct inaccurate clinical or demographic information regardless of the source of the information.
1.20 Reviews the APC grouper edit and assists in clearing the edits related to coding and compliance. 1.21 Assists with the orientation and training of new employees.
1.21 Assists with the orientation and training of new employees.
1.22 Provides input to supervisor regarding coding policies and procedures.
1.23 Fulfills yearly continuing education requirements of the department and the hospital, to include safety and mandatory in services. Responsible for maintaining credentials.
1.24 Attends and participates in department or section meetings.
1.25 Contributes to the overall operation of the department by performing other duties, as assigned.
**Job Requirements**
3 years Coding Experience (Hospital Facility, Professional Fee, Physician Clinic) using ICD and CPT coding and/or knowledge of APC's, DRG's, modifiers, and other payment methodologies. Electronic Medical Record (EMR) or Cerner experience.
High School Diploma/GED and
Completion of a CAHIIM Approved AHIMA/AAPC Accredited Coding Education.
Registration/Certification as a AHIMA: CCA, CCS, CCS-P, RHIT or RHIA OR AAPC: CPC, CPC-A, COC
Must have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines.
Basic computer literacy and proficiency in Microsoft and/or Google Workspace. Remote work experience.
Knowledge of EHR and Encoder System(s).
**Where You'll Work**
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
**Pay Range**
$26.76 - $39.81 /hour
We are an equal opportunity employer.
Medical Coder I/II/II
Medical coder job in Tuba City, AZ
Navajo Preference Employment Act TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law and applicable federal law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation, Hopi Tribe, and San Juan Southern Paiute Tribe and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position. Applicants who are legally married to an enrolled member of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe, who have resided within the territorial jurisdiction of the Navajo Nation or other federally-recognized American Indian Tribe for at least one continuous year immediately preceding the date of application, and who meet the necessary qualifications for this position will be given secondary preference. Applicants who are enrolled members of any other federally-recognized American Indian Tribe and who meet the necessary qualifications will be given tertiary preference.
Overview
PRIMARY FUNCTION:
The incumbent performs highly technical and specialized functions by reviewing, analyzing, and coding diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform medical coding for continuing patient care and reimbursement. The coding function is a primary source for data and information used in health care, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function(s) ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. The potential for working remotely does exist as long as the factors in the remote workers policies can be met.
Qualifications
NECESSARY QUALIFICATIONS:
Education:
High School Diploma or GED
Experience:
Certified Medical Coder I
* Must have at least three (3) months to a year of experience with medical coding
Certified Medical Coder II
* Must have two (2) years of medial coding experience
Certified Medical Coder III
* Must have five (5) years of medical coding experience
Certifications:
* Must have and maintain current coder certification with AHIMA/AAPC
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
* Possession of high ethical standards and no history of complaint
* Reliable and dependable; reports to work as scheduled without excessive absence
* Positive working relationships with others
* Maintains a positive professional attitude and demonstrates good interpersonal communication skills
* Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record
* Knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS)
* Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job.
* Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
* Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
* Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Physical:
Prolonged standing, regular reaching, bending stooping, moderate lifting in the performance of assigned duties. May work nights, weekends, and holidays. Manual dexterity, visual acuity, and the ability to speak and hear are required. Physical demands of this position are prolonged sitting and occasional standing, walking, driving, bending, climbing, kneeling, crouching, twisting, and maintaining balance.
Mental:
Must carry out daily duties and project assignments in an independent manner utilizing knowledge and experience of the section time limits, procedures, and objectives to establish individual work priorities. High levels of mental concentration are required. Mental demands of this position are prolonged ability to concentrate, work alone, and adapt to shift work, frequently work in close crowded areas, occasional ability to cope with high stress level, make decisions under high pressure, manage altercations, be highly flexible, handle multiple priorities in stressful situation, have a high degree of patience, and cope with anger/fear/hostility of others.
Environmental:
Employee will occasionally be exposed to infectious disease, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises.
Responsibilities
ESSENTIAL FUNCTIONS:
Certified Medical Coder I
* Relies on instruction and pre-established guidelines to perform the functions of the job
* Work under immediate supervision or team lead
Certified Medical Coder II
* Relies on limited experience and judgment to plan and accomplish goals and performs a variety of tasks
* Works under general supervision with a certain degree of creativity and latitude
Certified Medical Coder III
* Relies on extensive experience and judgment to plan and accomplish goals
* Performs a variety of tasks and may lead and direct the work of others
* A wide degree of creativity and latitude and works independently; provides detailed reports to Supervisor/Manager.
* Assigns and sequences medical codes to diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete. Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
* Abstracts all necessary information and assigns medical codes, which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines.
* Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Correlates generalized observations/symptoms (vital signs, lab results, medications, etc.) to a stated diagnosis to assign the correct medical code. Analyzes provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct medical code.
* Coder's accuracy/quality of coding must be at 95% per monthly, quarterly and yearly audit results (as determined by the facility compliance officer). Coding productivity must meet best practices per patient types.
* Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
* Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established third party reimbursement agencies and special screening criteria.
* Enroll in continuing education courses to maintain certification.
* Performs other duties assigned by the Director or Lead Coder.
* Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering face piece respirator or higher, if available), and eye or face shield.
* Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
* Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
Auto-ApplyCoder IV
Medical coder job in Phoenix, AZ
Join our dynamic Health Information Management (HIM) team as a Coder IV, where your advanced coding expertise will make a direct impact on patient care and organizational success. Under the guidance of the Coding Supervisor, you'll take on a diverse and challenging caseload-ranging from Maternity and Pediatrics to Trauma, Behavioral Health, and complex Surgical cases-using ICD-10-CM and ICD-10-PCS coding systems.
In this key role, you'll manage specialized work queues, support denial reviews, and ensure coding accuracy for stop-billed and combined accounts using SMART software. You'll also be a leader in quality assurance, mentoring new coders, assisting with training, and playing an active role in new software testing and implementation. If you're ready to elevate your coding career while helping shape the future of HIM, we want to hear from you.
Hourly Pay Rate: $25.96 - $38.29
Qualifications
Education:
* Requires an associate degree in Health Information Technology or a related field or an equivalent combination of training and progressively responsible experience that results in the required specialized knowledge and ability to perform the assigned work in place of a degree.
* A Bachelor's degree is preferred.
Experience:
* Requires eight (8) years of progressively responsible inpatient hospital/facility coding experience that demonstrates a strong understanding of the required job functions and knowledge, skills, and abilities to code all Inpatient service lines.
* Requires Level 1 Trauma coding experience.
* Requires coding experience in a teaching hospital.
* Burn coding experience, preferred.
* Outpatient coding experience in addition to Inpatient, preferred.
Specialized Training:
* Requires the ability to pass a coding exam, at or above 85% accuracy, prior to hire.
* Prefer training in 3M encoder and EPIC Electronic Health Record.
Certification/Licensure
* Must have a current coding certification (CPC, COC, CIC, CCS, CCS-P)
* RHIA or RHIT certification also accepted with requisite coding experience.
Knowledge, Skills, and Abilities:
* Must be able to demonstrate application of APR DRG, SOI/ROM, MS DRG's, MCC, CC, SOI, ROM and ICD-10-CM/PCS, as well as query the physicians as appropriate.
* Must have knowledge of and be able to code all types of Inpatient patient medical records including, but not limited to: Burn, Behavioral Health, Trauma, Medical & Surgical, Maternity/Labor & Delivery, Pediatrics, Ortho, Intensive Care, resolving claim edits and assists in the resolution of AZ State tape errors while maintaining a minimum of 95% quality accuracy rate, utilizing official query guidelines and maintain coding quality established in the Coding Department Policy and Procedure.
* Requires the ability to work well independently and demonstrate independent decision-making abilities.
* Must be able to prioritize and multi-task workload and assignments to meet department objectives and goals. Must demonstrate the analytical ability and utilize problem solving skills while assessing work queues to identify issues, adjust staffing, and recognize coding errors.
* Must have the ability to show initiative and utilize critical thinking skills to provide potential solutions to problems identified and create educational material that pertains to the issues/concerns identified during assigned daily duties.
* Must have a high level of understanding of computer applications, Microsoft Office, Electronic Health Records and encoder systems.
* Must be able to communicate effectively both verbally and in writing with excellent customer service skills. Keeps coding supervisor/manager abreast of issues and educational opportunities identified during daily workflow.
* Requires the ability to work well independently and demonstrate independent decision-making abilities.
* Must be able to abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
* Requires the ability to read, write and speak effectively in English.
Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as:
* 10 paid observed holidays
* Arizona State Retirement System (ASRS) and 12% Employee Contribution Match (Pension, Long Term Disability, and Health Insurance)
* Paid vacation, sick, and personal time
* Affordable medical, vision, and dental insurance benefits and a wellness program
* Flexible Spending accounts and health savings accounts
* Deferred Compensation-457(b) Roth and Supplemental Retirement - 401(A)
* Tuition reimbursement
* Public Service Loan Forgiveness (may forgive the remaining balance on a federal student loan made directly by the U.S. Department of Education after qualifying).
* Employee Assistance Program (EAP)
Share:
Apply Now
Revenue Cycle Medical Coder - Central Ave (5478)
Medical coder job in Phoenix, AZ
Job Details Position Type: Full Time Education Level: High School Diploma/GED Salary Range: Undisclosed Travel Percentage: In-Office Job Shift: Day Shift Job Category: Accounting/Finance Description 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 Medical Coder 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
Qualifications
* High School diploma or equivalent. Bachelor's degree preferred.
* Certification in medical coding and billing (CPC, CPC-A, RHIT, or CCS preferred)
* 5+ years' experience in a coding and billing position
* Demonstrated knowledge of NextGen or similar HER
* Intermediate knowledge of Microsoft suite, especially excel
* Experience interacting with cross functional partners, and external payers and stakeholders
* Strong communication skills - written and verbal. Excellent collaboration and partnership skills
* This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years' driving experience or no driving experience.
* Must have a valid Level 1 Arizona Fingerprint Clearance card or apply for one within 7 working days of assuming role.
* Must pass background check, TB test and other pre-employment screening
Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Auto-ApplySpecialist - Concurrent Coding / Inpatient Coder
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
Senior Coder
Medical coder job in Phoenix, AZ
Job Summary and Responsibilities The remote Senior Coder acts as a lead coder for their designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to Coding Leadership to help improve the efficiency of the team.
1.1 Employee will comply with all laws, rules, and regulations relating to the position.
1.2 The employee has a duty to report any suspected violations of the law to his/her immediate supervisor, compliance officer, or CEO.
1.3 Employee will follow the coding guidelines set by AHIMA (American Health Information Management Association,) NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding Ethics.
1.4 Selects appropriate assignments for coding from assigned work queues.
1.5 Assigns codes by encounter:
* Selecting the accurate principal diagnosis and procedure code;
* Sequencing codes to optimize reimbursement in conformance with policies;
* Coding only diagnoses and procedures which can be substantiated by documentation with the medical record; -Following coding guidelines;
* Distinguishing cases which require additional information from physicians and contacting the physician for clarification using either direct contact or the physician query form.
1.6 Where defined in policy: Verifies charges entered for the encounter match the documentation contained within the record.
1.7 Routes to department when charges do not agree.
1.8 Correctly utilizes coding applications & systems to appropriately code and abstract all assigned encounters.
1.9 Analyzes APCs and Modifier assignment to ensure all data has been considered to ensure accurate and compliant coding and charging.
1.10 HIM Coders shall use their skills, their knowledge of ICD and CPT rules, guidelines and requirements and any available resources to select appropriate diagnosis and procedural codes.
1.11 HIM Coders shall not change codes or narrative of codes so that the meanings are misrepresented, nor should diagnosis or procedures be included or excluded because the payment may be affected. Statistical clinical data is an important result of coding and maintaining a quality database shall be a conscientious goal.
1.12 Physicians will be consulted for clarification when conflicting or ambiguous documentation is noted in the record.
1.13 The HIM Coder is a member of the healthcare team and, as such, shall assist physicians who are unfamiliar with ICD, CPT or DRG methodology.
1.14 The HIM Coder is expected to strive for optimal payment to which the facility is legally entitled and will not engage in unethical and illegal practices to maximize payments by means that contradict regulatory guidelines.
1.15 Reviews unbilled to assure records are all coded within department timeframes.
1.16 Maintains patient, medical record, department, and employee confidentiality at all times.
1.17 Consistently demonstrates a positive attitude and fosters teamwork by offering assistance to others as needed.
1.18 Effectively uses tools provided to monitor coding backlog and coding errors needing correction.
1.19 Works with other departments to correct inaccurate clinical or demographic information regardless of the source of the information.
1.20 Reviews the APC grouper edit and assists in clearing the edits related to coding and compliance. 1.21 Assists with the orientation and training of new employees.
1.21 Assists with the orientation and training of new employees.
1.22 Provides input to supervisor regarding coding policies and procedures.
1.23 Fulfills yearly continuing education requirements of the department and the hospital, to include safety and mandatory in services. Responsible for maintaining credentials.
1.24 Attends and participates in department or section meetings.
1.25 Contributes to the overall operation of the department by performing other duties, as assigned.
Job Requirements
3 years Coding Experience (Hospital Facility, Professional Fee, Physician Clinic) using ICD and CPT coding and/or knowledge of APC's, DRG's, modifiers, and other payment methodologies. Electronic Medical Record (EMR) or Cerner experience.
High School Diploma/GED and
Completion of a CAHIIM Approved AHIMA/AAPC Accredited Coding Education.
Registration/Certification as a AHIMA: CCA, CCS, CCS-P, RHIT or RHIA OR AAPC: CPC, CPC-A, COC
Must have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines.
Basic computer literacy and proficiency in Microsoft and/or Google Workspace. Remote work experience.
Knowledge of EHR and Encoder System(s).
Where You'll Work
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Medical Coder
Medical coder job in Tucson, AZ
Job Description
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 Medical Coder 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.
Coder IV
Medical coder job in Phoenix, AZ
Join our dynamic Health Information Management (HIM) team as a Coder IV, where your advanced coding expertise will make a direct impact on patient care and organizational success. Under the guidance of the Coding Supervisor, you#ll take on a diverse and challenging caseload#ranging from Maternity and Pediatrics to Trauma, Behavioral Health, and complex Surgical cases#using ICD-10-CM and ICD-10-PCS coding systems. In this key role, you#ll manage specialized work queues, support denial reviews, and ensure coding accuracy for stop-billed and combined accounts using SMART software. You#ll also be a leader in quality assurance, mentoring new coders, assisting with training, and playing an active role in new software testing and implementation. If you#re ready to elevate your coding career while helping shape the future of HIM, we want to hear from you. # # Hourly Pay Rate: $25.96 - $38.29 # Qualifications Education: Requires an associate degree in Health Information Technology or a related field#or#an equivalent combination of training and progressively responsible experience that results in the required specialized knowledge and ability to perform the assigned work in place of a degree. A Bachelor#s degree is preferred. Experience: Requires eight (8) years of progressively responsible inpatient hospital/facility coding experience that demonstrates a strong understanding of the required job functions and knowledge, skills, and abilities to code all Inpatient service lines. # Requires Level 1 Trauma coding experience. Requires coding experience in a teaching hospital. Burn coding experience, preferred. Outpatient coding experience in addition to Inpatient, preferred. Specialized Training: Requires the ability to pass a coding exam, at or above 85% accuracy, prior to hire. Prefer training in 3M encoder and EPIC Electronic Health Record. Certification/Licensure Must have a current coding certification (CPC, COC, CIC, CCS, CCS-P) RHIA or RHIT certification also accepted with requisite coding experience. Knowledge, Skills, and Abilities: Must be able to demonstrate application of APR DRG, SOI/ROM, MS DRG#s, MCC, CC, SOI, ROM and ICD-10-CM/PCS, as well as query the physicians as appropriate. # Must have knowledge of and be able to code all types of Inpatient patient medical records including, but not limited to: #Burn, Behavioral Health, Trauma, Medical # Surgical, Maternity/Labor # Delivery, Pediatrics, Ortho, Intensive Care, resolving claim edits and assists in the resolution of AZ State tape errors while maintaining a minimum of 95% quality accuracy rate, utilizing official query guidelines and maintain coding quality established in the Coding Department Policy and Procedure.# Requires the ability to work well independently and demonstrate independent decision-making abilities. # Must be able to prioritize and multi-task workload and assignments to meet department objectives and goals. Must demonstrate the analytical ability and utilize problem solving skills while assessing work queues to identify issues, adjust staffing, and recognize coding errors. Must have the ability to show initiative and utilize critical thinking skills to provide potential solutions to problems identified and create educational material that pertains to the issues/concerns identified during assigned daily duties. Must have a high level of understanding of computer applications, Microsoft Office, Electronic Health Records and encoder systems.# Must be able to communicate effectively both verbally and in writing with excellent customer service skills. #Keeps coding supervisor/manager abreast of issues and educational opportunities identified during daily workflow. Requires the ability to work well independently and demonstrate independent decision-making abilities. Must be able to abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Requires the ability to read, write and speak effectively in English. Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as: 10 paid observed holidays Arizona State Retirement System (ASRS) and 12% Employee Contribution Match (Pension, Long Term Disability, and Health Insurance) Paid vacation, sick, and personal time Affordable medical, vision, and dental insurance benefits and a wellness program Flexible Spending accounts and health savings accounts Deferred Compensation-457(b) Roth and Supplemental Retirement # 401(A) Tuition reimbursement Public Service Loan Forgiveness (may forgive the remaining balance on a federal student loan made directly by the U.S. Department of Education after qualifying). Employee Assistance Program (EAP)
Join our dynamic Health Information Management (HIM) team as a Coder IV, where your advanced coding expertise will make a direct impact on patient care and organizational success. Under the guidance of the Coding Supervisor, you'll take on a diverse and challenging caseload-ranging from Maternity and Pediatrics to Trauma, Behavioral Health, and complex Surgical cases-using ICD-10-CM and ICD-10-PCS coding systems.
In this key role, you'll manage specialized work queues, support denial reviews, and ensure coding accuracy for stop-billed and combined accounts using SMART software. You'll also be a leader in quality assurance, mentoring new coders, assisting with training, and playing an active role in new software testing and implementation. If you're ready to elevate your coding career while helping shape the future of HIM, we want to hear from you.
Hourly Pay Rate: $25.96 - $38.29
Qualifications
Education:
* Requires an associate degree in Health Information Technology or a related field or an equivalent combination of training and progressively responsible experience that results in the required specialized knowledge and ability to perform the assigned work in place of a degree.
* A Bachelor's degree is preferred.
Experience:
* Requires eight (8) years of progressively responsible inpatient hospital/facility coding experience that demonstrates a strong understanding of the required job functions and knowledge, skills, and abilities to code all Inpatient service lines.
* Requires Level 1 Trauma coding experience.
* Requires coding experience in a teaching hospital.
* Burn coding experience, preferred.
* Outpatient coding experience in addition to Inpatient, preferred.
Specialized Training:
* Requires the ability to pass a coding exam, at or above 85% accuracy, prior to hire.
* Prefer training in 3M encoder and EPIC Electronic Health Record.
Certification/Licensure
* Must have a current coding certification (CPC, COC, CIC, CCS, CCS-P)
* RHIA or RHIT certification also accepted with requisite coding experience.
Knowledge, Skills, and Abilities:
* Must be able to demonstrate application of APR DRG, SOI/ROM, MS DRG's, MCC, CC, SOI, ROM and ICD-10-CM/PCS, as well as query the physicians as appropriate.
* Must have knowledge of and be able to code all types of Inpatient patient medical records including, but not limited to: Burn, Behavioral Health, Trauma, Medical & Surgical, Maternity/Labor & Delivery, Pediatrics, Ortho, Intensive Care, resolving claim edits and assists in the resolution of AZ State tape errors while maintaining a minimum of 95% quality accuracy rate, utilizing official query guidelines and maintain coding quality established in the Coding Department Policy and Procedure.
* Requires the ability to work well independently and demonstrate independent decision-making abilities.
* Must be able to prioritize and multi-task workload and assignments to meet department objectives and goals. Must demonstrate the analytical ability and utilize problem solving skills while assessing work queues to identify issues, adjust staffing, and recognize coding errors.
* Must have the ability to show initiative and utilize critical thinking skills to provide potential solutions to problems identified and create educational material that pertains to the issues/concerns identified during assigned daily duties.
* Must have a high level of understanding of computer applications, Microsoft Office, Electronic Health Records and encoder systems.
* Must be able to communicate effectively both verbally and in writing with excellent customer service skills. Keeps coding supervisor/manager abreast of issues and educational opportunities identified during daily workflow.
* Requires the ability to work well independently and demonstrate independent decision-making abilities.
* Must be able to abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
* Requires the ability to read, write and speak effectively in English.
Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as:
* 10 paid observed holidays
* Arizona State Retirement System (ASRS) and 12% Employee Contribution Match (Pension, Long Term Disability, and Health Insurance)
* Paid vacation, sick, and personal time
* Affordable medical, vision, and dental insurance benefits and a wellness program
* Flexible Spending accounts and health savings accounts
* Deferred Compensation-457(b) Roth and Supplemental Retirement - 401(A)
* Tuition reimbursement
* Public Service Loan Forgiveness (may forgive the remaining balance on a federal student loan made directly by the U.S. Department of Education after qualifying).
* Employee Assistance Program (EAP)
ORTHOPEDIC SURGICAL CODER (AZ)
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.
ORTHOPEDIC SURGICAL CODER (AZ)
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.
Certified Medical Coder
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:
• Compensation: $21.00 - $23.00 hourly
• This position is classified as: Hourly, Non-Exempt; Part-time employment (20-25 hours)
Outpatient Medical Coder (CPC)
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.
Medical Records/PHI Specialist
Medical coder job in Phoenix, AZ
About Valle del Sol Join Valle del Sol in our commitment to providing quality, culturally sensitive integrated primary care and behavioral health services to adults, children, and adolescents in need. Valle del Sol offers a diverse work environment, competitive pay and benefits, and the opportunity for training and advancement.
Job Description:
The Medical Record/PHI Specialist maintains all of Valle del Sol's medical record requests. Is responsible for ensuring health information compliance with mandated standards and guidelines. Protecting the security of our patient's private health Information (PHI). Holds a supportive role to other departments or staff members in accessing and retrieving needed medical record documents.
Functions
* Complies with federal, state, and accrediting agencies' requirements.
* Reviews, organizes, and maintains all aspects of health information records including patient admission, discharges, and all other documents in the records department.
* Processes requests for release of information (ROI's)for patients and other agencies following confidentiality policy.
* Files all documents according to Valle's Medical Records Practices.
* Uploads client records from W: drive, email, and fax into the electronic medical record system.
* Maintains Health Information Management Department (HIMD) logs, spreadsheets, and files in the HIMD W: Drive.
* Photocopies and faxes medical records when required.
* Participates in updating or creating health information document-related policies, procedures, and practices.
* Seek resources, training, information, and educational opportunities to enrich the quality of comprehensive total health integrated healthcare service delivery for patients.
* Participate in Internal Record Reviews, Record Accuracy, and any other external audits as assigned.
* Visits Valle del Sol storage units and mailboxes to retrieve medical records if needed to complete HIMD tasks.
* Meets company standards for attendance and punctuality. On time for scheduled shifts and ready to work when the shift begins. Schedules time off well in advance. Adheres to lunch schedules and breaks.
* Assists the manager or director with any additional duties as assigned.
Salary: $18.00/hour
Benefits
* 401(k)
* 401(k) matching
* Dental insurance
* Employee assistance program
* Employee discount
* Health insurance
* Life insurance
* Paid time off
* Professional development assistance
* Referral program
* Flexible work schedules
* Vision insurance
Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
Qualifications:
* At least 18 years old
* High school diploma, or a high school equivalency diploma, or 3 years of experience
* Requires strong computer skills, including the ability to work with medical software, and the ability to do reports in both Word and Excel.
* Experience in HIPAA privacy and security regulations
* Must be able to work independently.
* Ability to develop routine reports and correspondence.
* Strong verbal, written, and communication skills.
* Ability to provide culturally sensitive services.
* Must have or be able to obtain a valid Fingerprint Clearance Card.
* Must possess reliable transportation, a valid driver's license, and proof of auto insurance.
* Covid 19 Vaccination or Qualified Exemption (Religious or Medical).
Certified Caregiver - Compassionate Care Specialist
Medical coder job in Sierra Vista Southeast, AZ
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
Health Clerk I
Medical coder job in Phoenix, AZ
Fowler Elementary School District
Job Title: HEALTH CLERK I
Classification: Support Personnel Pay Scale
Range: II
Description: The Health Clerk I performs basic health services under the direct or indirect supervision of the school nurse. He/she assists the nurse, the administration and the staff with creating a climate of health and well-being among students to increase the educational opportunities for students by minimizing school absences due to illness and family issue(s).
Qualifications:
High School Diploma or equivalent is required
Associate Arts Degree is preferred
CPR and First Aid Certification from an accepted agency (ARC/AHA)
Valid Fingerprint Clearance Card
Valid Arizona Driver's License
MMR and TB Vaccinations
Knowledge of medical equipment including stethoscope, nebulizer, sphygmonomanometer, thermometer, blood glucose monitor, SVN machine, etc. is desired
Knowledge of technology including computers (Word, Excel) copiers, fax machines, printers, etc.
Strong knowledge of the English language including reading, writing and oral communication
Knowledge of Spanish including reading, writing and oral communication is desired
Ability to respond quickly and appropriately in emergency situations
Strong communication and interpersonal skills when dealing with students, parents, all school personnel, administration and the community
Communicate effectively and politely on the telephone
Ability to exhibit mature judgment
Experience with diverse student populations
Ability to comprehend and perform functions from written and oral instructions
Prioritize work, take initiative, adhere to time restraints and attend to multiple tasks concurrently
Must be able to perform duties that require physical exertion, such as, reaching, bending, kneeling, etc.
Must be able to lift and/or carry up to 35 lbs
Must be an energetic, highly ethical and possess good emotional and physical health
Prior work experience is preferred
Alternatives to the above qualifications as the Governing Board or the Superintendent may deem appropriate
Essential Duties and Responsibilities:
Assist the nurse with administering first aid and emergency care to students and staff; follow-up with professional help in severe or extreme emergency cases
Assist with dispensing medications according to district policy and state law
Use various types of medical equipment and machines as needed
Assist with preparing and maintaining clear, well-organized, and current student health records; including, but not limited to:
Height and weight
Hearing/vision screening
Emergency cards
Immunization records
Allergy information
Handicapping condition(s), if applicable
Accident reports including treatment records/logs
Assist with the implementation of school based health screening and prevention programs
Assist with maintaining current records on all school personnel
Assist with the implementation policies regarding communicable disease, infection, and animal bites; including, but not limited to, exclusion and readmission of students, classroom inspections, and communication with parents, the administration and government agencies as required
Attend school based meetings and committees such as Child Study, 504's, Safety, etc. as assigned
Participate in the implementation of school health programs
Assist school personnel in establishing sanitary conditions
Assist with identifying any potential or existing hazards on campus
Assist with budgeting and ordering school based health supplies and equipment
Assist with providing specialized medical training and procedures to staff and families
Make home visits as necessary
Assist with all student registrations to screen, identify and address health related issues
Assist in the school office as needed
Participate in district sponsored professional development workshops/inservices, attend on-going training classes and meetings as directed, and read professional journals and publications, etc. for continued professional development
Maintain strict confidentiality and use appropriate discretion when working with all district personnel and student and family records and/or information
Support and follow the rules, regulations and policies set by the School Board, the assigned school and the District
Perform other duties as assigned by the Governing School Board, the Principal and/or School Nurse
Length of Employment:
Ten (10) Months
School calendar will determine the days worked during the school year.
Reports to:
School Principal for daily activities and emergencies
School Nurse for health related duties
Evaluation: Performance to be evaluated in accordance with Board Policy GDO
Hospice Medical Records Specialist
Medical coder job in Phoenix, AZ
Why Suncrest
At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you!
Benefits
Actual Work/Life Balance
Competitive Pay
Benefits Package including Medical, Dental, and Vision insurance
Paid Time Off
401k plan with employer match and 100% vesting after 90 days of employment
A culture with an emphasis on appreciating and valuing the team member
The opportunity to be part of a rapidly growing national company, with possible position upgrades
Details
The Medical Records Specialist is the primary owner for management of medical records, both electronic and paper. This role plays an extremely important part in communicating effectively team personnel, with the continued goal of fulfilling Suncrest's mission in providing the highest quality of care and customer service.
Qualifications
A self-motivated team player with strong and effective communication skills
Demonstrate accuracy and thoroughness; looking for ways to improve and promote quality.
Monitor and self-correct own work processes and outcomes as well as apply feedback from others to improve performance.
Has the capability to balance team and individual responsibilities; exhibit objectivity and openness to others' views, contributing to building a positive team spirit by putting the success of the team above his/her own interests.
Possesses an extraordinary ability to multi-task in a fast-paced, deadline driven environment.
Has great attention to detail, technological proficiency including extensive software/computer skills, great customer service skills, and a general understanding of administrative principles and the expectations associated.
Able to type 50 words per minute
Proficient with Microsoft applications including Word and Excel
High School Diploma
Completed 1-2 years of business college preferred
Auto-ApplyMedical Records Specialist (North Scottsdale)
Medical coder job in Scottsdale, AZ
Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility and the privilege of doing meaningful, rewarding work.
**Position Profile**
The Medical Records Coordinator maintains clinical records in accordance with state and federal regulations. Primary duties include reviewing charts for completeness, setting up charts, copying tracking of records and relevant data entry.
**Responsibilities**
§ Assures complete and accurate medical records.
§ Processes new patient charts and packets.
§ Provides medical record information.
§ Provides clerical duties.
§ Maintains and enhances professional skills.
§ Adheres to high standards of personal and professional conduct.
**Minimum Qualifications**
§ High school diploma or equivalent experience.
§ Minimum two years medical record experience.
§ Basic working knowledge of alphabetical and numerical filing principles, sorting and keyboarding.
§ Good communication and customer relation skills to interact with others in a helpful, cooperative and effective manner.
§ Ability to give and follow written as well as oral instruction.
§ Skilled in filing alphabetically as well as numerically.
§ Skilled in organizing and prioritizing work.
§ Ability to perform assigned duties with attention to detail, speed, accuracy and follow-through with minimal supervision.
§ Ability to gather and interpret data from different sources and problem solve.
§ Ability to deal with confidential information in a professional manner.
§ Proficient computer skills.
§ Ability to use various types of office equipment including computer equipment, fax machine, copier and phone.
**Preferred Qualifications**
§ RHIT certification preferred.
§ Working knowledge of medical terminology preferred.
Hospice of the Valley offers competitive salaries and excellent benefits that include medical, dental and vision plans, generous paid time off, a matching 401k, tuition assistance, an award winning wellness program and a host of employee recognition and rewards. Employees also receive comprehensive orientation, training and development opportunities.
Hospice of the Valley is an equal employment opportunity employer. EOE/M/F/D/V
Revenue Cycle Medical Coder - Central Ave
Medical coder job in Phoenix, AZ
Job Details Central - Phoenix, AZ Full Time High School Diploma/GED In-Office Day Shift Accounting/FinanceDescription
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 Medical Coder 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
Qualifications
High School diploma or equivalent. Bachelor's degree preferred.
Certification in medical coding and billing, CPC, CCS, RHIT required
5+ years' experience in a coding and billing position
Demonstrated knowledge of NextGen or similar HER
Intermediate knowledge of Microsoft suite, especially excel
Experience interacting with cross functional partners, and external payers and stakeholders
Strong communication skills - written and verbal. Excellent collaboration and partnership skills
This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years' driving experience or no driving experience.
Must have a valid Level 1 Arizona Fingerprint Clearance card or apply for one within 7 working days of assuming role.
Must pass background check, TB test and other pre-employment screening
Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Senior Coder
Medical coder job in Phoenix, AZ
Job Summary and Responsibilities This remote position encompasses a diverse range of coding responsibilities, including outpatient facility coding (Diagnostic, Observation, Endo, & Surgery, evaluation and management (E/M) level coding for clinical office visits, and a professional fee coding. Placement will be determined based on experience, and comprehensive cross training can be provided to ensure proficiency across all areas.
The Senior Coder acts as a lead coder for their designated team. This position will train staff on department policies, procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to Coding Leadership to help improve the efficiency of the team.
1.1 Employee will comply with all laws, rules, and regulations relating to the position.
1.2 The employee has a duty to report any suspected violations of the law to his/her immediate supervisor, compliance officer, or CEO.
1.3 Employee will follow the coding guidelines set by AHIMA (American Health Information Management Association,) NCCI (National Correct Coding Initiative) edits, CMS (Center for Medicare and Medicaid Services,) and the Standards of Coding Ethics.
1.4 Selects appropriate assignments for coding from assigned work queues.
1.5 Assigns codes by encounter:
* Selecting the accurate principal diagnosis and procedure code;
* Sequencing codes to optimize reimbursement in conformance with policies;
* Coding only diagnoses and procedures which can be substantiated by documentation with the medical record; -Following coding guidelines;
* Distinguishing cases which require additional information from physicians and contacting the physician for clarification using either direct contact or the physician query form.
1.6 Where defined in policy: Verifies charges entered for the encounter match the documentation contained within the record.
1.7 Routes to department when charges do not agree.
1.8 Correctly utilizes coding applications & systems to appropriately code and abstract all assigned encounters.
1.9 Analyzes APCs and Modifier assignment to ensure all data has been considered to ensure accurate and compliant coding and charging.
1.10 HIM Coders shall use their skills, their knowledge of ICD and CPT rules, guidelines and requirements and any available resources to select appropriate diagnosis and procedural codes.
1.11 HIM Coders shall not change codes or narrative of codes so that the meanings are misrepresented, nor should diagnosis or procedures be included or excluded because the payment may be affected. Statistical clinical data is an important result of coding and maintaining a quality database shall be a conscientious goal.
1.12 Physicians will be consulted for clarification when conflicting or ambiguous documentation is noted in the record.
1.13 The HIM Coder is a member of the healthcare team and, as such, shall assist physicians who are unfamiliar with ICD, CPT or DRG methodology.
1.14 The HIM Coder is expected to strive for optimal payment to which the facility is legally entitled and will not engage in unethical and illegal practices to maximize payments by means that contradict regulatory guidelines.
1.15 Reviews unbilled to assure records are all coded within department timeframes.
1.16 Maintains patient, medical record, department, and employee confidentiality at all times.
1.17 Consistently demonstrates a positive attitude and fosters teamwork by offering assistance to others as needed.
1.18 Effectively uses tools provided to monitor coding backlog and coding errors needing correction.
1.19 Works with other departments to correct inaccurate clinical or demographic information regardless of the source of the information.
1.20 Reviews the APC grouper edit and assists in clearing the edits related to coding and compliance. 1.21 Assists with the orientation and training of new employees.
1.21 Assists with the orientation and training of new employees.
1.22 Provides input to supervisor regarding coding policies and procedures.
1.23 Fulfills yearly continuing education requirements of the department and the hospital, to include safety and mandatory in services. Responsible for maintaining credentials.
1.24 Attends and participates in department or section meetings.
1.25 Contributes to the overall operation of the department by performing other duties, as assigned.
Job Requirements
3 years Coding Experience (Hospital Facility, Professional Fee, Physician Clinic) using ICD and CPT coding and/or knowledge of APC's, DRG's, modifiers, and other payment methodologies.
Electronic Medical Record (EMR) or Cerner experience.
High School Diploma/GED and completion of a CAHIIM Approved AHIMA/AAPC Accredited Coding Education
Registration/Certification as a AHIMA: CCA, CCS, CCS-P, RHIT or RHIA OR AAPC: CPC, CPC-A, COC
Must have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines.
Basic computer literacy and proficiency in Microsoft and/or Google Workspace. Remote work experience.
Knowledge of EHR and Encoder System(s).
Where You'll Work
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.