35 specialty coder jobs found

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 14 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 II is a highly organized, team-oriented individual who possesses the ability to quickly understand and carry out verbal and written directions and can efficiently multi-task and work on special projects in addition to regular review of outpatient and inpatient charts. The Coder II will be responsible for identifying and...

Who We Are At Copa Health, we are committed to People First, fostering a culture of compassion, innovation, and impact. We support individuals and families across Arizona through high-quality behavioral health and integrated care services while also investing in the growth and well-being of our team. Why Join Copa Health? At Copa Health, we prioritize the growth, well-being, and satisfaction of our team members. When you join our team, you’ll receive: Competitive salary and comprehensive benefits package Personalized Health Coverage - Receive a monthly, tax-free contribution to select the medical plan that works best for you, with guidance and support through our ICHRA program Dental and Vision Coverage to complement your health plan Generous PTO - up to 3 weeks in your first year, plus an additional wellness day to recharge 10 paid holidays annually Wellness Program, including access to mental health resources Tuition Reimbursement up to $3,000 to invest in your growth and...

Banner Health Corporate is seeking a Trauma, GI, and General Surgery Physician Coder for a fully remote role. You will code E&M, surgeries, and critical care, with emphasis on Trauma, GI, and General Surgery coding. Requires at least 1 year of General Surgery coding and active CPC/CCS/CCS-P/CCA/CPC-A/RHIA/RHIT certification; work eligible in listed states. Ideal candidates may hold specialty certifications; you will work with coding software and abstracting systems in a remote setting. #J-18808-Ljbffr

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. Looking for a motivated, experienced Trauma, GI, and/or Surgery Physician Coder to join our talented team. This position covers Trauma, Gastro and General Surgery. The ideal candidate will have at least 1 year of experience in General Surgical Coding. This position focuses on E&M (including split shared), surgeries and Critical Care coding. Location: REMOTE, Banner provides equipment Schedule: Full time; Flexible scheduling after training completed Ideal Candidates: Minimum 1 year recent experience in Gen Surg, Trauma, and/or GI coding (clearly reflected...

Location: Tucson Employment Type: Full-Time Schedule: Monday – Friday 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. Support coding compliance and documentation improvement. Claims & Billing Prepare and submit electronic claims through the practice management system. Monitor claim status and follow up on unpaid or denied claims....

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 up to 30 days of training To be eligible, you'll need to complete your initial training onsite at our...

Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Profee Coder with at least 1 year of Primary Care coding experience to join our talented team. In this role you can anticipate high volume coding for a busy family practice clinic, including charges for HCC diagnostic, and Annual and Physical exams. Location: REMOTE, Banner provides equipment Schedule: Full time; 8am-5pm AZ time. Flexible scheduling after training completed. Ideal Candidates Minimum 1 year recent experience in E/M Family Practice coding (clearly reflected in your attached resume); Must...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Certified Behavioral Health Services Medical CoderAt Copa Health, we are committed to People First, fostering a culture of compassion, innovation, and impact. We support individuals and families across Arizona through high-quality behavioral health and integrated care services while also investing in the growth and well-being of our team. When you join our team, you'll receive:Competitive salary and comprehensive benefits packagePersonalized Health Coverage – Receive a monthly, tax-free contribution to select the medical plan that works best for you, with guidance and support through our ICHRA programDental and Vision Coverage to complement your health planGenerous PTO – up to 3 weeks in your first year, plus an additional wellness day to recharge10 paid holidays annuallyWellness Program, including access to mental health resourcesTuition Reimbursement up to $3,000 to invest in your growth and career advancementAffordable Medical, Dental, and Vision plans to fit your needs403(b)...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Addison Group Recruiter - National HIM & CDI at Addison Group Job Title: Ophthalmology Coder Location (city, state): Phoenix, Arizona Compensation: $22-$30 Benefits: This position is eligible for medical, dental, vision. Qualifications: AAPC or AHIMA Certification Job Description: *Willing to Train on Ophthalmology* Chart Types: Ophthalmology (including ASC surgeries & procedures – CPTs), Anesthesia, Pain Management, Clinic Denials, Rebills, J-Codes/Meds, E/M surgeries (Provider & Facility-based). Systems: NextGen (preferred), RVMed, Codify (AAPC). Duration: Contract to Hire. REQUIRED Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin,...

Job DescriptionJob DescriptionAbout Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and 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.Optima is currently seeking a HCC Risk Coder Specialist to join our team.As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM official...

Revenue Cycle Medical Coder Central Avenue - Phoenix, AZ 85012 Overview Position Type Full Time Job Shift Day Shift Education Level High School Diploma/GED Travel Percentage In-Office Category Accounting/Finance Description 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. The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the...

Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. Skills At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and...

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...

Lead Medical CoderThe Lead Medical Coder serves as a certified professional coder and assists the Medical Coding Office Manager with oversight of daily coding operations. Performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers.Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The incumbent works independently under the general supervision of the Supervisor or designee.Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to...

1. Review charges for accuracy and completeness prior to claim submission, identifying coding, modifier, and demographic errors that would result in rejection or denial. 2. Resolve claim edits, scrubber holds, and clearinghouse rejections on a daily basis in both athenaOne and eCW. 3. Research, document, and appeal denied claims, including preparation of appeal correspondence and assembly of supporting documentation. 4. Work aged accounts receivable by payer, aging bucket, and dollar value, prioritizing by recovery likelihood and timely filing exposure. 5. Contact payers by telephone and portal to obtain claim status, resolve processing errors, and pursue reprocessing. 6. Perform root-cause analysis on recurring denials and communicate the coding, configuration, or front-end workflow corrections required to prevent recurrence. Payment posting and reconciliation 7. Post electronic remittance advice (835) files and manual EOBs across assigned client practices and payers in both...

About the job Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. Weare deeply rooted in the communities we serve, which means that ourpatients are often our family, friends, and neighbors, and it is specialto be able to care for them. As one of the top healthcare systems, weare committed to your ongoing growth and development. After work, youwill find things to do in every season, including beaches, outdoorrecreation, unique restaurants, world-class wineries, arts andentertainment. Why work as a Coder Abstractor ? Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. SKILLS At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and outpatient E/M services....

PHI Health PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period. Join our life-saving team in Phoenix, AZ. Job Summary 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...

Job Summary 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 collection requirements. Perform necessary follow‑up to obtain the appropriately owed reimbursement for services in a timely fashion. Responsibilities Acts as a patient advocate to obtain additional information and support for claims processing or to discuss outstanding patient balance with options available for balance resolution. Analyze adverse...

Staff Position Description Position Title: Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department: Health Information Management Safety Sensitive: YES Reports to: HIM Director/Manager Exempt Status: NO Position Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements. Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits. Codes all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers. Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors. Provides technical guidance,...

Job Details Job Location: Adelante Healthcare Mesa - Mesa, AZ 85201 POSITION SUMMARY The Medical Assistant Supervisor oversees the daily operations of a clinical site, ensuring efficient and profitable service delivery. This role supervises both clinical and non‑clinical support staff, coordinates with providers and departments, and manages patient flow and related systems to maintain a safe, positive environment. Additionally, the supervisor is required to fulfill all responsibilities associated with the roles of Associate Medical Assistant, Medical Assistant, and Senior Medical Assistant. EXPECTATIONS Every Adelante Leader will strive to maximize the performance and contribution of each team member to Adelante Healthcare and the community that we serve every day. Leaders will set clear performance expectations, provide on‑going feedback and coaching to improve results and outcomes and provide regular performance evaluations. Leaders are also expected to work in a manner that...

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...

Medical Billing Specialist Location US-AZ-Phoenix Job ID 351023 Pos. Category Corporate - Central Billing Office Pos. Type Full Time Recruiter : Full Name: First Last Cecilia Dunn Overview Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward - always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better. The ideal candidate will perform under general supervision a variety of moderately complex to complex tasks related to ensuring timely and accurate medical billing and reconciliation of discrepancies. This includes electronic, paper and invoice billing and rebilling tasks. The position requires excellent communication, customer service and...

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. PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period. Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up...