31 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...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Role Overview The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records and must also ensure that state, federal and company requirements are met and recognize any concerning billing patterns or trends....

The U.S. Bankruptcy Court - District of CT is seeking a Certified Professional Coder (CPC) in Tucson, Arizona. The CPC will perform crucial medical claim reviews for the Special Investigations Unit to ensure coding compliance. Candidates should have an AAPC coding certification, at least 3 years' experience in medical coding, and strong knowledge of industry guidelines. The position offers a competitive salary between $43,888 and $93,574 with comprehensive benefits including health coverage, retirement options, and wellness programs. #J-18808-Ljbffr

Medical Billing Specialist This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential Duties and Responsibilities: Responsible for received claims up until Third-Party Payer has paid the claim. Receives and examines...

MHC Healthcare is seeking a Medical Assistant Supervisor to join the Patient Care team at the Marana Main Health Center, located in the heart of Marana, AZ. The Medical Assistant Supervisor promotes patients' health by providing supervision, guidance, mentorship, and oversight to the Medical Assistant (MA) staff and assists clinicians with care for patients in clinical and behavioral health. MHC Healthcare is a Federally Qualified Community Health Center (FQHC), with 17 sites in Tucson and Pima County. Our mission is to improve our Community by providing exceptional, whole-person healthcare. The following qualifications are required: High School diploma or equivalent 2 years' experience as a Medical Assistant Successful completion of an accredited Medical Assistant program Experience with Electronic Medical Records (EMR) Valid current credential as a Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) from an accredited organization Basic Life...

BLS (AHA) Retirement, MedicalInsurance, VoluntaryLife, LicenseAndCertificationReimbursements, LoyaltyBonus, ExclusiveDiscounts, LiabilityCoverage Apply today to start your next assignment.

Job Description Job Description At PQC, our employees are our best asset. We pride ourselves on growth and exceeding expectations, not only for our customers but also for our employees. We believe that having the best of the best on staff translates into having the best of the best in customer results. PQC is seeking qualified Inpatient Coder Specialists to support a high-impact project with the Defense Health Agency (DHA). In this role, you will be responsible for accurate medical coding and billing processes that directly support patient care operations within the Military Health System (MHS). This position requires a strong understanding of inpatient coding guidelines, attention to detail, and the ability to navigate healthcare systems. If you thrive in a fast-paced environment and are passionate about precision and compliance, this is an opportunity to contribute to a mission-driven healthcare system serving military members and their families. Key Responsibilities...

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...

A healthcare services provider is seeking a Medical Coding Specialist for a flexible, work-from-home position in Tucson, Arizona. The ideal candidate should have over three years of coding experience in an acute care setting and be certified by AHIMA or AAPC. Responsibilities include performing accurate code assignments for outpatient records while meeting productivity targets with a coding quality of 95% or greater. Regular schedules and strong leadership support are offered along with opportunities for professional growth. #J-18808-Ljbffr

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Company Overview Savista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control cost, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. Job Purpose The Audit Project Lead oversees a designated client’s audit, which is ongoing in nature and spans several hospital and/or clinic sites. This colleague coordinates project managing a designated client’s audit with a designated colleague(s) from the Audit...

A healthcare revenue cycle company is seeking a Professional Fee Coder in Tucson, Arizona. The role involves reviewing provider documentation, assigning accurate ICD-10-CM, CPT, and HCPCS codes, and ensuring compliant coding practices. Candidates should have over 3 years of coding experience, knowledge of coding guidelines, and proficiency with coding tools. Active coding certification is required. This position plays an essential role in supporting billing and revenue cycle goals while collaborating with healthcare teams. #J-18808-Ljbffr

The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines. Required : Inpatient Neonatal, pediatric, and critical care professional fee coding experience. Responsibilities Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time) and ensure documentation supports code selection. Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies. Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding edits prior to claim submission when...

A leading professional services firm is seeking an experienced Medical Coding Specialist. The role requires expertise in coding outpatient records, including ICD-10-CM, CPT, and HCPCS. Candidates must have a certification from AHIMA or AAPC and a minimum of three years' coding experience. This position offers a flexible, work-from-home environment with opportunities for professional growth and a schedule requiring reliable attendance. Competitive pay and a supportive work culture are also provided. #J-18808-Ljbffr

We at UASI offer HIM professionals a flexible, work‑from‑home role that challenges you to utilize and enhance your coding expertise. We are currently seeking an experienced Medical Coding Specialist to perform accurate code assignments for facility outpatient, same day surgery, and observation records. The ideal candidate will be flexible, detail‑oriented, able to work independently, quality conscious, and adaptable to change. Additional qualifications include: AHIMA or AAPC certification. A minimum of three years’ coding experience in an acute care setting is required. Experience accurately assigning ICD-10-CM, CPT, and HCPCS codes to a variety of outpatient records. Technical competency with remote‑based connectivity including virtual private networks, multi‑factor authentication via smartphone, and video conferencing platforms. Proficiency with office software including Outlook email for communication, calendar for meeting attendance, and Excel spreadsheets for data...

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. Scope of Work: The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential Duties and Responsibilities: Responsible for received claims up until Third-Party Payer has paid the...

Title: HIM Technician Associate - Quality Assurance Hybrid Job Category: Clerical Schedule: Full time Shift: 1 - Day Shift SUMMARY Performs a variety of indexing and scanning duties in the Health Information Management department. Purges microfilm, media, and records, intakes records request and collects scanned material from hospital units. ESSENTIAL FUNCTIONS Collects, sorts, and files indexed documents both internally and externally, identifies document type, CSN, MRN, and account number. Ensures the proper routing of documents in the electronic health record from system. Identifies errors and corrects as appropriate or escalates as required. Maintains and updates multiple computer databases to ensure all systems are linked and accurate. Handles incoming telephone calls and exercises judgment as to the urgency of calls in compliance with applicable hospital and government policies, procedures, and regulatory requirements/statutes. Verifies accuracy of patient...

A local healthcare provider is seeking a Billing Specialist/Coder to manage both internal and external billing needs. This role requires at least two years of medical billing experience and communication skills. The main responsibilities include filing claims, managing accounts receivable, and effectively coordinating with clinic billing departments. The position offers competitive pay, a benefits package including medical, dental, and paid time off, and is based in Tucson, Arizona. #J-18808-Ljbffr

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

A healthcare management company is seeking a part-time Medical Coder in Tucson, Arizona. The role involves reviewing medical coding for claims, collaborating with providers, and analyzing data for errors. Candidates should have at least 2 years of coding experience and possess a professional coding certification. This position is onsite, requiring local applicants only, with a pay range of $21 to $23 per hour based on experience. #J-18808-Ljbffr

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; escalation of 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 (preferred but not required)...