64 cpc certified professional coder jobs found in Gilbert, AZ

Centauri Health Solutions, Inc. in Tempe, Arizona, is seeking a skilled Risk Adjustment Coder to enhance healthcare data quality. This role requires certified professionals who can perform accurate coding and documentation improvements, working primarily with Medicaid lines. Candidates must possess a minimum of 3 years of coding experience with relevant credentials like CRC or CPC. The job offers comprehensive benefits, including medical coverage and a 401(k) plan with company match. #J-18808-Ljbffr

Specialist - Concurrent Coding / Inpatient CoderFull-timeCompany DescriptionAccounting and Finance/HealthcareJob DescriptionSpecialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258Exp 2-5Degree AssociatesJob Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves...

Job Summary The dermatology insurance A/R biller and coder at Arizona Center for Cancer Care (AZCCC) is responsible for translating clinical documentation into accurate billing codes and managing the revenue cycle from claims submission through payment collection. This role reports to the Dermatology Billing Lead and works closely with them and fellow team members to ensure accurate charge capture, timely and clean claims submission, effective denial resolution, and healthy accounts receivable performance. This role may be performed remotely or in-office. Duties and responsibilities Reviews provider documentation to assign accurate CPT and ICD-10 codes for visit types ranging from routine skin checks to biopsies, excisions, Mohs micrographic surgery, cryotherapy, and cosmetic procedures. Applies correct modifiers to reflect multiple procedures performed in a single visit, in accordance with payer and coding guidelines. Query providers for clarification when...

Specialist - Concurrent Coding / Inpatient Coder Full-time Company Description Accounting and Finance/Healthcare Job Description Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as...

DutiesDistributes and balances the workload among employees in accordance with established work flow or job specialization, assures timely accomplishment of the assigned workload, and assures that each employee has enough work to keep busy.Assigns the appropriate ICD-10 codes for all diagnoses and surgical procedures as required and documented by the provider for outpatient visits. Assures that diagnoses are sequenced appropriately.The incumbent works with computerized information systems including an electronic health record, encoding software, the Internet and other software applications. Has the ability to research coding issues and follow official guidelines for coding selection and third party regulations.Abstracts and enters all data for coding, billing and GPRA indicators and CMS, JCAHO and governmental reporting purposes. Abstracts and enters all data into a computer system for statistical purposes, third party billing and continuity of patient care.Assist and educate...

Allied Health ProfessionalMajor duties include, but are not limited to:Utilize computer applications with varied functions to produce a wide range of reports, to abstract records, and review assigned codes.Perform audits of encounters to identify areas of noncompliance in coding.Facilitate improved overall quality, completeness, and accuracy of coded data.Works with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective action.Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete...

Revenue Cycle Medical CoderCentral Avenue - Phoenix, AZ 85012OverviewPosition Type: Full Time Job Shift: Day Shift Education Level: High School Diploma/GED Travel Percentage: In-Office Category: Accounting/FinanceDescriptionTerros 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.HOPE ~ HEALTH ~ HEALINGTerros Health made the list!!"Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media.The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review,...

Quality Assurance Coder/Auditor 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 for provider education. The Quality Assurance Coder/Auditor will perform medical record reviews...

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...

Banner Health is seeking a Profee Coder with at least 1 year of Primary Care coding experience to join a high-volume, remote team. You will code for primary care visits, including HCC and annual/physical exams, from a home office. Remote work is available in a wide list of states, with flexible scheduling after training and an 8-hour shift window (AZ time). Ideal candidates hold active CPC/CCS/CCS-P/CCA/CPC-A/RHIA/RHIT credentials through AHIMA or AAPC, with at least 6 months of production #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. 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);...

American Vision Partners in Phoenix, Arizona, is searching for a Certified Coder responsible for assigning ICD-10 diagnoses and CPT procedure codes. The ideal candidate will have 5+ years of medical billing or coding experience and relevant certifications. You will work to ensure accuracy in patient billing, optimize revenue opportunities, and follow CMS guidelines. The position offers extensive benefits including medical insurance, child care assistance, and opportunities for growth. #J-18808-Ljbffr

Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com . Follow @abbvie on X , Facebook , Instagram , YouTube , LinkedIn and Tik Tok . Job Description This role is field-based, and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability to maximize short and long term sales performance placing...

Overview As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. Responsibilities Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis Reviews physician notes and charts for accuracy Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed Identifies and optimizes revenue opportunities Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers Posts, produces and sends all charges for invoice vendors Adheres closely to...

White Mountain Regional Medical Center is hiring a Coder. This staff position is responsible for converting diagnoses and treatment procedures into codes using ICD-10-CM. The coder will collaborate with health-care team members and ensure compliance with coding standards. A High School Diploma or equivalent and relevant certifications are required, along with two years of experience in a healthcare setting. Full-time position with a commitment to patient-centered care and continuous improvement. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Primary City/State: Virtual - Arizona Category: Health Information Shift: Day Department: Coding Outpatient Coder I Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area. Job Summary Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance. Essential Functions Inpatient: * Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within...

Lead Medical Records Technician (Coder) This position is under the HIM Department of the Phoenix Indian Medical Center in Phoenix, Arizona. The incumbent serves as the Lead Medical Records Technician (Coder) performing a full range of coding, assigning ICD-10-CM, CPT/HCPCS codes; abstracting records; chart analysis; peer review. Incumbent will report directly to the Supervisory Health System Specialist (Coding Supervisor). A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

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 escalates coding/denial trends and provider education...

Job Description Job Description Overview As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. This role is not a remote based position. Responsibilities Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis Reviews physician notes and charts for accuracy Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed Identifies and optimizes revenue opportunities Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as...

TTF is recruiting for an ONSITE Outpatient Coder for a well-respected healthcare organization inCentral Phoenix. This is a full-time,Monday-Friday position offering a competitive salary range with the possibility of working remotely after training. Qualified candidates will have 3+ years’ experience Coding in an outpatient setting. Candidates must also have a CPC or CCS certification from AAPC. TTF is an equal opportunity employer. #J-18808-Ljbffr

TTF Search and Staffing is recruiting an onsite Outpatient Coder for a well‑respected healthcare organization in Central Phoenix. This is a full‑time, Monday‑Friday position offering a competitive salary range with the possibility of working remotely after training. Qualified candidates will have 3+ years’ experience coding in an outpatient setting. Candidates must also have a CPC or CCS certification from AAPC. TTF is an equal opportunity employer. #J-18808-Ljbffr

Job Overview The Coder position is a staff position responsible for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Through collaboration with all members of the health‑care team, it supports a patient‑centered culture and gains knowledge and skills to further the practice of the quality of patient services provided at WMRMC. Under the direction of the Revenue Cycle Director, the coder may be required to exercise independent judgment in applying knowledge required to facilitate the processes of health information management. Responsibilities Encode diagnoses and procedures using ICD‑10‑CM, collaborate with health‑care team members, apply independent judgment in coding processes, and ensure accuracy and compliance with coding standards. Education High School Diploma or Equivalent. Required Experience 2 years clerical experience in a healthcare environment 2 years coding experience in a hospital environment Basic...

Savista, LLC helps healthcare providers improve revenue cycles while maintaining excellent patient care. The Pro Fee Coder reviews clinical documentation to assign ICD-10 and CPT/HCPCS codes for hospital and physician billing, supporting accurate reimbursement. As a coder, you will validate APC calculations, abstract data, and interact with client staff. You’ll stay current with coding guidelines and participate in ongoing education and client meetings. #J-18808-Ljbffr