- Abbott (Tucson, AZ)
- …branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist , CPT - Tucson, AZ** **Working at Abbott** At ... the pain continuum. **The Opportunity** Our team is actively recruiting for a ** Clinical ** ** Specialist I, CPT ** **in** **Tucson, AZ** . As a member of… more
- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT , and appropriate coding references for accurate DRG and APC assignment. +… more
- Banner Health (AZ)
- …daily goals are met with extreme accuracy and speed. In this **Sr Charge Capture Specialist ** role you will use your attention to detail to audit and discover areas ... from the CBO or HIMS. As assigned shares this information with clinical charging staff. 2. Reviews patient records, dictated report(s), physician/provider notes.… more
- Banner Health (Phoenix, AZ)
- …academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly ... a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the...needed for the payor authorization and the facility or specialist prior to the services being rendered. The position… more
- Datavant (Phoenix, AZ)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...State Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word,… more
- Children's Clinics (Tucson, AZ)
- …same day appointments + Reviews patient information including diagnosis ICD10 codes, CPT codes and submits authorization request and all required documentation to ... meeting timely standards to include data-entry, coordination with offsite providers and clinical staff for scheduling and communication of status and requests +… more
- Sonora Quest (Phoenix, AZ)
- …management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional development to ... or in a healthcare setting. + Comprehensive knowledge of ICD-10 coding, CPT coding, HCPCS coding, modifiers, and government and commercial payer guidelines. +… more
- Banner Health (Sun City, AZ)
- …of service. Using a broad understanding of customer engagement strategies, clinical procedures, and company facilities, this position provides accurate and timely ... medical record/scheduling software systems according to protocols established by clinical staff and scheduling standards. Identifies alternative scheduled solutions… more
- Sonora Quest (Phoenix, AZ)
- …experience of Microsoft Excel. **PREFERRED QUALIFICATIONS** + Extensive knowledge of clinical laboratory operations. + Five (5) years' of medical billing/insurance ... related experience. + Comprehensive knowledge of ICD-10 coding, CPT coding, HCPCS coding, modifiers, and government and commercial payer guidelines. + Advanced… more
- Molina Healthcare (Scottsdale, AZ)
- …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal...* Experience demonstrating knowledge of ICD-9, Current Procedural Technology ( CPT ) coding and Healthcare Common Procedure Coding (HCPC). *… more
- Molina Healthcare (Mesa, AZ)
- …records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- Banner Health (Mesa, AZ)
- …satisfaction results. POSITION SUMMARY This position evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and ... codes, MS-DRGs, APCs, POAs and reconciliation of charges. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more