- Fresenius Medical Center (Mesa, AZ)
- **PURPOSE AND SCOPE:** The Coder performs data entry processing within the assigned function(s). The incumbent is responsible for applying appropriate diagnostic and ... for utilization in data retrieval, analysis and claims processing. The Coder provides administrative support in the interpretation and explanation of data… more
- Datavant (Phoenix, AZ)
- …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 you to ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
- CenterWell (Phoenix, AZ)
- …Leaders to identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying business ... leaders to identify operational issues that impact clinician and coder performance. + Facilitate meetings with key partners, including...of management experience + 8 or more years of Medical Coding, IPA, or similar experience + Medical… more
- CVS Health (Phoenix, AZ)
- …it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with ... coding practices through a comprehensive record review for medical , behavioral, transportation and other healthcare providers. The CPC...Coder (CPC) - 3+ years of experience in medical coding or documentation auditing. - Strong knowledge of… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Senior Coder (Sr. Coder ) acts as a lead coder for their designated team. This position will train staff on department policies, ... procedures, systems and correct coding requirements. The Sr. Coder additionally will audit Coders, fill in for out-of-office Coders, and make recommendations to… more
- Datavant (Phoenix, AZ)
- …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 you to ... Experience with Epic, 3M360 experience preferred. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + Assign and… more
- Molina Healthcare (Scottsdale, AZ)
- …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- Highmark Health (Phoenix, AZ)
- …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years… more
- Baylor Scott & White Health (Phoenix, AZ)
- …coding and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer applications, group ... Specialist (CCS) Certified Coding Specialist Physician-based (CCS-P) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient… more
- Banner Health (Phoenix, AZ)
- …Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director, Network Performance is a senior clinical executive responsible for ... leadership, enterprise collaboration, and credible clinical engagement, the Senior Medical Director will ensure Banner's network strategy consistently delivers… more
- Surgery Care Affiliates (Phoenix, AZ)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... and objectives. + Coordinates billing/coding/implant logs and pathology reports with coder and biller. + Monitors on-site business office timesheets for payroll… more
- Intermountain Health (Phoenix, AZ)
- …plans, documentation of required touch bases. 4. Monitor staffing levels, coder productivity, quality assurance audits, and adherence to departmental protocols and ... Coding Manger(s) and other departments as needed to meet Medical Group objectives and goals. 7. Adherence to departmental...diploma or equivalent * Required - CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist - Physician) *… more
- Molina Healthcare (Scottsdale, AZ)
- …and implementation of the DRG validation program. Responsible for auditing inpatient medical records and generating high quality claims payment to ensure payment ... integrity. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Ensures… 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 (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
- Molina Healthcare (Scottsdale, AZ)
- …for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and ... medical records to document relevant findings of a post...registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree… more
- Highmark Health (Phoenix, AZ)
- …and accounts; Review claims and supporting documentation to verify the legitimacy of medical and drug claim charges; Work with external vendors to recover confirmed ... **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Professional Coder (CPC) **SKILLS** + Demonstrated proficiency in using Excel and Word… more
- Datavant (Phoenix, AZ)
- …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its...vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible… more
- Intermountain Health (Phoenix, AZ)
- …hire. Plus one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or ... related experience in revenue cycle operations in an acute and medical office. **Preferred** Hospital Billing/Coding experience Bachelors Degree Proficiency in EPIC… more
- Banner Health (Phoenix, AZ)
- …programs to support insurance programs for the employed and independent medical staff; provide consultative risk management assistance to providers and management. ... Certified Facility Manager (CFM); Certified Coding Specialist (CCS); Certified Professional Coder (CPC); **JD from an American Bar Association accredited school;… more