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**
$29.44 - $43.79 /hour
We are an equal opportunity employer.
Coder - Inpatient
Medical coder job in Phoenix, AZ
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J272373
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.
Senior Coder
Medical coder job in Phoenix, AZ
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.
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).
Not ready to apply, or can't find a relevant opportunity?
Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
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 InformationAll your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
Senior Medical Coder
Medical coder job in Phoenix, AZ
The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards.
**Medical Coding**
+ Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries.
+ Review and validate coding performed by other coders to ensure consistency and accuracy.
+ Identify ambiguous or unclear terms and query clinical sites or data management for clarification.
+ Maintain coding conventions and ensure alignment with study-specific and sponsor requirements.
**Data Quality & Review**
+ Conduct ongoing coding checks during data cleaning cycles and prior to database lock.
+ Lead the resolution of coding discrepancies, queries, and coding-related data issues.
+ Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams.
+ Assist in the preparation of coding-related metrics, reports, and quality documentation.
**Process Leadership & Subject Matter Expertise**
+ Serve as the primary point of contact for coding questions across studies or therapeutic areas.
+ Provide guidance and training to junior medical coders, data management staff, and clinical teams.
+ Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines.
+ Participate in vendor oversight activities when coding tasks are outsourced.
+ Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams.
**Cross-Functional Collaboration**
+ Work closely with clinical data management to ensure proper term collection and standardization.
+ Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions.
+ Support biostatistics and medical writing with queries related to coded terms for analyses and study reports.
**Education & Experience**
+ Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred.
+ **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments.
+ Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management.
+ Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required.
**Technical & Professional Skills**
+ Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar).
+ Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines.
+ Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously.
+ Effective communication skills and experience collaborating in matrixed research environments.
Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
Coder II (Clinic & E/M Coding)
Medical coder job in Phoenix, AZ
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Medical Coder
Medical coder job in Phoenix, AZ
About Us Healing Body and Mind.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
Overview
NeuroPsychiatric Hospital is looking for a Medical Coder with an RHIT certification to work at our Phoenix hospital. NPH is the national leader in providing medical and neurobehavioral care to patients in acute psychiatric distress. The number one priority for all staff is clinical excellence with exceptional compliance performance.
Benefits of joining NPH
Competitive pay rate
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart
Responsibilities
The Medical Coder is responsible for coding and abstracting inpatient and medical records according to hospital policies, regulatory requirements and reimbursement. This position also requires assembling, analyzing, retrieving and filing of medical records.
Performs clinical auditing and data abstraction of patient records in support of contracted facility's clinical process improvement and patient safety initiatives associated with participation in.
Reviews results of audits and identified trends are reviewed with Clinical Nurse Specialists, unit-assigned clinical staff, Performance Improvement staff, and physician quality task forces.
Additional duties as assigned.
Qualifications
Education: Associates degree in medical coding.
Experience: At least one (1) year of medical coding experience within an acute care hospital setting.
Experience in ICD10 and DRG optimization as well as and abstracting clinical information for billing preparation and statistical purposes and three years of QDA
Credential: Current or eligible RHIA, RHIT credential required
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.
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
Billing and Coding Specialist
Medical coder job in Phoenix, AZ
The Billing and Collections Specialist will process insurance claims for medical services rendered and follow claims until paid. The Billing and Collections Specialist will also monitor that all active clients' utilization management is current and work with the clinical team to ensure clients' treatment is covered by insurance.
Responsibilities
· Review documentation for accuracy for coding and billing purposes
· Submit claims and all communications pertaining to the claims being submitted.
· Keep and update active reports for billing and billable items.
· Utilization review (submitting and monitoring prior authorizations)
· Reviewing denials for reprocessing
· Posting insurance payments against claims in billing software
· Verifying eligibility of clients prior to billing
· Following-up on insurance eligibility for pending enrollments
· Attends meetings as needed for clearinghouse, billing, provider relations, etc.
· As part of Axiom Care's commitment to Culturally and Linguistically Appropriate Services (CLAS), this position supports efforts to provide inclusive and accessible translation services for clients. Responsibilities may include participating in CLAS-related training, supporting language access initiatives, and promoting cultural sensitivity in day-to-day operations.
· Perform other duties as assigned by management.
Who is Axiom Care?
Axiom Care is a Phoenix-based provider of substance use treatment and recovery housing. Dedicated to transforming lives, Axiom Care serves financially vulnerable and justice-involved individuals, creating a pathway to a brighter future.
Axiom Care offers comprehensive services encompassing multiple levels of care, including drug and alcohol detoxification, residential treatment, intensive outpatient treatment, medication assisted treatment, supportive housing, integrated care, and re-entry support. Axiom Care is accredited by the Joint Commission and licensed with all seven AHCCCS insurers.
What we offer?
Medical, Dental, and Vision
Employee Assistance Program
Group Term Life/Voluntary Term Life/AD&D/Short Term Disability/Voluntary Accident Coverage
401(k) Savings Plan
Tuition Reimbursement
PTO and Sick Time
Navajo Nation Preference:
• Preference is given to qualified Navajo Nation and/or Native American Applicants in accordance with the Title 15 N.N.C. Chapter 7.
Requirements
· Excellent verbal and written communication skills.
· Excellent interpersonal and customer service skills.
· Excellent sales and customer service skills.
· Excellent organizational skills and attention to detail.
· Excellent time management skills with a proven ability to meet deadlines.
· Strong analytical and problem-solving skills.
· Ability to prioritize tasks and to delegate them when appropriate.
· Ability to function well in a high-paced and at times stressful environment.
· Proficient with Microsoft Office Suite or related software.
Education and Experience
· High school diploma or equivalent.
· At least two years related experience required.
Physical Requirements
· Prolonged periods of sitting at a desk and working on a computer.
· Must be able to lift up to 15 pounds at times.
Disclaimer
The above is intended to describe the general content of and requirements for the performance of this job.
It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements.
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Certified Coding Specialist- AZ- Clinic Finance
Medical coder job in Glendale, AZ
The Certified Coding Specialist protects and recovers the clinic's patient reimbursement by acting as a coding/billing resource for all MWU clinics, educating providers, monitoring accounts receivable, and collecting delinquent accounts. This position will report to the Assistant Manager of Patient Accounts.
Essential Duties and Responsibilities:
* Reviews coding used for Multispecialty Clinics and Eye Institute to ensure coding is in accordance with legal requirements, compliance standards, official coding rules, guidelines and definitions
* Review electronic health records (EHR) to determine what information is appropriate for coding purposes
* Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E & M coding guidelines
* Train and educate finance staff on billing and coding
* Participate in clinic coding assessments/audits, both internal and with external vendors
* Participate in the development of coding policies and procedures as needed
* Identify key issues and take appropriate action to ensure revenue maximization on individual accounts
* Ensure all documentation (ABNs, letters of medical necessity, Medicare Wellness forms, etc.) are on file and properly filled out for patients when required
* Research coding/billing guidelines for new specialties
* Work in conjunction with the Assistant Manager and Manager of Patient Accounts to help reach and maintain financial and accounts receivable goals for the clinic
* Assist in implementing changes directed by regulatory agencies
* Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, and participating in professional organizations
* Other duties may be assigned
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Must be able to work in a constant state of alertness and safe manner and have regular, predictable, in-person attendance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Other Qualifications
The position requires strict compliance with all policies and procedures. This position requires a significant amount of interaction with the public and many internal customers and therefore, the individual must be able to develop positive rapport effectively.
Education and/or Experience
High school diploma or GED required. Associate degree preferred. A minimum of 3-5 years of coding experience in a medical office setting and a current Certified Professional Coder (CPC) certification required. Expert knowledge of ICD-10, CPT, HCPCS, modifiers, and medical terminology required. Experience working with Medicare, Medicaid, Third party payers is also required. Expert in interpreting LCD and NCD coverage criteria. Knowledge of the revenue cycle, charge master, manual book coding/computer coding experience. Excellent interpersonal, communication and customer service skills are required. Strong analytical and problem solving skills. Excellent verbal and written communication skills are a must. Must be able to work independently and multi-task working on several projects at once.
Computer Skills
Computer proficiency in MS Office (Word, Excel, Outlook) is required. Experience using medical practice management software is required.
Language Skills
Intermediate skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Basic skills: Ability apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Mathematical Ability
Basic skills: Ability to add, subtract, multiply, and divide all units of measure using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to interpret bar graphs.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to sit, talk and hear. The employee must regularly use hands to handle or feel and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must frequently lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Midwestern University is a private, not-for-profit organization that provides graduate and post-graduate education in the health sciences. The University has two campuses, one in Downers Grove, Illinois and the other in Glendale, Arizona. More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. Over 500 full-time faculty members and 400 staff members are dedicated to the education and development of our students in an environment that encourages learning, respect for all members of the health care team, service, interdisciplinary scholarly activity, and personal growth.
We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short/long term disability and pet insurance. We offer flexible spending accounts including healthcare reimbursement and child/dependent care account. We offer a work life balance with competitive time off package including paid holiday's, sick/flex days, personal days and vacation days. We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection and an employee assistance program. Wellness is important to us and we offer a wellness facility on-site with a fully equipped fitness facility.
Midwestern University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race; color; religion; creed; national origin or ancestry; ethnicity; sex (including pregnancy); gender (including gender expressions, gender identity; and sexual orientation); marital status; age; disability; citizenship; past, current, or prospective service in the uniformed services; genetic information; or any other protected class, in accord with all federal, state and local laws, and regulation. Midwestern University complies with the Smoke-Free Arizona Act (A.R.S. 36-601.01) and the Smoke Free Illinois Act (410 ILCS 82/). Midwestern University complies with the Illinois Equal Pay Act of 2003 and Arizona Equal Pay Acts.
#MidwesternUniversityJobs
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Health Information Operations Manager
Medical coder job in Phoenix, AZ
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
The Health Information Operations Manager focuses on both front-line People management and leading as account manager at designated sites. The Health Information Operations Manager is responsible for client/customer service and serves as a knowledge expert for the HIS staff. This role may also assist leadership with planning, developing and implementing departmental or regional projects. The Health Information Operations Manager provides support to the VPO. The Health Information Manager will also assist in the new hire process, meeting with clients, and developing staff at multiple sites.
**You will:**
+ Primary Account Manager to Customer
+ Mentor hourly staff and supervisor team for further professional development
+ Responsible for P&L management ($2M+)
+ Oversee the safeguarding of patient records and ensuring compliance with HIPAA standards
+ Own the management of patient health records
+ Participates in project teams and committees to advance operational Strategies and initiatives
+ Lead continuous improvement efforts to better business results
**What you will bring to the table:**
+ Experience in a healthcare environment
+ Passion to identify process improvements and provide solutions
+ Demonstrated ability in leading employees and processes successfully (20+)
+ Coordinates with site management on complex issues
+ Knowledge, experience and/or training in accurate data entry, office equipment and procedures
+ Open to travel up to 50% of the time to multiple sites based on the needs of the region
**Bonus points if:**
+ 2 + years in HIM related experience
+ Provider Care Solution experience
+ ROI exposure
+ RHIT or RHIA Credentials
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$72,000-$78,000 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
Medical Records Clerk
Medical coder job in Phoenix, AZ
We are looking for a Release of Information Specialist to join our team that is based in Arizona or Nevada. The Release of Information Specialist role requires a detail-oriented individual who can effectively manage office operations while supporting healthcare-related functions. The Release of Information Specialist will play a pivotal role in ensuring smooth workflows and collaboration across teams.
Responsibilities:
- Review and validate requests for medical records to ensure proper authorization and compliance with HIPAA regulations.
- Utilize electronic health record (EHR) systems to locate, prepare, and distribute requested records.
- Maintain a detailed log of released records and ensure confidentiality throughout the process.
- Communicate effectively with patients, providers, and third-party requestors to clarify documentation and resolve inquiries.
- Ensure quality and accuracy in every step of the record release process.
Requirements
- 1+ Years of Experience in ROI
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) .
Medical Records Specialist w/HRD-FT
Medical coder job in Tempe, AZ
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
* 30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
* Continuing education opportunities
* Scholarship program for employees
* Matching 401(k) plan for all employees
* Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
* Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
* Flexible spending account plans for full-time employees
* Minimum essential coverage health insurance plan for all employees
* Electronic medical records and mobile devices for all clinicians
* Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
* Must possess a high school diploma or equivalent.
* Must have demonstrated experience in the use of a computer, including typing and clerical skills.
* Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
* Six months experience in medical records in a health care office is highly preferred.
Requirements
* Must possess a valid state driver license
* Must maintain automobile liability insurance as required by law
* Must maintain dependable transportation in good working condition
* Must be able to safely drive an automobile in all types of weather conditions
* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
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 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 out of a client site, in PHX, 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