30 jobs found in Phoenix, AZ

Job Type Full-time Description POSITION SUMMARY: The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. PRIMARY JOB RESPONSIBILITIES: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring...

WeCare Medical Specialty Group is seeking a skilled and detailoriented Remote Medical Billing Specialist to join our team. This role involves managing and processing medical claims to ensure timely and accurate reimbursement. Responsibilities: * Review and verify medical records for accurate coding and billing. * Prepare and submit clean claims to insurance providers. * Follow up on denied or underpaid claims to secure maximum reimbursement. * Maintain accurate records and documentation for all claims. * Resolve billing inquiries and disputes with insurance companies and patients. * Stay updated on industry regulations coding guidelines and billing procedures. Qualifications: * High school diploma or equivalent. * Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred. * Minimum of 2 years of experience in medical billing and coding. * Strong knowledge of medical terminology ICD10 and CPT codes. * Proficiency in...

Job Description Job Description TTF is looking for a full-time A/R Receivables Specialist  for a well-respected client. This is a direct-hire opportunity offering a competitive salary range, dependent on experience. Qualified candidates will have at least 2 years’ working on hospital and/or physician claims; Experience working with Medicaid is also Required.   Please send your resume to Chelle Bodnar at CBodnar@ttfrecruit.com for consideration.   Candidates must have a stable work history and have the ability to pass a drug screen and background check.   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.   TTF places candidates in the revenue cycle, health information management, and healthcare administrative fields with the following specialties and titles:...

Job Description Job Description Job Description: Position Description: Front Office Supervisor Reports To: Health Center Operations Manager Classification: Full-time/Exempt Job Type: Full-time Pay: $23-$26 DOE Job Summary: The Front-Office Manager works closely with the Health Center Operations Manager and is responsible for the supervision and management of front office staff to include Front Desk Receptionist (s), Medical Schedulers, Medical Records and Referral Coordinator (s). This position is responsible for delivery of exceptional quality patient experiences. Duties and Responsibilities • Oversees and manages the day to day operational functions of the front desk and assumes responsibility for direct reporting personnel, front desk orientation of new front office staff and ongoing staff development training. • Evaluates and manages front desk staff performance; coaches and develops employees to ensure employee productivity, quality of work,...

Job Description Job Description WeCare Medical Specialty Group is seeking a skilled and detail-oriented Remote Medical Billing Specialist to join our team. This role involves managing and processing medical claims to ensure timely and accurate reimbursement. Responsibilities: * Review and verify medical records for accurate coding and billing. * Prepare and submit clean claims to insurance providers. * Follow up on denied or underpaid claims to secure maximum reimbursement. * Maintain accurate records and documentation for all claims. * Resolve billing inquiries and disputes with insurance companies and patients. * Stay updated on industry regulations, coding guidelines, and billing procedures. Qualifications: * High school diploma or equivalent. * Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred. * Minimum of 2 years of experience in medical billing and coding. * Strong knowledge of medical terminology, ICD-10, and CPT...

Job Description Job Description Job Position: Clinical Coder (Inpatient) Work Type: 100% Remote Pay range: $32 - 34/hr Working shift: Must be able to work any US time zone. Duration: 6 months with possible extension Job Summary: Under the direction of the DRG Supervisor or designee, conducts coding review of prior authorization requests for unlisted codes or services; retrospective medical claims review for coding and pricing determinations; and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment. Provides coding-related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and the claims subcontractor as needed. Key Responsibilities Performs claims coding and pricing reviews using current coding guidelines. Performs focused claims reviews as requested by management and summarizes findings. Identifies and reports potential...

Job Description Job Description Job Position: Sr. Clinical Coder (Inpatient) Work Type: 100% Remote Pay range: $35/hr Working shift: Must be able to work any US time zone. Duration: 6 months with possible extension Job Summary: Under the direction of the DRG Supervisor or designee, conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment. Subject matter expert on medical claims coding for outpatient and inpatient services.  Provides coding-related information to medical directors, providers, peer reviewers, Claims Administration,  Program Integrity, Quality Management, and the claims subcontractor as needed. Functions as the designated  recipient for factual network provider claim review requests. Develops determination letters. Provides support to non-clinical and clinical staff on coding and retrospective medical claims...

Job Description Job Description Contract to Hire with 6 to 9 months average time on contract Position Overview Title : Senior Clinical Coder Type : Contract to Hire Work Arrangement : Fully Remote (specific states to be confirmed) Focus Areas : Inpatient coding, DRG assignment, and retrospective medical claims review Key Responsibilities Coding Expertise : Conduct retrospective reviews of medical claims to determine appropriate coding and pricing. Perform diagnosis and procedural coding for inpatient claims with DRG (Diagnosis-Related Grouping) assignment. Serve as a subject matter expert for medical claims coding related to both outpatient and inpatient services. Collaboration and Support : Provide coding-related information to medical directors, providers, peer reviewers, and other stakeholders. Assist non-clinical and clinical staff with coding and retrospective claims review processes. Network and Provider Relations : Act as the designated...

Job Description Job Description Benefits : Competitive Health & Welfare Benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program that is available 24/7 to provide support Minimum Qualifications : Minimum 2 years coding experience. Surgery coding for Podiatry would be fantastic! : ) High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Academy of Professional Coders (CPC). Meets established coding and abstracting quality and productivity standards. Experience with various coding software. Previous experience with remote coding is preferred. Possesses PC skills, both keyboarding and applications. Requires a good understanding of anatomy, physiology, medical terminology, and disease processes. Ability to work independently. Excellent attention to details. Essential Functions Abstracts data in...

Job Description Job Description The Coding Network (TCN) is looking to contract with Orthopedic coders to perform the daily Orthopedic coding for a number of clients throughout the country. TCN works with over 150 Orthopedic groups throughout the country, our codes access the operation reports via a remote connection to the client's EMR.. Hours can range from a 15-40 hour/week commitment, any time on the 24 hour clock, seven days a week.   We currently have work available for multiple Orthopedic coders in our surgical division.   All applicants must: · Have a minimum of 3 years of Orthopedic Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Ortho Surgical Coding Exam If you meet the above criteria and are willing to test please submit your resume. Company Description TCN has been providing specialty specific medical coding for over 20 years. TCN's 775+ US based coders cover over...

Job Description Job Description Pay Rate: Highly competitive based on experience. Start Date: Immediate - Full or Part time Overview: We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply.   Key Responsibilities: Review...

Job Description Job Description Job Posting: Senior Clinical Coder – Fully Remote Contract-to-Hire Opportunity Are you an experienced clinical coder passionate about excellence in healthcare? Join our team as a Senior Clinical Coder in a fully remote role, offering flexibility, growth, and the chance to make a meaningful impact. This is a contract-to-hire opportunity with an average contract duration of 6 to 9 months before potential conversion to a permanent position. About the Role: In this role, you will specialize in inpatient facility coding , utilizing your knowledge of DRG to ensure accurate coding and pricing determinations. You'll collaborate with various teams, provide coding expertise, and support retrospective medical claims reviews for inpatient claims. What You'll Do: Conduct retrospective medical claims reviews , focusing on diagnosis and procedural coding with DRG assignment. Act as a resource for medical directors, providers, peer...

Job Description Job Description We are looking for a candidate with Pediatric Medical Billing experience to become a staff member, for our practice in south central Phoenix. Duties include, but are not limited to: Oversee daily processing and submission of claims from practice management (PM) system to the clearinghouse and third-party payors. Our EMR is EClinical Works Continuously working the A/R and denials to prevent losses from timely filing and research denials to keep us informed accordingly. Proactively monitor for errors and issues and promptly resolve them to ensure payments are processed as not to exceed the timely filing rules. Resolve edits related to coding; obtain and review relevant documentation and ensure documentation supports services billed. Oversee the insurance correspondences, such Explanation of Benefits (EOB) and Coordination of benefits and researches appropriate claims steps, such as first or second appeal. Communicates with insurance...

Job Description Job Description Position Title : Clinical Coder Employment Type : Contract to Hire (6 to 9 months average contract duration) Compensation : $33.50 to $37.22 per hour Work Arrangement : Fully Remote (approved states only) Role Summary The Clinical Coder will play a key role in reviewing and ensuring the accuracy of coding for inpatient claims and prior authorization requests. The position involves retrospective medical claims review, coding and pricing determinations, and diagnosis-related group (DRG) assignments. Under the guidance of the DRG Supervisor or designee, the Clinical Coder will provide support and expertise to various teams and stakeholders, ensuring compliance with coding standards and processes. Key Responsibilities Coding and Review Conduct coding reviews for prior authorization requests related to unlisted codes or services. Perform retrospective reviews of medical claims to ensure accuracy in coding and pricing. Execute...

Job Description Job Description Certified Medical Coder (remote) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): 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...

Job Description Job Description At HOPCo , we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following: Competitive Health & Welfare Benefits HSA with qualifying HDHP plans with company match 401k plan after 1 month of service with company match (Part-time employees included) Employee Assistance Program that is available 24/7 to provide support Employee Appreciation Days Employee Wellness Events QUALIFICATIONS Accredited Clinical Coder Certification - Required Experience in coding within a Medical Practice - Ortho Preferred Audit experience in Coding - Preferred Strong Microsoft Office skills Audit certification preferred - CPMA -Certified Professional Medical Auditor. ESSENTIAL FUNCTIONS Conducts internal audits for coding accuracy. Evaluation and Management (E/M) HCPC ICD-10 Identify training needs and provide the necessary training. Assists in the development, completion, and...

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally.  Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them.  We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients.  A significant part of our business is providing patient support programs on the behalf of our customers.  With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products.  With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing...

Job Description Job Description Job Summary: As an Independent Contractor, you must come prepared with full knowledge and expertise of an Oral Surgery, Orofacial Pain, Dental Sleep and Medicare biller with the proficiency to perform all of the functions on a medical software, using your own computer that meets our IT requirements. Have a minimum of 2 years medical insurance billing experience being proficient in claim submission, insurance payment posting, contractual adjustment posting and appealing claims. Were looking for self-motivated individuals and who are excellent at managing their time. In the role of being a medical biller you will support your clients by working to collect what is owed and properly follow up on the outstanding medical claims. Qualifications: Previous medical billing experience with dental billing medical knowledge required. You will need to be very organized and detail oriented with an established system in order to be able to properly...

Job Description Job Description We are seeking an experienced and detail-oriented Medical Billing Specialist to support both Desert Orthopedics Center. This position plays a critical role in maintaining the financial health of our practices by ensuring accurate billing, claim submission, and timely resolution of issues. Location: This is an in-person position at 7301 E. 2nd St. Suite 310, Scottsdale, AZ 85251 . Hours: Monday - Thursday: 7:30 AM - 4:30 PM Friday: 7:30 AM - 12:30 PM Requirements: Demonstrated knowledge of HCPCS, CPT , and diagnosis coding . Experience with medical terminology (orthopedics) and using an electronic medical record (EMR) and billing systems . Knowledge of billing procedures and collection techniques . Strong computer skills (practice management software, clearinghouses, MS Office, and spreadsheet applications). Ability to adhere to company compliance standards and internal policies and procedures. Exceptional...

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 We are a group of Anesthesiologists and Certified Registered Nurse Anesthetists that work, live and raise families in Arizona. Delivering high quality anesthesia services in a complex and every changing health care delivery system is a challenge that we have been successful at for over 15 years. We currently serve three different hospital systems in the valley and partner with several outpatient surgery centers and offices as well. We are locally owned and we are growing our anesthesiology practice with over 100 full-time providers and 20 office staff. We have several open positions for talented medical billers/coders or medical records professionals that can help us meet our growth opportunities. Working remotely is our current arrangement, but living in Arizona is required. Requirements Billing, coding or medical records, and EMR certification. College Education 2 years experience in professional fee medical billing. However, since anesthesia is a...

We are looking for âa Medical Biller focused on Collections to join our team! You will be responsible for the duties below. Responsibilities: Responsible collections process of all unpaid or denied claims with the appropriate insurances Process automotive c...

We are seeking a knowledgeable Medical Coding Specialist to join our dynamic team. The ideal candidate will possess a strong understanding of medical coding and billing processes, including familiarity with various coding systems such as ICD-10. Responsibilities Review and ana...