- Dignity Health (Phoenix, AZ)
- …have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines Certified Professional Coder (CPC), Certified Coding Associate (CCA), ... **Job Summary and Responsibilities** The Coder II reviews and processes complex specialty clinic...when encounters lack clear or missing documentation in the medical record. + As needed, provides education to Physicians… more
- Baylor Scott & White Health (Phoenix, AZ)
- …data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and ... abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of...+ Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified… more
- Health Advocates Network (Phoenix, AZ)
- …**Responsibilities of the OB/GYN Coder ** - Assign ICD-10 and CPT codes to medical records and accounts - Complete coding and auditing for all accounts on ... ** - 3+ years of recent OB/GYN coding experience required - Certified Professional Coder (CPC) certification required - High school diploma or GED required -… more
- Datavant (Phoenix, AZ)
- …experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... while certified . + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
- Datavant (Phoenix, AZ)
- …urology, pacemaker/AICD, Trauma, plastic surgery. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...future of healthcare from your own workspace! Preferred: SDS/OBV Coder . EPIC and 3M360 experience a plus. Observation coding… more
- Datavant (Phoenix, AZ)
- …procedural codes using ICD-10-CM and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records , ensuring precision and adherence to ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...Stand Out:** + Associate or Bachelor's degree from an AHIMA- certified HIM or Nursing Program, or completion of a… more
- CVS Health (Phoenix, AZ)
- …and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ... + Performs other related duties as required. **Required Qualifications** + CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding… more
- Molina Healthcare (Phoenix, AZ)
- …and ability to learn new programs. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... necessity and appropriate/accurate billing and claims processing. * Validates member medical records and claims submitted/correct coding to ensure appropriate… more
- Molina Healthcare (Phoenix, AZ)
- …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified ... documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying advanced clinical… more
- Datavant (Phoenix, AZ)
- …software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records , utilizing ICD-10-CM, CPT, and appropriate coding references ... for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need...HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary… more
- Datavant (Phoenix, AZ)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code ... of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H,… more
- CenterWell (Phoenix, AZ)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Surprise, AZ)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Molina Healthcare (Phoenix, AZ)
- …setting. * Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina ... to determine appropriate appeals and grievance outcomes. * Requests and reviews medical records , notes, and/or detailed bills as appropriate; formulates… more