113 jobs found in Phoenix

Job Summary ICON Consultants, on behalf of a client, is looking for someone who is directly responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of the company initiatives. Responsibilities Performs on-going chart reviews and abstracts diagnosis codes Coordinate with Clinical Informatics on system errors and suggest improvements to ensure effective and efficient processes are followed Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly Documents results/findings from chart reviews and provides feedback to management, providers, and office staff Creates necessary tools (educational materials, newsletters, etc.) for providers to assist them in current and accurate coding...

Our client is seeking an experienced Quality Assurance Coder/Auditor in Phoenix, AZ on a Hybrid basis. This opportunity will transition from a 6-month contract to direct hire position while being trained as a replacement by a seasoned employee. The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Schedule : 40 hours a week (plus any additional hours as requested or as needed to meet business requirements). Hybrid : 1 day a week in office setting, remainder of week is remote Key Responsibilities: • Comprehensive understanding of HCC Coding rules, regulations and methodology • Review medical records and supporting documentation, determine completeness and accuracy of medical records and supporting documentation, identify and eliminate barriers to correct...

Profee Coder Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Profee Coder with at least 1 year of Urology coding experience to join our talented team. Preferred experience in Surgical Urology and Gynecology Oncology and coding, knowledge and experience with academic coding/guidelines. Ideal Candidate: Minimum 1 year recent experience in E/M Urology coding (clearly reflected in your attached resume); Surgical Urology experience preferred; Must be currently certified through AAPC or AHIMA, as defined in minimum...

Medical Coder II Location: 100% Remote (U.S. Molina approved states) Schedule: Full-time, MondayFriday, 8:30 AM 4:30 PM (local time zone) Pay Rate: $21.50/hour Employment Type: 6-month contract (with potential for extension or conversion to full-time) Position Summary The Coding Specialist is responsible for performing detailed chart reviews, determining principal diagnoses, and supporting claims repricing activities. This role requires strong expertise in medical coding standards, risk adjustment practices, and regulatory compliance. The specialist will collaborate with internal teams and providers to ensure accurate coding, improve documentation practices, and support overall operational efficiency. Key Responsibilities Perform ongoing chart reviews and accurately abstract diagnosis codes Determine principal diagnoses across multiple coding concepts Support claims repricing activities to ensure proper reimbursement Review provider billing practices to ensure accurate...

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Position Summary The Medical Biller is responsible for managing the full revenue cycle for a small, fastpaced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detailoriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies. Key Responsibilities Claims & Billing Prepare, review, and submit clean claims to insurance carriers (electronic and paper). Verify coding accuracy and ensure all required documentation is present before submission. Correct and resubmit rejected or denied claims promptly. Maintain uptodate knowledge of CPT, ICD10, and payerspecific billing guidelines. Payment Posting & Reconciliation Post insurance and patient payments accurately into the practice...

Banner Health is seeking an experienced Physician Coder in Phoenix, Arizona. The role requires at least 1 year of Interventional Radiology coding experience and a current Certified Professional Coder certification. Responsibilities include evaluating medical records, accurately coding diagnostic information, and ensuring compliance with national coding standards. This position offers remote work opportunities and requires flexible hours, including a minimum of five 8-hour shifts weekly between 5 a.m. and 7 p.m. #J-18808-Ljbffr

Job Description Job Description Description: Specific Role: Medical Biller Reports To: Revenue Cycle Manager Department: Finance Location: Main Admin 85048 BLS Occ: Medical Records Specialist (SOC 29-2072) Salary Range: $20-$30/HR, DOE Schedule: FT M-F 8-5 Travel: None The Medical Biller is responsible for ensuring accurate, timely, and compliant billing for all patient encounters within a private medical practice. This role supports the revenue cycle by preparing claims, reviewing coding accuracy, resolving denials, and working closely with insurance, clinical staff, patients, and payers. The Medical Biller plays a critical role in maximizing reimbursement, reducing errors, and supporting financial stability for the practice. Key Responsibilities Claim Preparation & Submission Generate and submit clean claims (electronic and paper) for all services provided by the practice Review documentation, coding, modifiers, and charge capture...

Job Description Job Description Minimum Qualifications Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers. HSD/GED Preferred Knowledge of computer systems. Experience with GE patient management system. Knowledge of the physician billing processes, ICD-10, and CPT coding. Essential Functions Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims...

Job Overview The Coder position is a staff position responsible for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Through collaboration with all members of the health‑care team, it supports a patient‑centered culture and gains knowledge and skills to further the practice of the quality of patient services provided at WMRMC. Under the direction of the Revenue Cycle Director, the coder may be required to exercise independent judgment in applying knowledge required to facilitate the processes of health information management. Responsibilities Encode diagnoses and procedures using ICD‑10‑CM, collaborate with health‑care team members, apply independent judgment in coding processes, and ensure accuracy and compliance with coding standards. Education High School Diploma or Equivalent. Required Experience 2 years clerical experience in a healthcare environment 2 years coding experience in a hospital environment Basic...

Job Summary and Responsibilities As a Medical Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Core Coding & Data Integrity: Applies expert-level knowledge to accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes to outpatient medical records and encounters. Ensures coding decisions are fully substantiated by medical record documentation and...

Job Summary Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience. The follow‑up position will assume duties as a collector but not limited, to manage patient accounts from the point of resubmission through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Possess and maintain knowledge of payer specific rules and guideline related to collection requirements. Perform necessary follow‑up to obtain the appropriately owed reimbursement for services in a timely fashion. Responsibilities Acts as a patient advocate to obtain additional information and support for claims processing or to discuss outstanding patient balance with options available for balance resolution. Analyze adverse...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

Asappaindocs in Phoenix, AZ, is seeking a Full Cycle Medical Biller experienced in chiropractic/therapy billing. This role encompasses responsibilities such as verifying insurance, preparing clean claims, and reconciling discrepancies. You're expected to have a minimum of 2 years of experience, a solid knowledge of various insurance plans, and proficiency in medical billing software. The position offers competitive compensation and benefits including medical, dental, and paid time off. #J-18808-Ljbffr

Terros Inc. in Phoenix, Arizona, seeks a professional to ensure coding accuracy and compliance with insurance regulations. Key responsibilities include reviewing claims, training team members in billing procedures, and collaborating with cross-functional teams. Offers excellent benefits such as medical and dental plans, 401(k) match, and significant paid time off. The role is part of a mission-driven organization dedicated to improving community health and wellness. #J-18808-Ljbffr

Quality Assurance Coder/Auditor Phoenix, AZ (1 day onsite) long term contract Pay range - $25-28/Hour on W2 Purpose Of The Job The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience...

Medical Billing Specialist This position aids in properly capturing charges and correctly billing for services performed. The Medical Billing Specialist minimizes department rework, reprocessing of multiple claims from misaligned coding, and tracks and trends repeated missed opportunities for compliant charging and proactively finds and/or provides input regarding tools to streamline and/or improve charging processes. MAIN: Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges. Performs assigned audits by researching documentation, analyzing information, and makes recommendations to improve flow of claim and enters all corrections into the systems. Perform root cause analyses, when warranted by continuous trends, to pinpoint areas, process gaps...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Insurance Follow Up/ Medical Biller Job Category: APP Supervisor: Tracy Lukey-Hegazy Requisition Number: MEDIC012303 Posted: June 12, 2026 Full-Time Remote Corporate Office Phoenix, AZ 85023, USA +1 more locations Description Minimum Qualifications Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers. HSD/GED Preferred Knowledge of computer systems. Experience with GE patient management system. Knowledge of the physician billing processes, ICD-10, and CPT coding. Essential Functions Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections. Verifies patient demographic information and insurance eligibility including coordination of...

Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. Skills At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and...