58 jobs found

SUMMARY: Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital's policies and procedures. Supports TMCH's management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS: Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic and procedural data. Utilizes the 3M 360, CAC (Computer Assisted Coding), Epic, and any other necessary applications for proper coding, ensuring accuracy. Ensures that the medical...

Job Description Job Description Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Profee Hospitalist Coding Specialist. We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com Job Summary: The Coding Specialist is responsible for timely, accurate and comprehensive abstraction of physician services from the medical/record by utilizing knowledge of industry standard ICD-10 CM and and ICD-10 PCS coding, with FQHC experience. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner', recognizing the coding role in the patient experience. Primary/Essential functions: Utilizes technical coding expertise to review the medical record thoroughly, utilizing all...

If you are caring, someone who likes to do a good job and wants to work for an employer who values these same traits, then CVRMC wants you for the position as a CoderHigh School diplomaAssociate's Degree in Medical Records Technology or the equivalent in work experience.Courses in Medical termin...

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. Compliance Auditor Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. CBI is the premiere non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona, including prevention, education and treatment using cutting-edge, nationally recognized, evidence-based models. Job Summary...

Are you a coding expert who loves diving into medical records and making sure everything's accurate? We're looking for a passionate Inpatient/Outpatient Coder to join our client's team and keep their coding system running like clockwork. Whether it's hospital stays or clinic visits, you'll use your skills to assign ICD-10, CPT and HCPCS codes that ensure correct billing and compliance. Inpatient/Outpatient Coder Responsibilities: Review inpatient and outpatient records to assign accurate ICD-10, CPT and HCPCS codes Ensure compliance with industry standards and regulations, including Medicare and Medicaid guidelines Collaborate with healthcare providers and clinical teams to clarify documentation and resolve coding issues Conduct regular audits to verify coding accuracy and identify any discrepancies Stay up to date on coding changes, regulations and guidelines to keep processes current Inpatient/Outpatient Coder Requirements: 2+ years of...

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) 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...

Ajilon - JobID: 237A4C42-25BF-41CA-86F9-56A5E3ED69BD [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 >>

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, *WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! 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...

Join Our Life-Saving Team in Phoenix, AZ and take advantage of a sign-on bonus up to $7,500 - this offer won't last long! Apply today! Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our Patient Financial Services team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe. As a Follow Up & Collections - Billing Specialist III, you'll collaborate with some of the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in...

Position Summary: Responsible for the day-to-day billing functions of the facility in accordance with current acceptable cost reimbursement principles relating to health care as directed by the Administrative Director or Physicians. Essential duties and responsibilities include, but are not limited to, the following: •Charge Processing -Ensuring all billing documents are accurately processed in a timely manner •Claims Reconciliation- Resolve all electronic claims rejections and verify carrier receipt •Denial Management- Track and trend denials which include zero payments and incorrect payments •Charges Audits- Perform audit during charge entry and weekly •Patient Follow-up- Perform pre-collection activities •Patient Billing Inquiries- Assist patient with understanding their benefit and out-of-pocket responsibility •Insurance Carrier File Maintenance- Enter and update insurance codes in Allscripts PM •Medical Records Requests- Process requests for records from insurance plans...

Job Title: Remote Billing Specialist (Must Reside in AZ) Location: Phoenix, AZ (Remote with occasional onsite) Industry: Healthcare/Behavioral Health Pay: $18-$20 per hour About Our Client: Our client, a well-established healthcare organization in Phoenix, AZ, is seeking two Remote Billing Specialists to join their team. This is a 3-month contract position with the potential for top performers to be considered for permanent roles. The organization has a strong reputation for growth and internal advancement opportunities. Job Description: The Remote Billing Specialist will support the billing department by handling front-end billing tasks, processing a high volume of claims daily, and participating in special projects related to the organization's recent acquisition. This position requires working with NextGen software and handling over 55 claims per day. Key Responsibilities: Manage front-end billing processes efficiently and accurately. Handle over...

Community Health Services is seeking a Medical Biller to assist with the daily patient billing processes for Medicare, Medicaid, and commercial insurance claims related to clinic services, utilizing the Practice Management System. The ideal candidate Biller, Medical Biller, Medical, Billing, Healthcare, Claims, Payment

Salary: $18.68 - $23.82 Hourly Location : Prescott, AZ Job Type: Full Time - Non Exempt Job Number: 202500063 Department: Community Health Services - CHS Opening Date: 02/26/2025 Closing Date: Continuous Role Community Health Services is seeking a Medical Biller to assist with the daily patient billing processes for Medicare, Medicaid, and commercial insurance claims related to clinic services, utilizing the Practice Management System. The ideal candidate will possess experience working in a Federally Qualified Health Clinic. Review Medical Biller class specification Major Duties, Responsibilities Enters and adjusts patient and billing information on a timely basis in order to meet month end processing, billing deadlines, and statement cycles. Research charge issues and calls insurance companies to be able to make final decisions on how to process a claim. Answers incoming telephone calls and assists both patients and insurance companies with various...

Job Description Job Description Overview The Coder 3 electronically records, stores, and reports on reams of data. Responsible for coding the following service types, based on department and assignments. Facility HIM: Inpatient, outpatient, emergency room, and outpatient clinical. Ambulatory: Coding and auditing professional inpatient, outpatient, emergency and clinic. Coders will need to apply a broad knowledge of procedure coding, diagnosis coding, medical terminology and anatomy/physiology. Hospital Coder Proficiency: ICD-10 PCS/DRG/CPT/HCPCS/ICD -10 CM. Professional Coder Proficiency: CPT/HCPCS/ICD-10/CM. NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: Alabama Arizona Arkansas Florida Georgia Idaho Indiana Kansas Michigan North Carolina New Mexico Ohio Oklahoma Pennsylvania South...

Job Description Job Description Overview The Coder 2 electronically records, stores, and reports on reams of data. S/He is responsible for coding of encounters which may include: outpatient, emergency room, and professional services. Coders will need to apply a broad knowledge of procedure coding, diagnosis coding, medical terminology and anatomy/physiology. Coder Proficiency: CPT/HCPCS/ICD-10 CM Responsibilities Communication * Works in collaboration with physicians, in tracking un-coded charts and identify opportunities to properly complete coding assignments. * Works closely with provider and clinical staff to ensure proper charge capture, sufficient documentation and proper code assignment. * Mentors and trains other coders in the department. Data integrity * Review medical record to abstract proper code assignment. * Assign ICD-10 CM/PCS codes to outpatient, emergency room, and professional services. * Apply accurate procedure coding, diagnosis coding,...

Navajo Preference Employment Act : NAVAJO/INDIAN PREFERENCE TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law and applicable federal law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation, Hopi Tribe, and San Juan Southern Paiute Tribe and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position. Applicants who are legally married to an enrolled member of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe, who have resided within the territorial jurisdiction of the Navajo Nation or other federally-recognized American Indian Tribe for at least one continuous year immediately preceding the date of application, and who meet the necessary qualifications for this position will be given secondary preference. Applicants who are enrolled members of any other federally-recognized...

Job Type Full-time Description Preferred: Local candidates with Arizona residency, having a good working knowledge of Arizona insurances General summary of duties: Responsible for assisting the Billing Manager with the full revenue cycle of the organization including coding, billing, charges, denials, adjustments, and reimbursements. Supervision received: Reports to Billing Manager Education: CPC certification required. BS or equivalent preferred Pay: DOE (Depending on Experience) Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. Interact with and...

Job Description Job Description Become part of Arizona Community Physicians (ACP), Arizona's largest and most successful physician-owned medical group. ACP is a patient-centered organization consisting of over 900 employees. Our group includes 180 providers in the specialties of family medicine, internal medicine, geriatrics, pediatrics, endocrinology, rheumatology, dermatology, and gynecology. We are located in 54 locations of varying sizes in Tucson, Oro Valley and Green Valley. Our dynamic group offers lots of opportunities for professional growth and personal satisfaction. Job Summary Perform chart audits for multiple providers using expertise in ICD-10, CPT and HCPCS coding, Medicare guidelines and RAF and HCC identification. Minimum Qualifications Education: CPC certification is required. The coder is expected to enroll in continuing education courses to maintain certification. Work Experience: Two years of coding experience using ICD-10 or equivalency. Two years...

Oasis Certified Medical Coder Job Type: Full-time Location: On-Site Job Description: Dependable Home Health is seeking a highly skilled and dedicated Oasis proficient Medical Coder to support our team. The ideal candidate must have a deep understanding of medical coding with an emphasis on Oasis guidelines. As a home health medical coder, you will be responsible for reviewing patient records to ensure accurate coding for billing. As an OASIS auditor you will be responsible for reviewing patient assessments for accuracy and compliance per guidelines. Responsibilities: Perform quality assurance of the Outcome and Assessment Information Set (OASIS) to ensure the gathered data is accurate. Assure adequate individualized care plans have been developed based on clinical assessment findings. Ensuring compliance with regulatory requirements and agency policies and procedures. Participating in quality improvement initiatives to enhance patient outcomes and satisfaction....

Position Summary: Analyzes, codes, abstracts, and compiles medical records of patients to document patient condition and treatment largely for billing purposes by performing the following duties personally. Responsible for ensuring that all critical tasks are fulfilled on a timely basis. Critical Tasks: Ensures and requires that all data and information received for coding and input from providers is fully accurate, and notifies submitters if corrections are required. Accurately abstracts and codes diagnoses, treatments and procedures from health records by using appropriate classification systems, standards, and procedures. Utilizes and maintains continually updated knowledge and understanding of Current Procedural Terminology, Healthcare Common Procedure Coding, and International Statistical Classification of Diseases. Prepares fully accurate statistical reports required by legal, accrediting, licensing and regulatory authorities as well as by payers. Assigns patient...

Company Intro: At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nations largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...

Overview: Hybrid position working in Physician Billing 30 day on-site training Other days working some remote and some in office or attending meetings based on business need. Must reside in the greater Phoenix metro area. Looking to be part of something more meaningful? At HonorHealth, youll be part of a team, creating a multi-dimensional care experience for our patients. Youll 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. Lets go beyond expectations and transform healthcare together. HonorHealth is one of Arizonas largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix...

Overview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Responsibilities: *Please note: this is a per diem role for Outpatient Diagnostic Coding with the opportunity to cross train in other Facility Clinic & Professional Fee areas. The Senior Coder (Sr. Coder) acts as a lead coder for their designated team. This position will train staff on department policies, procedures,...

ESSENTIAL FUNCTIONS Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objective. Essential functions are critical or fundamental tot he performance of the job. They are major functions for which the person in the job is held accountable. reasonable accommodation's may be made to enable individuals with disabilities to perform the essential functions. Audit alpha, numeric or symbolic data from the EMR for patient billing purposes using knowledge of CPT and ICD-10 codes. Research and query coding and documentation discrepancies. Compiles, shorts and prioritizes audits based on dates of service. Remains current on the specific data requirements as dictated by various government and private insurance carriers. Ensures strict confidentiality of patient records. Develops productive working relationships with co-workers by exhibiting honesty, tact, respect and flexibility in order to meet department...