21 jobs found in Mesa

You will be able to work from your home location within the United States PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Provides feedback and education to coders. Escalates compliance, risk-related issues to expedite mitigation. PRINCIPAL DUTIES AND RESPONSIBILITIES: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to...

Medical Biller Location: Remote Position Type: [Full-Time/Part-Time/Contract] Job Summary: We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The Medical Biller will be responsible for handling billing processes, ensuring accuracy in coding, submitting claims to insurance companies, and following up on outstanding payments. The ideal candidate will possess excellent communication skills, a strong understanding of medical billing procedures, and the ability to work collaboratively with medical and administrative staff. Key Responsibilities: Review and verify patient information, insurance coverage, and medical records for accuracy and completeness. Accurately code diagnoses, procedures, and treatments using standard medical coding systems (e.g., ICD-10, CPT, HCPCS). Submit insurance claims and follow up on denials or rejections to ensure timely reimbursement. Communicate with insurance companies, patients, and healthcare providers to...

Physician Coding Auditor Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW....

Professional Medical Coder II - Remote Position, Must Reside in South Carolina $5,000 Sign-on Bonus Coding Full Time AM Shift 8 a.m. to 5 p.m Sign-On Bonus: 5,000 Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600 physicians and advanced practice providers at nearly 80 locations across the Midlands of South Carolina, making it the region's third largest employer. From general medicine and orthopaedics to oncology, cardiology and neurosurgery, these dedicated professionals combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes. Its postgraduate medical education programs include family medicine and transitional year residencies. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Job Description Job Description Responsibilities Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Health Information Team Supervisor , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. You Will: Oversees the daily operations of the Health Information Department and Health Information Representatives. Perform continues monitoring and evaluate Health Information Representative’s performance, identifying learning, coaching and training opportunities. Monitor staffing hours, overtime and...

Job Description Job Description Are you the missing piece in protecting America’s safety net? We don’t just hire talent—we build purpose-driven teams. At ERN Enterprises, we stand in the gap for emergency safety net providers and the patients they serve. We hold health plans accountable. We speak up for those who can’t, and we’re looking for more than just a resume—we’re looking for you. ERN in the news: https://youtu.be/mw1TQhVFBKk The Mission Our Healthcare Claims Compliance Auditors are warriors for justice in Revenue Cycle Management. You’ll analyze unfair trends, initiate corrective actions, support prelitigation strategy, and make sure regulatory timelines are honored—not ignored. You’ll change lives and challenge systems. Do You Belong Here? We’re looking for people with: Competency – Do you have the skills or the hunger to learn them? Character – Are you ethical, reliable, and honest—even when no one’s watching? Chemistry – Can you collaborate, communicate,...

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Virtua Health Coding Specialist Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other...

Banner Home Care Coding Specialist 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 and coding certification. This is a remote 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...

Discover. Achieve. Succeed. #BeHere A minimum of three years of experience as an inpatient coder at an academic facility is preferred. Bachelor's degree in HIM or equivalent is preferred. Pay is expected to be between: $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Certified Coder (Varied) Location: Remote Shift: Varied scheduling in alignment with department needs; scheduling is between the hours of 5:00 am and 10:59 pm CST/40 hours guaranteed Duration: 13 weeks with possible extension Description: Fully remote position! Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Ag...

Job Description Job Description Medical Coder Location: Mesa, AZ (On-Site | NOT Remote) Position Type: Full-Time | Permanent Direct Hire Pay Range: $20–$24/hour (based on experience) A leading Medical Accounts Receivable Management organization in Mesa, AZ is seeking an experienced and detail-oriented Medical Coder to join their Operations team. This is a full-time, permanent direct hire opportunity with excellent benefits, stable hours, and long-term growth potential. Schedule Monday–Friday, 8:30 AM – 5:30 PM On-site | 40 hours per week 1-hour lunch Benefits (after probation period) Medical, Dental, and Vision Insurance Paid Vacation Paid Holidays Job Responsibilities Review complete medical records to accurately assign ICD-10 and CPT codes. Ensure codes meet medical necessity and follow proper sequencing standards. Work within the practice management and billing systems to submit...

Job Description Job Description Job Title: Medical Billing Specialist – A/R Appeals & Denials Location: Mesa, AZ | On-site | Full-Time, Direct Hire Pay Range: $18–$22/hour (based on experience and interview performance) Ready to bring your A/R and medical billing expertise to a dynamic, fast-paced healthcare team? We’re hiring a skilled Medical Billing Specialist with strong experience in appeals and denials to join a reputable healthcare organization in Mesa, AZ . This is a full-time, permanent direct hire opportunity—perfect for someone looking to grow their career in a stable and supportive work environment. Schedule & Benefits Hours: Monday through Friday, 8:30 AM – 5:30 PM (1-hour lunch) Location: On-site in Mesa, AZ Benefits include: Paid Time Off (accrued and usable after 3 months) Company-paid holidays Health, dental, and vision coverage 401(k) Retirement Plan Workers Compensation Insurance...

Job Description Job Description Position Summary: The Certified Professional Coder is responsible for accurate coding of office, hospital and medical procedures. Key duties include: Reviewing codes submitted by physicians to assure accurate assignment of ICD-10-CM and CPT codes for inpatient/outpatient charges Maintains compliance with Federal, State and payer regulations Ability to review and analyze encounters, reports and other medical records to determine the appropriate diagnosis and procedure codes to describe the level of service and surgical professional services provided Abstracts the appropriate evaluation and management level of service from the medical record per CPT instructions Understands and adheres to CPT and ICD-10-CM instructions, the appropriate use of modifiers, and multiple or add-on procedures Assures healthcare providers compliance with official coding guidelines including but not limited to Medicare and AHCCCS requirements for coding...

Job Description Job Description Primary care office looking for an experienced medical biller to join our team. Job duties include: Processing insurance and patient payments, posting ERA's, working aging, speaking with patients regarding balances due and setting up payment arrangements, sending claims, resolving denials, entering new insurances into EMR. Ideal candidate will be highly organized, able to work well with a team, have experience in primary care billing with eClinicalWorks experience. Company Description We are located in beautiful North Mesa. Brown Road Family Medicine was established in May 2005 and is physician owned and operated. Company Description We are located in beautiful North Mesa. Brown Road Family Medicine was established in May 2005 and is physician owned and operated.

Medix - 1201 S Alma School Rd Suite 16300 [Billing Clerk / Invoice Creator] As a Medical Biller at Medix, you'll: Process insurance claims and patient invoices; Verify patient insurance coverage and eligibility; Maintain accurate billing records and documentation; Resolve billing discrepancies and follow up on unpaid claims; Communicate with healthcare providers and insurance companies; Ensure compliance with healthcare regulations and billing standards...Hiring Immediately >>

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

Qualified Medical Billing Specialist Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers, Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all...