125 jobs found in Phoenix

IQVIA is seeking a Medical Biller/Claims Processing - Patient Support Representative for a home-based role in Phoenix, AZ. You will handle claims submission, denials research, and patient support tasks within a team that values data-driven healthcare. The position offers full-time hours and the flexibility of working remotely, while participating in IQVIA's culture of empowering staff with better data, technology, and expertise to improve patient outcomes. #J-18808-Ljbffr

Concentra, Inc. is seeking a dedicated Medical Billing Specialist to ensure timely and accurate billing across electronic and paper channels. You will reconcile discrepancies and coordinate with clients, requiring strong communication and organizational skills. Responsibilities include processing all billing tasks, monitoring reports, and supporting client billing requests while maintaining HIPAA compliance and data security. #J-18808-Ljbffr

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: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Medical Billing & Collections Specialist (Hybrid) — Phoenix, AZ Pay Rate: $22.48/hr Position Type: Contract-to-Hire (13 weeks initial) Schedule: Monday–Friday, 8:00 AM–4:30 PM (No on-call / no weekends) Location: Phoenix, AZ (Hybrid) — first 2 weeks on-site, then 2 days in office / 3 days work-from-home (you can choose your WFH days) Openings: 2 Overview We’re hiring a Medical Billing & Collections Specialist to support a high-volume healthcare billing environment. This role focuses on billing, payment application/reconciliation, and collections follow-up while maintaining strong customer service and clear documentation.

Baylor Scott & White Health in Phoenix is seeking a Coding Auditor 1 to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT and related references to support accurate classification and reimbursement. You will collaborate with Clinical Documentation Specialists, provide constructive feedback, and help ensure compliant documentation across internal teams and third-party vendors. A strong knowledge of coding rules and HIPAA is essential. #J-18808-Ljbffr

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...

Job Description Job Description Compliance Auditor LOCATION North Phoenix, AZ | Onsite COMPENSATION & SCHEDULE • $22.00/hour • Full-time • W-2 Employment •Monday - Friday: 8am-5pm ROLE IMPACT Join a fast-paced legal services team supporting mortgage default servicing operations through accurate compliance audits and file reviews. This role is critical to maintaining quality, meeting client and regulatory requirements, and ensuring time-sensitive work is completed with precision. Success is measured by accuracy, responsiveness, organization, and the ability to manage a high-volume workload while maintaining compliance standards. KEY RESPONSIBILITIES • Audit foreclosure and bankruptcy files using system applications and manual checklists to ensure compliance and accuracy. • Review and process a high volume of invoices, prepare audit packages, and manage time-sensitive alerts and tracking updates. • Communicate professionally with internal teams, clients, and...

Job Description Job Description Job Summary GeriPro Inc. is a Long Term Care billing service located in Phoenix, AZ 85022, specializing in Part B reimbursement primarily for Medicare and Medicare Advantage Plans. Full training is provided. This is a full-time, Monday-Friday, in-office position. Job Description: Create claims for billable services according to Medicare Reimbursement Guidelines Review claims for completeness Maintain communication with management Coding up to $200,000 in insurance claims every month Preferred Requirements: Experience reviewing medical records Minimum keyboarding 50 WPM, 10-key 10,000 KPH Computer savvy with ability to move between programs and multiple spreadsheet tabs with ease Accustomed to heavy screen time Analytical thinking with attention to detail Good communication skills are essential Ability to work independently while focusing on group’s monthly objectives Potential candidates include: LTC CNA’s Medical records...

Job Description Job Description We are seeking a full-time Medical Biller/Coder to join our team in Phoenix or Peoria. The ideal candidate is detail-oriented, dependable, and thrives in a fast-paced environment. Experience with vascular and wound care billing is preferred. Position Overview Responsible for overseeing the complete medical billing process, including accurate claim preparation, submission, and follow-up to ensure timely reimbursement. This role requires strong attention to detail, proficiency in resolving claim discrepancies, and expertise in managing multiple payer requirements. Key Responsibilities Scrub and submit claims using billing software. Follow up on unpaid claims within standard billing cycles. Review EOBs for accuracy and compliance. Communicate with insurers to resolve claim or payment discrepancies. Identify and bill secondary and tertiary insurance. Audit patient bills for accuracy and completeness. Research and appeal denied...

Job Description Job Description TTF is recruiting for a Medical / Behavioral Revenue Cycle representative for a well-respected healthcare organization located in Central Phoenix, AZ. This is a Monday – Friday, full time position.   Qualified candidates will have previous experience Billing out claims, Following up with all Payors, posting charges, calculating allowables, and working in a clearinghouse. Candidates must have previous healthcare experience. 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 place candidates in the PFS field with the following specialties and titles: Hospital Collector, Commercial, Government, Managed Care, Billing Representative, Medical Biller, AHCCCS, Medicare, Medicaid, Medical Claims, Follow-Up Rep, Medical Collections...

Job Description Job 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:  $22.00-$28.00  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 for...

Job DetailsJob Location: Adelante Healthcare West Phoenix - Phoenix, AZ 85051 POSITION SUMMARY The Medical Assistant Supervisor oversees the daily operations of a clinical site, ensuring efficient and profitable service delivery. This role supervises both clinical and non-clinical support staff, coordinates with providers and departments, and manages patient flow and related systems to maintain a safe, positive environment. Additionally, the supervisor is required to fulfill all responsibilities associated with the roles of Associate Medical Assistant, Medical Assistant, and Senior Medical Assistant. EXPECTATIONS Every Adelante Leader will strive to maximize the performance and contribution of each team member to Adelante Healthcare and the community that we serve every day. Leaders will set clear performance expectations, provide on-going feedback and coaching to improve results and outcomes and provide regular performance evaluations. Leaders are also expected to work in a...

Adelante Healthcare West Phoenix is seeking a Medical Assistant Supervisor to oversee daily operations at the West Phoenix site in Phoenix, AZ. The role supervises clinical and non-clinical staff, coordinates with providers, and ensures a safe, efficient patient flow while maintaining quality care and compliance. Qualified candidates hold CMA certification, an AZ fingerprint card, CPR/AED, and at least 4 years of healthcare leadership experience (or 2 years in a coordinator role with #J-18808-Ljbffr

Audits charts and revies clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere Identifies trends in improper coding or other communication shortcomings that may lead to claim denials or audits Complies with all medical coding guidelines and monitors evolving regulatory and industry changes Provides targeted education, direct coaching, and facilitates training programs tailored to each medica specialty upon translating audit findings Follows up and clarifies any information that i s not clear with the rendering provider Collaborates with IT and EHR teams to improve charge automation and optimize workflows Conducts ad-hoc audits to ensure fidelity to coding guidelines Relevant expert for Southwest Network on accurate and efficient coding practices Analyze medical records and identify documentation deficiencies Nonessential Functions Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program Ensures...

Coder position at Dignity Health Medical Group in Phoenix, AZ translates clinical documents into standardized codes for diagnoses and procedures, ensuring accurate billing and regulatory compliance. You will collaborate with providers to clarify documentation and support timely claims processing. The role requires a HS diploma or GED, 1 year of professional fee coding experience, and CPC/CPC-HA/CPCA/CBCS certifications. #J-18808-Ljbffr

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient claims for proper reimbursement and resolve provider disputes. You will extract clinical information and assign ICD-10-CM, ICD-10-PCS, and DRG codes to patient records, ensuring coding accuracy and payment integrity. The role targets cost reduction by improving payment accuracy, with responsibilities spanning audits, data analysis, and cross-team collaboration. #J-18808-Ljbffr

Quality Assurance Coder/AuditorThe 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 for provider education.The Quality Assurance Coder/Auditor will perform medical record reviews and...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and identify opportunities for...