69 cpc certified professional coder jobs found in Phoenix, AZ

Job Summary And Responsibilities As our Payment Recovery Specialist, you will accurately review records for coding errors and correct diagnostic and procedural codes in billing system for the purpose of reimbursement utilizing ICD-10-CM, CPT, HCPCS, and proper modifiers. Job Summary And Responsibilities As our Payment Recovery Specialist, you will accurately review records for coding errors and correct diagnostic and procedural codes in billing system for the purpose of reimbursement utilizing ICD-10-CM, CPT, HCPCS, and proper modifiers. Every day, you will analyze and interpret complex data. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. You must be able to identify and communicate payer and/or system trends to Management. Maintains thorough knowledge of payer contracts, regulations and guidelines, as well as state and federal laws relating to billing and collection...

Medical Records TechnicianReviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered.Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided.Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment.Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Join The Indian Health ServiceMake a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply.A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

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...

Blue Cross Blue Shield of Arizona seeks a Quality Assurance Coder/Auditor to lead risk mitigation education for primary care providers and staff. You will review records, identify at-risk HCCs, and suggest coding improvements based on Medicare guidelines. The role requires CCS-P/CRC/CPC/COC credentials, 5+ years in coding with HCC, and 2+ years auditing; hybrid role within Arizona, standard 40 hours weekly, with ongoing education duties. #J-18808-Ljbffr

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,...

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...

Quality Assurance Coder/AuditorThe 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 and...

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,...

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...

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...

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...

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...

Signature Performance is seeking a Medical Coder for a remote, nationwide opportunity. The role focuses on accurate Evaluation and Management (E/M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding across encounters, with emphasis on documentation review and compliant coding practices. The candidate will review records, assign codes, ensure proper sequencing for DRG/APC determination, and support data accuracy for billing and reporting. #J-18808-Ljbffr

Dignity Health Medical Group is seeking a Payment Recovery Specialist to review records, correct codes, and optimize reimbursement using ICD-10-CM, CPT, HCPCS and modifiers. You will analyze complex data daily, ensure compliance with coding standards and healthcare regulations, and communicate payer trends to Management. This role supports accurate billing and timely payment within our DHMG network. Join a values-driven team at DHMG that champions compassionate care and professional growth in a #J-18808-Ljbffr

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

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...

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...