71 jobs found in Mesa, AZ

You will be able to work from your home location within the United States PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Provides feedback and education to coders. Escalates compliance, risk-related issues to expedite mitigation. PRINCIPAL DUTIES AND RESPONSIBILITIES: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to...

Discover. Achieve. Succeed. #BeHere A minimum of three years of experience as an inpatient coder at an academic facility is preferred. Bachelor's degree in HIM or equivalent is preferred. Pay is expected to be between: $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Certified Coder (Varied) Location: Remote Shift: Varied scheduling in alignment with department needs; scheduling is between the hours of 5:00 am and 10:59 pm CST/40 hours guaranteed Duration: 13 weeks with possible extension Description: Fully remote position! Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Ag...

Medical Biller Location: Remote Position Type: [Full-Time/Part-Time/Contract] Job Summary: We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The Medical Biller will be responsible for handling billing processes, ensuring accuracy in coding, submitting claims to insurance companies, and following up on outstanding payments. The ideal candidate will possess excellent communication skills, a strong understanding of medical billing procedures, and the ability to work collaboratively with medical and administrative staff. Key Responsibilities: Review and verify patient information, insurance coverage, and medical records for accuracy and completeness. Accurately code diagnoses, procedures, and treatments using standard medical coding systems (e.g., ICD-10, CPT, HCPCS). Submit insurance claims and follow up on denials or rejections to ensure timely reimbursement. Communicate with insurance companies, patients, and healthcare providers to...

Professional Medical Coder II - Remote Position, Must Reside in South Carolina $5,000 Sign-on Bonus Coding Full Time AM Shift 8 a.m. to 5 p.m Sign-On Bonus: 5,000 Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600 physicians and advanced practice providers at nearly 80 locations across the Midlands of South Carolina, making it the region's third largest employer. From general medicine and orthopaedics to oncology, cardiology and neurosurgery, these dedicated professionals combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes. Its postgraduate medical education programs include family medicine and transitional year residencies. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from...

Banner Health Coding Educator Our Coding Educators play a critical role at Banner Health. Join our team of forward-looking Physician Coding Educators who support our Physician Practices and Profee Coding Teams. In this role, you will provide valuable coaching to our Physician Coding team, as well as our Providers. Experience in advanced E/M Coding, and wide range of Production Coding experience within different specialties is a must, as well as current certification in Coding through AHIMA or AAPC (as seen in the qualifications below). Location: Remote Shift: Full time, Exempt position, Monday-Friday Ideal Candidate: 3 years recent experience in Profee EM coding within wide range of specialties (clearly reflected in your attached resume); Bachelors Degree or equivalent; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. The hours are flexible with the...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Virtua Health Coding Specialist Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other...

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

Physician Coding Auditor Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW....

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

Job Description Job Description Position Summary: The Certified Professional Coder is responsible for accurate coding of office, hospital and medical procedures. Key duties include: Reviewing codes submitted by physicians to assure accurate assignment of ICD-10-CM and CPT codes for inpatient/outpatient charges Maintains compliance with Federal, State and payer regulations Ability to review and analyze encounters, reports and other medical records to determine the appropriate diagnosis and procedure codes to describe the level of service and surgical professional services provided Abstracts the appropriate evaluation and management level of service from the medical record per CPT instructions Understands and adheres to CPT and ICD-10-CM instructions, the appropriate use of modifiers, and multiple or add-on procedures Assures healthcare providers compliance with official coding guidelines including but not limited to Medicare and AHCCCS requirements for coding...

Job Description Job Description Responsibilities Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, RadNet is Leading Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Health Information Team Supervisor , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. You Will: Oversees the daily operations of the Health Information Department and Health Information Representatives. Perform continues monitoring and evaluate Health Information Representative’s performance, identifying learning, coaching and training opportunities. Monitor staffing hours, overtime and...

Qualified Medical Billing Specialist Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers, Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all...

Production Supervisor-Medical Device/Pharma Pay Competitive Location: Tempe, Arizona Employment type: Full-Time Job Description Req#: 61083 Working at West means having an opportunity to work by the side of our patients and customers, our global team members, and the communities in which we operate which all help contribute to a Healthier World. At West, we are by the side of patients. The work we do impacts patients lives each and every day our products are a critical part of healthcare delivery, and we are proud of the role we play to improve patient health. We work by the side of our team members. We come together as one global team to deliver for our customers and help them address their challenges. We are a diverse, close-knit community of professionals, where everyone has a voice and opportunity to learn and grow through mutual trust and respect. With a 95-year plus history, we have a track record for success, which includes reported sales of $2.14B in 2020....

Amazon One Medical is transforming primary care by offering a platform that makes healthcare more affordable, accessible, and enjoyable. Unlike traditional doctor's office models, it addresses the frustrations of patients, providers, employers, and health networks. With a growing nationwide network, Amazon One Medical ensures members have easy access to comprehensive care and 24/7 virtual services, enhancing the patient experience through advanced technology. However, the company recognizes that much work remains in healthcare transformation. As it expands, Amazon One Medical is focused on building a diverse, driven, and empathetic team, where all employees can thrive. To continue its growth, Amazon One Medical is seeking passionate leaders to manage people, processes, and technology. The Manager I, Customer Servicer plays a vital role in delivering exceptional care, ensuring great experiences for both patients and staff. This role involves implementing the company's mission...

Job Description Job Description Why MY DR NOW? $1,000 signing bonus! Competitive starting base pay DOE Biweekly performance bonuses* FREE Medical Insurance option with United Health Care PPO Company matching 401k Rapid growth and promotion opportunities if desired! Who we are...… MY DR NOW is Arizona’s largest privately owned primary care group, offering a variety of services to patients of all ages, including primary care, immediate care, and more - on a schedule that works for our patients. We are open every day, including weekends and holidays, and have extended hours because providing quality healthcare services is our top priority. Position Summary Medical Accounts Receivable (A/R) Representatives are the most critical protector of and insurance for successful revenue cycle management operations. Medical A/R Representatives ensure optimum, efficient, and timely reimbursement for medical services rendered via MY DR NOW’s dynamic healthcare delivery...

Overview Looking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical...

Job Description Job Description Job Description Atlas Neurosurgery & Spine is looking for a positive and motivated Medical Biller to join our company. Being part of our team will allow you to join a company which values patient care and high employee satisfaction.   Position Summary: Responsible for full-cycle billing needs as directed by the Practice Manager. Coding experience a plus.   Essential Functions: Daily input of billed charges into billing platform Payment posting Accounts Receivable Denials Appeals Claim scrubbing Insurance verifications Procedure authorizations Scanning, faxing, and copying EMR (Practice Fusion) Reporting Auditing of schedules Mail sorting / Records Request processing Paper billing submission as needed Education and Knowledge, Skills, & Abilities: Proficient in Microsoft Office (Word and Excel minimum) Ability to multi-task EMR proficient Proficient in insurance verification and authorization processes Bilingual a...

Job Description Job Description Description: Schedule: hybrid (3 days in office and 2 days remote) after 30 days of in person training Community Medical Services (CMS) is hiring a Medical Biller 1 for submission of electronic claims and follow up on unpaid claims. This role will also be responsible for data entry and client demographics verification along with posting of insurance and patient payments. In addition, this role will manage denials and claims resubmission and have regular communication with insurance companies. As part of our mission to help individuals recover from substance use disorders, you’ll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued. Along the way, we’ll invest in your well-being through a benefits package that includes: Subsidized medical, dental, and vision insurance Health savings account Short and long-term disability insurance Life insurance Paid sick, vacation, and holiday time...

Job Description Job Description Description: The Billing Specialist will review and create the preparation of invoices, ensuring both the accuracy and correctness, as well as the completion of billing data. The specialist will support our daily operations by maintaining accurate patient accounts, ensuring balances and statuses are up-to-date, and following up on past due accounts. This role requires a high level of professionalism and the ability to multi-task in a fast-paced environment. Essential Job Functions: The billing specialist will monitor their work email through-out the day and respond to incoming requests within 24 hours of receiving any submissions for information. The billing specialist will work specified accounts in Athena Net daily. This will include but not limited to working the Hold bucket, Manager Hold Bucket, Eligibility Bucket, Missing Slips, Interface Errors (if applicable), Download non-Athena remittance, and manage TOS Money report. The TOS money...

Job Description Job Description About Optima Medical: Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team! This role will transition to a fully remote position after your first 60 days. To be eligible, you'll need to complete your...

Ajilon - JobID: C70EEBA4-8612-445C-A7B6-285098C65386 [Billing Clerk / Invoice Creator] As a Medical Biller at Ajilon, you'll: Be responsible for the timely and accurate posting of electronic and manual cash receipts, adjustments and denials to patient accounts; Assist in the resolution of outstanding credit balances and over payment packages; Generate and analyze diverse reports and work lists in the identification and resolution of routine patient account issues...Hiring Immediately >>

Contract to Hire Job # 25030 Neonatology Coder Acclivity Healthcare - Your personable, proven partner! Since 1999, Acclivity Healthcare has served the specialized recruiting and staffing needs of leading healthcare employers nationwide. Our clients range from independent physician practices to national healthcare systems and insurance providers. We are proud of our 18,000+ successful placements with quality-oriented organizations that recognize the value of better talent. Compensation and Schedule for the Neonatology Coder Neonatology Coder - Full-time, remote, $26-$31 per hour, Monday to Friday, flexible day schedule within Arizona time zone after training. Quarterly bonuses available! Required Qualifications of the Neonatology Coder 5+ years of recent E/M coding experience required 2+ years of recent neonatology coding experience required Must provide equipment Certified Professional Coder (CPC) certification required High school...