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-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.
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)
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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)
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.
Specialist - 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
Coder Diagnostics Home Care
Medical coder job in Phoenix, AZ
Primary City/State: Mesa, Arizona Department Name: Nursing Admin-HH Int Work Shift: Day Job Category: Revenue Cycle Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.
Banner Home Care is a fully integrated provider of high-quality care. With compassionate advanced illness and end-of-life care, we serve patients across the Metro Phoenix area and in Northern Colorado. We are ranked among the Top 100 U.S. providers. Banner Home Care and Hospice is interconnected across the Banner Health system, serving as partner to our hospitals, clinics, health plans, and other service lines.
In this position you will be responsible for coding Home Health and Hospice charts from our EMR system Homecare Homebase (HCHB), including obtaining pre-authorization for pending admissions.
LOCATION:
* Hybrid
SCHEDULE:
* Full Time
* Monday - Friday
* 8 Hour shifts
Ideal Candidate will have experience in Home Health and OASIS.
This is a Hybrid position and available if you live in the following states only: AZ, CA, CO, NE, & WY.
Ranked in the top 25 percent of all home care agencies in the United States, Banner Home Care is the largest nonprofit, free-standing home care agency in Arizona. We provide intermittent health care for patients of all ages in the comfort of their home. Our home care team is experienced, compassionate and professional, and the results prove that Banner Home Care measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results.
POSITION SUMMARY
This position evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.
CORE FUNCTIONS
1. Analyzes medical information from medical records. Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.
2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.
3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.
4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
5. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate's degree in a related health care field.
Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders. Six months providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.
Must be able to work effectively with common office software and coding software and abstracting systems.
PREFERRED QUALIFICATIONS
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) in an active status or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.
Additional related education and/or experience preferred.
EEO Statement:
EEO/Disabled/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy
Auto-ApplyOutpatient 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 Coder
Medical coder job in Phoenix, AZ
Company Intro At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers.
At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. Responsibilities
Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis
Reviews physician notes and charts for accuracy
Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards
Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed
Identifies and optimizes revenue opportunities
Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers
Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers
Posts, produces and sends all charges for invoice vendors
Adheres closely to the department's charge reconciliation process
Posts any related payments and/or adjustments for surgery charges posted
Makes changes to demographic information as necessary in order to produce a clean patient statement
Performs all other assigned duties
Qualifications
High School Diploma or GED required
Certified Processional Coder (CPC) or Certified Coding Specialist (CCS) required
5+ years medical billing or coding experience
Experience in Ophthalmology is a plus
Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
Demonstrated computer literacy, math skills, and excellent verbal and written communication skills
Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
Ability to maintain a high level of confidentiality and professionalism
Benefits & Perks
Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!
Auto-ApplyHealth 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
Medical Billing Coder
Medical coder job in Phoenix, AZ
Description We are looking for a detail-oriented Medical Billing Coder to join our team in Phoenix, Arizona, on a long-term contract basis. In this role, you will play a key part in ensuring accurate coding and billing processes within the healthcare revenue cycle. Collaborating with internal teams and external partners, you will work to identify and resolve coding issues while implementing solutions that enhance the overall efficiency of billing operations.
Responsibilities:
- Assign appropriate and accurate codes while adhering to government and insurance regulations.
- Analyze and correct errors, discrepancies, or missing information in claim documentation.
- Provide guidance to the Revenue Cycle team on selecting appropriate ICD, CPT, and HCPCS codes for accurate billing and reimbursement.
- Review and validate documentation to ensure it supports diagnoses, procedures, and treatments.
- Keep team members informed of updates to coding standards, systems, and procedures through meetings and written communications.
- Recommend alternative coding methods to address challenges and improve processes.
- Develop and implement protocols to troubleshoot and enhance coding reviews and modifications.
- Collaborate with cross-functional teams to drive continuous improvement in billing and coding systems.
- Maintain consistent attendance and perform additional duties as needed. Requirements - Proficiency in medical coding systems such as ICD, CPT, and HCPCS.
- Experience with healthcare software such as Allscripts, Cerner Technologies, and EHR systems.
- Strong knowledge of billing functions, claims administration, and accounts receivable processes.
- Familiarity with tools like Dynamic Data Exchange (DDE) and Epaces.
- Ability to analyze and resolve coding errors and discrepancies effectively.
- Excellent communication skills for collaboration and sharing updates on coding procedures.
- Prior experience managing appeals and benefit functions is preferred.
- Strong attention to detail with a commitment to accuracy in documentation.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
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-ApplyPGA Certified STUDIO Performance Specialist
Medical coder job in Scottsdale, AZ
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyBilling and Coding Specialist
Medical coder job in Scottsdale, AZ
Job Description
About Us
Pinnacle Fertility is a leading fertility care platform dedicated to fulfilling dreams by building families. We support a nationwide network of fertility clinics, providing innovative technology, compassionate patient care, and comprehensive fertility treatment services to ensure a seamless, high-touch experience for every family. Learn more about us at **************************
About the Role
We are seeking a detail-oriented and highly skilled Billing and Coding Specialist to join our team. This individual will play a critical role in ensuring accurate and timely medical coding for fertility procedures, adhering to compliance regulations, and supporting efficient billing operations. The ideal candidate has strong analytical skills, proficiency in medical coding, and experience managing complex charge scenarios within a healthcare environment.
We are seeking a Billing and Coding Specialist to join our dedicated team at Pinnacle Fertility in Scottsdale, AZ. This full-time, on-site role is scheduled Monday through Friday and requires availability between 7:00 AM and 5:00 PM.
Key Responsibilities
Review patient records and assign accurate diagnosis codes (ICD-10), CPT, and HCPCS codes based on clinical documentation.
Prepare and submit complex and high-dollar insurance claims, ensuring detailed and accurate documentation for claim approval.
Utilize coding guides and electronic health record (EHR) systems to manage and update charge entries.
Participate in internal and external coding audits, addressing and correcting any findings.
Ensure compliance with federal, state, and payer regulations regarding medical coding standards.
Resolve coding discrepancies, including re-coding as necessary and escalating issues to leadership as needed.
Maintain accurate documentation and reports of coding processes and interactions with leadership regarding coding queries.
Collaborate with team members and leadership to obtain missing or clarifying information necessary for accurate coding.
Engage in ongoing training and professional development to stay current with evolving coding regulations and industry updates.
Other duties and projects assigned.
Position Requirements
Education:
High school diploma or equivalent required.
Bachelor's degree or higher preferred.
Certified Coding Associate (CCA) or Certified Professional Coder (CPC) preferred.
Experience:
Minimum of 2 years of experience in medical coding or related healthcare roles.
Skills:
Strong attention to detail and exceptional accuracy in coding.
Proficiency in coding software and EHR systems.
Excellent verbal and written communication skills for documentation and collaboration.
Strong problem-solving skills to manage complex charge scenarios.
Ability to work independently and manage multiple tasks effectively.
Compensation & Benefits
Hourly Rate: Final offers will be based on experience, skills, and qualifications.
Benefits: Comprehensive healthcare, dental, life, and vision insurance. Additional benefits include generous paid time off (PTO), paid holidays, and a retirement savings program. Further details will be provided during the interview process.
Diversity & Inclusivity at Pinnacle Fertility
At Pinnacle Fertility, we celebrate diversity and are committed to creating an inclusive environment for all team members. We are proud to be an equal-opportunity employer and encourage applicants from all backgrounds, abilities, and life experiences to apply.
Onsite Release of Information Specialist I
Medical coder job in Phoenix, AZ
Onsite Release of Information Specialist I (ROIS I) The Onsite Release of Information Specialist I (ROIS I) initiates the medical record release process by inputting data into Verisma Software. The ROIS I works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based at a client site in Phoenix, AZ. The primary supervisor is Manager of Operations, Release of Information.
Duties & Responsibilities:
Process medical ROI requests in a timely and efficient manner
Process requests utilizing Verisma software applications
Support the resolution of HIPAA-related release issues
Organize records and documents to complete the ROI process
Read and interpret medical records, forms, and authorizations
Provide exemplary customer service in person, on the phone and via email, depending on location requirements
Interact with customers and co-workers in a professional and friendly manner
Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained
Attend training sessions, as required
Live by and promote Verisma company values
Perform other related duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications:
HS Diploma or equivalent, some college preferred
RHIT certification, preferred
2+ years of medical record experience
2+ years of experience completing clerical or office work
Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks
Experience in a healthcare setting, preferred
Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
Must be able to work independently
Must be detail oriented
Medical 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.
**Pay Range**
$26.76 - $39.81 /hour
We are an equal opportunity employer.
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.