104 jobs found in Phoenix

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Full Description Overview We are seeking a detail-oriented and driven Behavioral Health Medical Biller to join our team. This role supports the day-to-day operations of the medical claims department by gathering information, processing high-volume behavioral health and psychiatric healthcare claims, and ensuring accurate and timely reimbursement. The ideal candidate is highly skilled in Medicaid AHCCCS Plans, thrives in a fast-paced environment, and is passionate about maximizing collections while maintaining compliance and accuracy. What You'll Do Verify insurance eligibility for behavioral health services. Scrub, batch, and file claims for accuracy, completeness, and compliance. Reconcile electronic 837 transactions, payment files, and ensure claims are worked through to completion. Troubleshoot denied or delayed claims with payers; analyze, research, and resubmit as needed. Post payments and reconcile accounts to ensure accuracy. Regularly correspond...

Medical Assistant Supervisor - Certified Medical Assistant RequiredAdelante Healthcare West Phoenix - Phoenix, AZ 85051DescriptionThe 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.ExpectationsEvery 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...

Quality Assurance Coder/AuditorWe are seeking an experienced Quality Assurance Coder/Auditor with strong expertise in HCC coding, risk adjustment, and medical record auditing. The ideal candidate will have experience reviewing medical records, conducting QA audits, identifying coding deficiencies, and supporting provider education and risk mitigation initiatives.Required: 5+ years of professional coding experience, 3+ years of HCC/risk adjustment experience, 2+ years of auditing/QA experience, and an active CCS-P, CRC, CPC, or COC certification.Experience with Medicare Advantage, RADV, HEDIS, CMS Star Ratings, and provider education is strongly preferred.

Join The Indian Health ServiceMake a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Job TitleAtlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and Results.In addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package. We look forward to you being a vital part of our journey in shaping the future of healthcare.Position SummaryEvaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.Essential FunctionsAnalyzes medical...

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...

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...

Inpatient/Outpatient Coder job at LaSalle Network. Phoenix, AZ. Are you a coding expert who loves diving into medical records and making sure everything’s accurate? We’re looking for a passionate Inpatient/Outpatient Coder to join our client’s team and keep their coding system running like clockwork. Whether it’s hospital stays or clinic visits, you’ll use your skills to assign ICD-10, CPT and HCPCS codes that ensure correct billing and compliance. Responsibilities Review inpatient and outpatient records to assign accurate ICD-10, CPT and HCPCS codes Ensure compliance with industry standards and regulations, including Medicare and Medicaid guidelines Collaborate with healthcare providers and clinical teams to clarify documentation and resolve coding issues Conduct regular audits to verify coding accuracy and identify any discrepancies Stay up to date on coding changes, regulations and guidelines to keep processes current Requirements 2+ years of experience coding...

Signature Performance in the United States seeks an Observation Medical Coder to work remotely nationwide. You will review clinical documentation to assign accurate E/M, ICD-10-CM/PCS, CPT and HCPCS codes, ensuring compliant coding and proper reimbursement. The role requires at least 2 years of professional coding experience, familiarity with EHR systems, and relevant AHIMA or AAPC credentials. You will collaborate with a team to manage multiple coding projects while upholding integrity and #J-18808-Ljbffr

Rockstar is seeking an experienced Medical Billing Specialist to support U.S.-based healthcare practices on a full-time remote basis. This is a billing-first role built for professionals who know the full revenue cycle, not just one piece of it, and who take ownership of the financial health of the practices they support. In this role, you will manage the complete billing cycle: claim submission, payment posting, denial management, accounts receivable follow-up, and reporting. #J-18808-Ljbffr

Healthcare Outcomes Performance Co. (HOPCo) is seeking a medical billing specialist in Phoenix, Arizona. This position requires maintaining productivity and accuracy metrics, resolving claim errors, and managing patient and insurance information. The ideal candidate will have at least two years of experience in medical billing, knowledge of ICD-10, HCPS, and CPT codes, and advanced computer skills. The role offers the opportunity to work in a dynamic team focused on efficiency and accuracy in claims processing. #J-18808-Ljbffr

Rockstar is an industry-leading staffing company based in Arizona that helps healthcare businesses across the United States streamline operations by connecting them with skilled remote professionals. We partner with talented individuals from around the world, providing meaningful remote career opportunities that empower personal and professional growth. At Rockstar, we are committed to placing team members who not only meet our clients' operational needs but who also reflect our core values of integrity, excellence, and long-term service. Every placement is an opportunity to make a meaningful difference, for the practice, for patients, and for you. Job Description This is a remote position. Rockstar is seeking an experienced Medical Billing Specialist to support U.S.-based healthcare practices on a full-time remote basis. This is a billing-first role built for professionals who know the full revenue cycle, not just one piece of it, and who take ownership of the financial health...

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...

Dignity Health Medical Group is seeking a Payment Recovery Specialist to review records, correct codes, and optimize reimbursement using ICD-10-CM, CPT, HCPCS and modifiers. You will analyze complex data daily, ensure compliance with coding standards and healthcare regulations, and communicate payer trends to Management. This role supports accurate billing and timely payment within our DHMG network. Join a values-driven team at DHMG that champions compassionate care and professional growth in a #J-18808-Ljbffr

Qualifications Minimum 2-3 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. High School Diploma/GED. Preferred Qualifications Knowledge of computer systems, including experience with GE patient management system. Knowledge of 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 maximum reimbursement....

6 days ago Be among the first 25 applicants Direct message the job poster from Blue Signal Search Director of Staffing | Healthcare, Revenue Cycle Management, Accounting, Information Technology, Finance, and Human Resources Medical AR/Collections Supervisor Location: Phoenix, AZ A leading healthcare organization is seeking a Medical AR/Collections Supervisor to oversee revenue cycle functions that directly impact financial performance and patient account resolution. This hybrid position is ideal for professionals with proven leadership in healthcare collections and a deep understanding of medical billing, insurance reimbursements, and regulatory compliance. As a critical team leader, you will guide AR and collections staff, coordinate resolution strategies for outstanding claims, and monitor metrics to optimize cash flow and reduce aging. Your contributions will enhance operational efficiency and ensure financial sustainability in healthcare delivery. Key Responsibilities:...

About the job Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. Weare deeply rooted in the communities we serve, which means that ourpatients are often our family, friends, and neighbors, and it is specialto be able to care for them. As one of the top healthcare systems, weare committed to your ongoing growth and development. After work, youwill find things to do in every season, including beaches, outdoorrecreation, unique restaurants, world-class wineries, arts andentertainment. Why work as a Coder Abstractor ? 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 outpatient E/M services....

Job Description Specific Role: Medical Biller Reports To: Revenue Cycle Manager Department: Finance Location: Main Admin85048 BLS Occ: Medical Records Specialist (SOC 29-2072) Salary Range: $22.00-$28.00 Schedule: FT M-F 8-5 Travel: None Key Responsibilities Claim Preparation & Submission Generate andsubmitclean claims (electronic and paper) for all services provided by the practice Review documentation, coding, modifiers, and charge capture for accuracy prior to submission Ensure compliance with payer-specific guidelines and private practice workflows. Accounts Receivable (A/R) & Denial Management Monitor insurance and patient A/R aging reports and prioritizetimelyfollow-up. Investigate, correct, and resubmit denied or rejected claims Comfortable with communicatingwith insurance companies to resolve claim issues, eligibility concerns, or authorization discrepanciesover phone or email. Document all actions taken in the practice management system Patient Billing &...

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 maximum reimbursement. Researches all information...