76 cpc certified professional coder jobs found in Phoenix, AZ

Clinical Fraud Audit Specialist - Remote Arizona HealthCare Support is actively seeking a Clinical Fraud Audit Specialist - Remote Arizona to fill an opening in Phoenix , Arizona . Daily Responsibilities for Clinical Fraud Audit Specialist - Remote Arizona: Conduct in-depth clinical and claims reviews using benefit plans, medical policies, claims systems, member enrollment information, provider contracts, and other relevant resources. Analyze claims and determine appropriate resolution in accordance with department policies and applicable state and federal requirements. Identify and monitor claims trends that may indicate educational opportunities, policy or guideline updates, referrals, or potential fraud, waste, and abuse. Monday to Friday 8AM - 5PM Required Qualifications for Clinical Fraud Audit Specialist - Remote Arizona: 1-2 years of related medical coding, auditing, or clinical experience. Associate degree, post-high-school nursing...

Mt. Graham Regional Medical Center is seeking an experienced Inpatient Medical Coder to review medical records, assign accurate ICD-10-CM/PCS and CPT-4 codes, and ensure correct DRG/APC outcomes. The role emphasizes accuracy, compliance, and efficient data abstraction for hospital and professional charges. Candidates should have 5+ years of inpatient coding experience, a relevant credential (AAPC/AHIMA), and strong communication skills. #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...

Certified Coder Payment Recovery SpecialistInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.The posted compensation range of $24.33 - $36.19 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.Job Summary and ResponsibilitiesAs our Payment Recovery Specialist, you will accurately review records for coding errors and correct diagnostic and...

Certified CoderAt 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 nation's 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...

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 nation's 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...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and...

Duties Distributes 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...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service,...

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...

The CORE Institute in Phoenix, Arizona, is seeking a skilled Medical Coder to ensure accurate coding based on patient records. Candidates should have a High School Diploma, AAPC/AHIMA certification, and 2-3 years of coding experience. This role involves reviewing documentation, assigning medical codes, and collaborating with healthcare professionals to maintain accuracy and compliance. Attention to detail and effective communication skills are vital for success in this position. #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...

Atlas Healthcare Partners Job PostingAtlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and Results.In addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package. We look forward to you being a vital part of our journey in shaping the future of healthcare.Position SummaryEvaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines.Essential...

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Applies coding principals consistent with government regulatory standards, payer specific guidelines, and company policy. Codes complex office, surgical and hospital professional charge for assigned providers. Reviews all ICD, E&M, CPT, and HCPCS codes to ensure...

Fully Remote Lake Park Building Full time R180277 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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Why Work for MGRMC? Why should you want to work for MGRMC? You want a positive work environment and a dedicated group of co‑workers! As one of the largest employers in Graham County, MGRMC has both the stability that comes with success and the values you can be proud to represent. MGRMC offers a stable career option in a rural area having opened our doors in 1973. Your journey with us began the moment you made the choice to seek a career with MGRMC. Whether you are just beginning your career or your career pathway that has spanned 30 years, MGRMC may offer you a rewarding career option. Position Summary Under the general supervision of the Coding Manager, review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate...

Position Summary Under the general supervision of the Coding Manager, The Outpatient Coder is responsible for accurately coding data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives for Hackensack Meridian Health (HMH). Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate. This position must be proficient in Profee coding, and regulations. Required Qualifications Must be at least 18 years of age. Proof of highest level of education completed but not less than high school education or equivalent. 3 yrs of Profee coding. An AAPC or AHIMA certification to include CAH-BS, CCS, CPC, or CIC. At least 2 years of active coding experience in: Facility Outpatient Coding,...

Where You'll Work Hello Humankindness Where Your Passion Meets Purpose: Join Dignity Health Medical Group Are you a healthcare professional who believes that every patient deserves not just treatment, but unwavering compassion? Do you envision a world where healthcare isn't just a service, but a fundamental right, delivered with integrity and innovation? If so, then Dignity Health Medical Group (DHMG) is where your career finds its true calling. At Dignity Health Medical Group, you're not just filling a role; you're becoming an architect of healthier communities. We are the employed physician group of Dignity Health Arizona, and our success isn't just measured in numbers, but in the lives we touch and the advancements we champion. Here's what sets us apart and why you belong with us: Impact that Resonates: You'll be part of a team delivering comprehensive clinical services, making a tangible difference in the lives of countless individuals. From cutting-edge...

Medical Coder Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle 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. This Coder will be supporting very busy providers/surgeons in our non-academic and academic arena. Ideal candidate would have 6 months of coding experience preferably in Oncology but someone with coding experience in the following areas can do well; ie. General Surgery, GI, Urology. Location: REMOTE, Banner provides equipment Schedule: Full time; Training 8am-5pm AZ time. Flexible scheduling after training completed. Ideal Candidate: Minimum 6 months recent experience in E/M coding (clearly reflected in your attached resume); Oncology...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...

Job Description Job Description Job Summary GeriPro Inc. is a Long Term Care billing service located in Phoenix, AZ 85022, specializing in Part B reimbursement primarily for Medicare and Medicare Advantage Plans. Full training is provided. This is a full-time, Monday-Friday, in-office position. Job Description: Create claims for billable services according to Medicare Reimbursement Guidelines Review claims for completeness Maintain communication with management Coding up to $200,000 in insurance claims every month Preferred Requirements: Experience reviewing medical records Minimum keyboarding 50 WPM, 10-key 10,000 KPH Computer savvy with ability to move between programs and multiple spreadsheet tabs with ease Accustomed to heavy screen time Analytical thinking with attention to detail Good communication skills are essential Ability to work independently while focusing on group’s monthly objectives Potential candidates include: LTC CNA’s Medical records...

Coder position at Dignity Health Medical Group in Phoenix, AZ translates clinical documents into standardized codes for diagnoses and procedures, ensuring accurate billing and regulatory compliance. You will collaborate with providers to clarify documentation and support timely claims processing. The role requires a HS diploma or GED, 1 year of professional fee coding experience, and CPC/CPC-HA/CPCA/CBCS certifications. #J-18808-Ljbffr