54 coder provider practice jobs found

A private dermatology practice in Tucson is seeking a Medical Biller / Coder & Credentialing Specialist to manage the revenue cycle functions including coding accuracy, claims processing, and provider credentialing. The ideal candidate will have at least 3 years of experience in medical billing, strong knowledge of medical coding standards, and experience working with insurance payers. This full-time position offers a competitive salary within a collaborative work environment, focusing on improving revenue cycle operations. #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)...

Overview Essential Functions: Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Responsibilities Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains...

**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$25.54 - $38.30 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.Additional Job DescriptionInnovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification(TM). This recognition reflects our investment in workplace excellence and the happiness,...

**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$25.54 - $38.30 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.Additional Job DescriptionInnovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification(TM). This recognition reflects our investment in workplace excellence and the happiness,...

Location: Tucson  Employment Type: Full-Time Schedule: Monday – Friday Our multi-location healthcare organization is seeking a highly organized professional who understands both medical billing/coding and provider credentialing and can support operational improvements within the revenue cycle. Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes Ensure coding complies with payer regulations and industry guidelines Identify documentation gaps and communicate with providers when clarification is required...

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 Job Description ESSENTIAL FUNCTIONS Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. · Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. · Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. · Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. EDUCATION · High school diploma/GED or equivalent working knowledge preferred. · Accredited by the American...

Quality Assurance Coder/Auditor Phoenix, AZ (1 day onsite) long term contract Pay range - $25-28/Hour on W2 Purpose Of The Job The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience...

Job Summary ICON Consultants, on behalf of a client, is looking for someone who is directly responsible and accountable for performing chart reviews, physician education, and maintaining comprehensive knowledge of coding rules and regulations. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of the company initiatives. Responsibilities Performs on-going chart reviews and abstracts diagnosis codes Coordinate with Clinical Informatics on system errors and suggest improvements to ensure effective and efficient processes are followed Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly Documents results/findings from chart reviews and provides feedback to management, providers, and office staff Creates necessary tools (educational materials, newsletters, etc.) for providers to assist them in current and accurate coding...

Our client is seeking an experienced Quality Assurance Coder/Auditor in Phoenix, AZ on a Hybrid basis. This opportunity will transition from a 6-month contract to direct hire position while being trained as a replacement by a seasoned employee. The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Schedule : 40 hours a week (plus any additional hours as requested or as needed to meet business requirements). Hybrid : 1 day a week in office setting, remainder of week is remote Key Responsibilities: • Comprehensive understanding of HCC Coding rules, regulations and methodology • Review medical records and supporting documentation, determine completeness and accuracy of medical records and supporting documentation, identify and eliminate barriers to correct...

Medical Billing Specialist This position is part of an ongoing recruitment effort to build a pipeline of qualified candidates for future vacancies. While we may not have an immediate opening at this time, we encourage interested applicants to apply. By submitting your application, you will be considered for upcoming opportunities as they become available. 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...

Coder Specialist Ironwood Cancer & Research Centers has beautiful state-of-the-art integrated Cancer and Women's Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling. Mission Statement: To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual. Overview: We are looking for a qualified and experienced Coder Specialist to work in our fast-paced Central Business Office located in Gilbert. Schedule: Full-time, Monday through Friday day shift position. Essential Duties and Responsibilities: Identify and post applicable charges to the appropriate...

Medical Billing Specialist Incumbent is responsible for performing medical billing and collection processes for the Goodyear Fire Department including creating, updating, and maintaining accounting spreadsheets; preparing and auditing daily deposits; patient refunds; auditing medical billing and medical charts; reconciling revenue and expenditure reports; and ensuring critical deadlines are met. Incumbent performs quality assurance regarding complete documentation for billing purposes and answers inquiries from insurance companies and patients. Incumbent is responsible for all actions pertaining to the billing, accounting and collections process and will often be tasked with time-critical projects that entail working with sensitive and confidential information. At the City of Goodyear, you will be a part of an organization that values its employees as its greatest asset. You will thrive in a culture of innovation. We believe that successful employees are those that possess six...

Job Title We are looking for a motivated, Physician Coder with 1 year of Radiology Coding experience to join our talented team. This person will cover our Radiology group within Banner. Our leaders and coders work in a remote environment. Even though we work remotely we have a lot of resources at our fingertips and many people we can reach out to for support. We offer schedule flexibility with great benefits. Lots of internal growth opportunities. Our Leadership team is diverse in skill sets and our focus is on teamwork. Come bring your talents to our team where we can learn from each other. Ideal Candidate 1 year recent experience in Radiology Profee EM coding preferred (clearly reflected in your attached resume); 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. This is a fully remote position and available if you live in the following states only: AK,...

Job Description Job Description Description: Specific Role: Medical Biller Reports To: Revenue Cycle Manager Department: Finance Location: Main Admin 85048 BLS Occ: Medical Records Specialist (SOC 29-2072) Salary Range: $20-$30/HR, DOE Schedule: FT M-F 8-5 Travel: None The Medical Biller is responsible for ensuring accurate, timely, and compliant billing for all patient encounters within a private medical practice. This role supports the revenue cycle by preparing claims, reviewing coding accuracy, resolving denials, and working closely with insurance, clinical staff, patients, and payers. The Medical Biller plays a critical role in maximizing reimbursement, reducing errors, and supporting financial stability for the practice. Key Responsibilities Claim Preparation & Submission Generate and submit clean claims (electronic and paper) for all services provided by the practice Review documentation, coding, modifiers, and charge capture...

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person’s health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes. Responsibilities Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations Reviewing claims and configuration to ensure compliance with coding guidelines and best practices Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements...

Reviews, interprets, and abstracts clinical documentation from inpatient and outpatient hospital records to assign accurate diagnosis and procedure codes (ICD10-CM, ICD-10-PCS, CPT, HCPCS). Codes complex orthopedic surgical cases across multiple subspecialties including spine, joint replacement, hand surgery, podiatry, and neurology-related musculoskeletal procedures. Applies appropriate DRG and/or APC assignment methodologies in compliance with federal and payer-specific regulations. Ensures coding accuracy and compliance with ICD-10-CM/PCS Official Guidelines, UHDDS definitions, CMS regulations, and other applicable standards. Utilizes hospital EMR and coding systems to capture all required clinical and demographic data for accurate billing and reporting. Collaborates with physicians and clinical staff to clarify documentation and ensure complete and accurate coding. Provides education and feedback to providers and staff regarding documentation improvement opportunities...

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health‑care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 13 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value‑based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost. The HCC Coder I is a highly organized, team‑oriented individual who possesses the ability to quickly understand and carry out verbal and written directions. The Coder I will be responsible for identifying and reporting all HCC diagnoses from outpatient and inpatient charts. Position Duties & Responsibilities Review and analyze...

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical 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 deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

Your experience matters Canyon Vista Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well‑being so you can provide exceptional care to others. As a Coder I joining our team, you are embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. NOTE: This is an on‑site role and is not open for remote work. How you’ll contribute Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code....

Medical Biller 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 include: Responsible for received claims up until Third-Party Payer has paid the claim. Receives and examines alternate resource claims to ensure they are complete with appropriate supporting documents. Verifies accuracy of health claim number that claimed amounts are authorized and that the...

Certified Professional Coder Salary: $21.26-$29.23 Depending on experience Schedule: Monday-Friday 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 education of...