13 jobs found in Tucson

Responsibilities • Review provider medical coding of services rendered for medical claim submission • Review and respond to medical coding inquiries submitted by providers and staff • Work directly with providers to resolve specific medical coding issues • Analyze data for errors and report data problems • Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input • Work with clinical and non-clinical groups to identify undesirable coding trends • Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee • Abide by HIPAA and Coding Compliance standards • Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment • Accomplish other tasks as assigned Qualifications • 2+ years coding • 2+ years medical billing...

Job Description Join a busy specialty practice and own the full revenue cycle-coding, clean claims, follow-ups, and patient A/R-while keeping us compliant. What you'll do Assign accurate codes (CPT/HCPCS, ICD-10; DRG familiarity) from clinical documentation. Submit, track, and reconcile electronic and paper claims; resolve rejections/denials (EOB/ERA). Manage A/R: timely follow-up on unpaid claims; patient billing and payment plans. Verify eligibility/benefits and obtain/refine authorizations as needed. Maintain precise records in EMR/EHR and billing software; produce RCM reports. Partner with clinicians/front desk to fix documentation or coverage discrepancies. Safeguard PHI and uphold all privacy/security standards. Required Recent experience in medical billing/coding and/or collections within a medical practice. MediClear (or equivalent HIPAA compliance certification). Working knowledge of medical terminology, EMR/EHR workflows, and claims...

Certified Professional Coder Salary: $21.26 - $31.89 per hour, depending on qualifications Schedule: Monday through Friday, 8am to 5pm Job Purpose: The Certified Professional Coder coordinates and performs the implementation of concurrent coding and querying processes, as well as performing administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. A Certified Professional Coder is responsible for the translation of healthcare providers' diagnostic and procedural phrases into coded form, as well as the review and interpretation of health record documentation to ensure accurate coding services are rendered and submitted. A Certified Professional Coder ensures that all technical aspects of the assignment of diagnostic and procedural coding are carried out in accordance with established standards and comply with CMS, NCQA, third-party payers, and other regulatory agencies. The incumbent will support and assist...

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and adjudicating medical and inpatient claims received from all provider types and lines of business. Review and resolve rejected and/or denied claims. Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor copays, deductibles, insurance verification, and authorizations. Analyze incoming and outgoing revenue sources and measure different financial cycles on behalf of customers. Maximize...

The position is located in Southern Arizona. Position Summary: Under general supervision, performs audits and inquires to ensure that appropriate safeguards for protecting the Nation's assets and assuring the integrity of gaming are in place and being followed in accordance with Minimum Internal Control Standards (MICS) of the Nation's gaming ordinance and regulations, the Tribal-State Compact, the Indian Gaming Regulatory Act (IGRA), and the National Indian Gaming Commission (NIGC). The work is normally reviewed upon completion, with occasional spot checks while in process, to ensure accuracy, timeliness and conformance to established standards; major work tasks are covered by instructions or procedures and unusual situations are referred to a supervisor. Essential Duties and Responsibilities: Conducts systematic inspections or audits, with or without notice, of the Gaming Facility operation to ensure compliance with the Gaming Ordinance and Compact. Conducts...

Professional Coder I - TMCOne - Revenue Cycle Job Category Clerical Schedule Full time Shift 1 - Day Shift SUMMARY : Responsible for reviewing patient medical records and assigning accurate CPT, ICD-10, and HCPCS codes for services provided. Supports billing, compliance, and quality teams under general supervision. ESSENTIAL FUNCTIONS : Review and code medical records using standard coding systems. Audit provider documentation for accuracy and completeness. Communicate with providers to clarify documentation. Assist with billing processes and generate reports. Support training and implementation of new systems. Maintain confidentiality and adhere to safety protocols. Preforms related duties as assigned. MINIMUM QUALIFICATIONS EDUCATION: High school diploma or GED required; additional training in medical terminology or office administration preferred. EXPERIENCE : Two (2) years of medical coding experience, preferably with Professional Coder...

Job Description Job Description   Billing Specialist – Medical / Healthcare Become part of Arizona Community Physicians (ACP), Arizona’s largest and most successful physician-owned medical group. Our Billing Department is currently seeking qualified candidates to join our collaborative team which has over thirty team members. We currently have a full-time position available. This position offices in central Tucson at our Central Services Business Office where employees enjoy a casual and professional work environment. Summary Responsible for the integrity, accuracy, and timeliness of the patient billing and accounting. Regularly communicates with patients, third-party payers and employees with the expectation to provide outstanding customer service including timely follow-up and resolution of issues. Responsibilities include but are not limited to: Understand and maintain current knowledge of third-party billing, documentation guidelines, reimbursement and...

Salary: $21.26 - $31.89 per hour, depending on qualifications Schedule: Monday through Friday, 8am to 5pm JOB PURPOSE : The Certified Professional Coder coordinates and performs the implementation of concurrent coding and querying processes, as well as performing administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. A Certified Professional Coder is responsible for the translation of healthcare providers' diagnostic and procedural phrases into coded form, as well as the review and interpretation of health record documentation to ensure accurate coding services are rendered and submitted. A Certified Professional Coder ensures that all technical aspects of the assignment of diagnostic and procedural coding are carried out in accordance with established standards and comply with CMS, NCQA, third-party payers, and other regulatory agencies. The incumbent will support and assist in the training and...

Responsibilities Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data problems Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input Work with clinical and non-clinical groups to identify undesirable coding trends Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee Abide by HIPAA and Coding Compliance standards Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment Accomplish other tasks as assigned Qualifications 2+ years coding 2+ years medical billing experience...

Applicants must be in the Tucson, Arizona area This position requires an organized individual with great time management skills, previous industry experience, who is a self-starter, work well in a team setting and has flexibility to take on new tasks outside the normal box of being a "biller". Medical Billing Specialists are primarily responsible for insurance follow-up, and review of payment posting and associated denials. These team members are key to maintaining client satisfaction as well as keeping accounts healthy and are expected to utilize company tools and software to assist in job responsibilities. Medical Billing Specialists are also expected to work with coders to write appeals and correct claims. Duties can vary, and include patient communication, records submission, and benefits review. Also, may include charge entry, written appeals and LOMN's. Other tasks and assigned projects are based on need of department and are expected to be performed within a set...

Medical Coder, Tucson, AZ We are currently looking for a Medical Coder. This position is 100% Onsite and NOT Remote. Medical Coder Responsibilities: - Make sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. - Comply with medical coding guidelines and policies. - Receive and review patients' charts and documents for verification and accuracy. - Follow up and clarifying any information that is not clear to other staff members. - Collect information made by the Physician from different sources to prepare monthly reports. - Implement strategic procedures and choosing strategies and evaluation methods that provide correct results. - Examine any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence. Medical Coder Qualifications: - A strong understanding of physiology, medical terms and anatomy. - Knowledge of federal,...

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