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JobsJobs in ArizonaJobs in Chandler, AZHealthcare Jobs in Chandler, AZMedical Billing and Coding Jobs in Chandler, AZCoding Jobs in Chandler, AZ
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Coding Jobs in Chandler, AZ

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    Vaco LLC logo

    Senior .Net Software Engineer Vaco LLC

    Senior .Net Software Engineer
    Tempe, AZ
    • $130,000–$150,000 / year

    Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.

    12 days ago
    Kforce Inc. logo

    Staff Engineer (Agentic AI) Kforce Inc.

    Staff Engineer (Agentic AI)
    Phoenix, AZ
    • $130,000–$190,000

    Strong background in data engineering and architecture for AI-ready data-skilled in curating, chunking, enriching, and governing unstructured and semi-structured corpora for LLM consumption; Hands-on experience with vector databases (e.g., pgvector, Elastic Search), hybrid search, reranking, knowledge graphs, and embedding strategies for high-quality retrieval. Work closely with Solution and Enterprise Architects to develop solution architectures that integrate LLMs, agent frameworks, and AI services into the broader enterprise system, ensuring alignment with Enterprise Architecture principles and non-functional requirements (security, scalability, resilience, token economics, and latency budgets).

    7 days ago

    HIM Coding Educator Valleywise Health

    HIM Coding Educator
    Phoenix, AZ
    • $30.37–$44.80 / hour

    Experience: Must have minimum of five (5) years of progressively responsible healthcareacute care coding, that involves both inpatient and outpatient facility coding experience that demonstrates a strong understanding of the required knowledge, skills and abilities. Hourly Rate:$30.37 - $44.80 Qualifications Education: Requires an associates degree in Health Information Management or related field; or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.

    30+ days ago

    Audit and Coding Consultant 78 HonorHealth Medical Group Support

    Audit and Coding Consultant
    Phoenix, Arizona

    Under the direction of senior leadership, the Audit and Coding Consultant audits, develops educational materials, educates providers and coders regarding coding/documentation guidelines. ESSENTIAL FUNCTIONS Ensure appropriate methodology to include financial controls, identification of trends and unusual patterns, reimbursement deficiencies, and to improve processes.

    15 days ago

    Coding Quality Education Specialist Southwest Network Company Brand

    Coding Quality Education Specialist
    Phoenix, Arizona

    Provides targeted education, direct coaching, and facilitates training programs tailored to each medica specialty upon translating audit findings. Essential Functions: Audits charts and revies clinical records ensuring all diagnostic and procedural codes and modifiers strictly adhere.

    20 days ago
    CVS Health Corp logo

    Coding Data Quality Auditor CVS Health Corp

    Coding Data Quality Auditor
    AZ
    • $18.50–$38.82 / hour

    Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.

    7 days ago

    Scratch & Intro to Coding Teaching Opportunities Concorde Education

    Scratch & Intro to Coding Teaching Opportunities
    Phoenix, Arizona
    • $50–$100 / hour

    Some programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.

    9 days ago

    Coding Business Analyst II - Policy Review Centene Corporation Group

    Coding Business Analyst II - Policy Review
    AZ
    • $56,200–$101,000 / year

    Monitor, report on, and track regulatory, coding, and policy updates, ensuring timely implementation and communication of changes across impacted stakeholders. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience.

    7 days ago
    New

    Medical Billing and Insurance Coding Instructor (63823) International Education Corporation

    Medical Billing and Insurance Coding Instructor (63823)
    Phoenix, AZ

    To Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our campus.

    4 days ago
    New

    Medical Billing and Insurance Coding Instructor (63815) International Education Corporation

    Medical Billing and Insurance Coding Instructor (63815)
    Mesa, AZ

    To Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our campus.

    4 days ago

    Billing \u0026 Coding Spec - Lab Phoenix Children's Hospital

    Billing \u0026 Coding Spec - Lab
    Phoenix, AZ

    This position is responsible for prompt and accurate billing for all hospital laboratory and pathology professional billing services, including but not limited to, reviewing system error reports and resolution of billing exceptions, auditing of referral lab invoices, developing and maintaining reference testing 3rd party billing workflows, providing support for all clinical and anatomic pathology billing needs, and ensuring laboratory billing is current and appropriate for all testing. Develop internal audits and quality controls, in accordance with departmental policies, procedures, generally accepted accounting practices and all applicable laws and regulations, to certify all laboratory billing (in-house, send out, and Pathology professional practice (PCMG)) is in compliance with National and Local Coverage Determinations (NCD and LCD) policies.

    30+ days ago

    Coding Specialist, Pre-Service Healthcare Outcomes Performance Company

    Coding Specialist, Pre-Service
    Phoenix, Arizona

    Verifying the correctness of assigned codes, ensuring they align with coding guidelines and regulations, and identifying any discrepancies or errors. Communicating with physicians, clinical stakeholders and other teams such as surgical scheduling and authorization management to clarify any ambiguities in the documentation or coding.

    30+ days ago
    Blue Cross and Blue Shield Association logo

    Mgr/Sr Manager, Payment and Coding Policy- Hybrid Blue Cross and Blue Shield Association

    Mgr/Sr Manager, Payment and Coding Policy- Hybrid
    Phoenix, AZ

    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. Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building.

    30+ days ago

    Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture Plc

    Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321
    Scottsdale, AZ

    In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.

    30+ days ago

    Coding Specialist, Pre-Service The Center for Orthopedic and Research E

    Coding Specialist, Pre-Service
    Phoenix, AZ
    • Part time

    Verifying the correctness of assigned codes, ensuring they align with coding guidelines and regulations, and identifying any discrepancies or errors. Communicating with physicians, clinical stakeholders and other teams such as surgical scheduling and authorization management to clarify any ambiguities in the documentation or coding.

    30+ days ago

    Technology Engineer - JAVA/.NET/Security Code Review The PNC Financial Services Group Inc

    Technology Engineer - JAVA/.NET/Security Code Review
    Phoenix, AZ
    • $86,250–$158,125 / year

    In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.

    13 days ago
    PricewaterhouseCoopers LLP logo

    Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLP

    Managed Services - Revenue Cycle Coding - Senior Manager
    AZ
    • $124,000–$280,000 / year

    PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.

    30+ days ago

    Coding Instructor Code Ninjas

    Coding Instructor
    Phoenix, Arizona

    We are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.

    30+ days ago

    Life Safety Code Health Care Compliance Officer State of Arizona

    Life Safety Code Health Care Compliance Officer
    Phoenix, AZ

    Provide training and technical assistance to owners, administrators, directors, providers, and/or staff regarding state licensing/certification and CMS life safety requirements and corrections needed to attain compliance; take necessary actions, including legal, against providers found to be non-compliant with state statutes and rules. Life Safety Code Health Care Compliance Officer Job Location: Address: 150 N 18th Avenue Phoenix, AZ 85007 Posting Details: Salary: $57,750 Grade: 20 Job Summary: Responsible for accurate completion of inspections and complaint investigations, scheduling and prioritizing work assignments, document and form preparation, all within the established time frames.

    30+ days ago
    New

    TOA, EDUCATOR MENTOR / ADULT LEARNING COORDINATOR (BIOSCIENCE/PHOENIX CODING) 2026-2027 SCHOOL YEAR Phoenix Union High School District

    TOA, EDUCATOR MENTOR / ADULT LEARNING COORDINATOR (BIOSCIENCE/PHOENIX CODING) 2026-2027 SCHOOL YEAR
    Phoenix, AZ

    The Educator Mentor/ Adult Learning Coordinator is responsible for mentoring, coaching certified staff, researching, developing, implementing, recommending researched- based professional development resources and methodologies aligned to our District-wide strategic goals to improve student achievement. Serve as coach and mentor by making classroom visits, modeling demonstration lessons, team-teaching, and providing feedback, implement the site induction for new staff, and support for continual professional development of new and continuing staff/teachers.

    4 days ago
    New

    Senior Manager- Cyber Security Engineering (Architecture as Code creation and review for Data Security/ Encryption/ Secrets management/ Tokenization capabilities) American Express Co

    Senior Manager- Cyber Security Engineering (Architecture as Code creation and review for Data Security/ Encryption/ Secrets management/ Tokenization capabilities)
    Phoenix, AZ

    Working at the intersection of software engineering, security architecture, AI, and developer enablement, this role develops reusable frameworks, bootstrap code, reference implementations, engineering libraries, and AI-assisted development assets that improve engineering quality, accelerate delivery, and increase consistency across multiple development teams. The Technology organization enables and accelerates the company's growth strategies, delivering global capabilities and services in support of Amex's customers and colleagues, while maintaining 24/7 servicing and availability to ensure an uninterrupted, high-quality customer experience.

    6 days ago

    Code Inspector City of Tempe Arizona

    Code Inspector
    Tempe, AZ
    • $28.17–$41.53 / hour

    Represents the City in civil court, criminal court, board and commission hearings, and public meetings related to the enforcement of City Codes • Responds to public complaints arising from the enforcement of City Codes in a timely and professional manner • Attends community meetings, training sessions, and continuing education programs May perform responsibilities of a similar nature and level as assigned. Duties include, but are not limited to the following: • Carry out preventative enforcement and conduct field inspections; control assigned areas of the City to locate and observe violations of City Code including signs, zoning, nuisance, and health and safety violations.

    30+ days ago

    Security Testing Specialist - Code Review/Java, .NET, Python Developer The PNC Financial Services Group Inc

    Security Testing Specialist - Code Review/Java, .NET, Python Developer
    Phoenix, AZ
    • $91,000–$185,900 / year

    In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. Access Control (AC), Application Security, Application Security Code Review, Application Security Testing, Building Architecture, Customer Solutions, Disaster Recovery Planning, Information Security, Network Security, Physical Security, Risk Assessments, Security Technologies, Static Application Security Testing (SAST).

    13 days ago
    ADP logo
    New

    Workers' Compensation Auditor: Code & Compliance Expert ADP

    Workers' Compensation Auditor: Code & Compliance Expert
    Tempe, AZ

    The role requires collaboration with clients and stakeholders, expert knowledge of workers' compensation class codes, and the ability to resolve coding issues while maintaining compliance across states.#J-18808-Ljbffr. You will document reviews, analyze internal reports and carrier data, and ensure accurate code assignments for TotalSource client employees.

    Today

    Life Safety Code Health Care Compliance Officer Arizona Department of Administration

    Life Safety Code Health Care Compliance Officer
    Phoenix, Arizona

    Provide training and technical assistance to owners, administrators, directors, providers, and/or staff regarding state licensing/certification and CMS life safety requirements and corrections needed to attain compliance; take necessary actions, including legal, against providers found to be non-compliant with state statutes and rules. - Interpersonal relations as applied to contacts with providers and staff, representative of local and state governmental agencies, including Adult Protective Services, local police departments, local fire departments, consumers, media and the public.

    11 days ago

    Code Inspector I Gilbert Town Hall

    Code Inspector I
    Gilbert, AZ
    • $56,451.20–$81,868.80 / year

    2-3 years of related work experience, preferably in an enforcement field (investigative report writing and documentation, issuing citations, preparing courtroom documents). Be aware that submitting a resume in lieu of completing the employment history section of the application and failing to provide all the information requested in these supplemental questions will disqualify you from further consideration, so be thorough in answering the questions.

    11 days ago

    Medical Billing Assistant - Entry Level Vitalsearchgroup

    Medical Billing Assistant - Entry Level
    Phoenix, Arizona

    The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.

    19 days ago

    Medical Billing Specialist American Vision Partners

    Medical Billing Specialist
    PHOENIX, Arizona
    • Full time

    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. Responsibilities: MAIN: Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges.

    11 days ago

    Revenue Cycle Medical Coder (7179) Terros Health

    Revenue Cycle Medical Coder (7179)
    Phoenix, AZ

    Stay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices. Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment.

    30+ days ago
    GI Alliance logo
    New

    Medical Billing A/R Specialist (31952) GI Alliance

    Medical Billing A/R Specialist (31952)
    Glendale, AZ

    The Medical Billing & Accounts Receivable Specialist will play a critical role within our Revenue Cycle Management department by managing payer accounts, resolving claim issues, reducing outstanding accounts receivable, and ensuring accurate and timely reimbursement. Candidates with experience supporting Radiation Oncology revenue cycle operations, including familiarity with oncology-specific payer requirements, authorization workflows, coding, or reimbursement processes, will be particularly well positioned for success in this role.

    6 days ago

    Medical Claim Review Nurse Integrated Resources, Inc

    Medical Claim Review Nurse
    Phoenix, AZ
    Remote

    Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing ClientG/InterQual, state/federal guidelines, billing and coding regulations, and Client policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.

    8 days ago

    Hospital Billing Coordinator Deloitte Touche Tohmatsu Ltd

    Hospital Billing Coordinator
    AZ
    • $50,000–$60,000 / year

    Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    30+ days ago

    Clinical Bill Review Analyst Valenz

    Clinical Bill Review Analyst
    Phoenix, AZ
    Remote
    • Full time

    Vālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.

    11 days ago

    Certified Medical Claims Auditor Valenz

    Certified Medical Claims Auditor
    Phoenix, AZ
    Remote
    • Full time

    Vālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification.

    14 days ago

    Medical Billing Specialist - Follow up & Collections III/IV PHI Health

    Medical Billing Specialist - Follow up & Collections III/IV
    Phoenix, Arizona

    Understand insurance regulations and guidelines to include CMS guidelines in order to effectively discuss outstanding claims with payers related to slow payments, underpayments, denials and to ensure claims are processed compliantly and paid appropriately. Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience.

    30+ days ago
    CVS Health Corp logo

    Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health Corp

    Certified Professional Coder, Special Investigations Unit (Aetna SIU)
    AZ
    • $43,888–$93,574 / year

    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. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.

    7 days ago

    Certified Coder American Vision Partners

    Certified Coder
    PHOENIX, Arizona
    • Full time

    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. 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.

    7 days ago

    Optometric Technician West Point Optical

    Optometric Technician
    Gilbert, Arizona

    The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.

    28 days ago

    Ophthalmic Technician Pearle Vision

    Ophthalmic Technician
    Scottsdale, Arizona

    The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.

    30+ days ago

    Data Entry & Medical Records Specialist Arizona Department of Administration

    Data Entry & Medical Records Specialist
    Phoenix, Arizona
    Remote

    Processes claims that are pended (adjudicates); including requests medical documentation from providers, looks for consent forms, EOBs and Third Party Liability, reviews the history for duplicates or duplicate payments, identifies inappropriate billing patterns and forwards to appropriate unit, ensures medical documentation is included with submissions, supplements and links documentation, recoups and voids claims. The position requests medical documentation from providers, looks for consent forms, reviews the history for duplicates or duplicate payments, ensures the system is appropriately processing claims, and identifies inappropriate billing patterns, when are then reported to our audit unit or to the agency's Fraud Unit for review.

    30+ days ago

    Administrative Assistant/ Front Desk Medical Coordinator - Full Time RestorixHealth

    Administrative Assistant/ Front Desk Medical Coordinator - Full Time
    Chandler, AZ

    Responsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.

    25 days ago

    Claims Clinical Documentation Reviewer Arizona Department of Administration

    Claims Clinical Documentation Reviewer
    Phoenix, Arizona
    Remote

    Job Summary: Claims Clinical Documentation Reviewer reports to the Prepayment Program Manager and is responsible for reviewing clinical and/or supportive documentation, submitted by provider organizations, in support of billed medical, behavioral health, NEMT and other related Medicaid services by applying knowledge of healthcare State, Federal, and AHCCCS laws, policies, and practices. Monitor over and under service utilization, conduct prepayment claims reviews, provide oversight and technical assistance, gather, plan, organize and evaluate information from multiple sources, including utilization data, case file reviews and audits.

    30+ days ago

    Data Entry & Medical Records Specialist State of Arizona

    Data Entry & Medical Records Specialist
    Phoenix, AZ
    Remote

    Processes claims that are pended (adjudicates); including requests medical documentation from providers, looks for consent forms, EOBs and Third Party Liability, reviews the history for duplicates or duplicate payments, identifies inappropriate billing patterns and forwards to appropriate unit, ensures medical documentation is included with submissions, supplements and links documentation, recoups and voids claims. The position requests medical documentation from providers, looks for consent forms, reviews the history for duplicates or duplicate payments, ensures the system is appropriately processing claims, and identifies inappropriate billing patterns, when are then reported to our audit unit or to the agency''s Fraud Unit for review.

    19 days ago

    Claims Clinical Documentation Reviewer State of Arizona

    Claims Clinical Documentation Reviewer
    Phoenix, AZ
    Remote
    • $68,000–$71,032 / year

    Job Summary: Claims Clinical Documentation Reviewer reports to the Prepayment Program Manager and is responsible for reviewing clinical and/or supportive documentation, submitted by provider organizations, in support of billed medical, behavioral health, NEMT and other related Medicaid services by applying knowledge of healthcare State, Federal, and AHCCCS laws, policies, and practices. Monitor over and under service utilization, conduct prepayment claims reviews, provide oversight and technical assistance, gather, plan, organize and evaluate information from multiple sources, including utilization data, case file reviews and audits.

    30+ days ago

    Revenue Compliance Analyst Valleywise Health

    Revenue Compliance Analyst
    Phoenix, AZ
    Remote
    • $38.42–$56.67 / hour

    Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as: Medical, Dental, and Vision Plans Flexible Spending Accounts Paid Time Off and Paid Holidays Sick and Extended Illness Bank Why Youll Love Working With Us: Professional Growth: Valleywise Health is the largest teaching hospital in the valley. Experience: Must have a minimum of two (2) years of progressively responsible varied healthcare coding experience that demonstrates a strong understanding of the required knowledge, skills and abilities.

    29 days ago

    Practice Administrator Spectrum Medical Care Center

    Practice Administrator
    Phoenix, AZ
    • Full time

    Revenue Cycle Management In collaboration with the Finance team own revenue cycle performance, including charge capture, claim submission, payment posting, and denial management, with accountability for key RCM metrics including net collection rate, days in AR, denial rate, and clean claim rate. Partner with 340B program partners, clinical teams, and patient navigators to ensure 340B-eligible prescriptions are accurately identified at the point of care, minimizing missed capture opportunities and supporting maximum program benefit realization for Spectrum’s patient population.

    30+ days ago
    New

    Epic Resolute Hospital Billing Associate Analyst Deloitte Touche Tohmatsu Ltd

    Epic Resolute Hospital Billing Associate Analyst
    Gilbert, AZ
    • $50,000–$60,000 / year

    Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    5 days ago

    Specialty Billing & Collections Analyst Dragonfly Health

    Specialty Billing & Collections Analyst
    Mesa, Arizona

    4. Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up. Specialized Knowledge, Skills & Abilities: • Proficient and accurate data-entry skills are required to record and manipulate data as previously described.

    30+ days ago

    Accounts Receivable Representative IMS Care Center

    Accounts Receivable Representative
    Phoenix, Arizona

    Research and processes insurance denials received from Explanation of Benefits (EOBs) and Account Receivable (A/R) reports by reviewing documentation and insurance/contract/coding guidelines (This process includes written appeals when appropriate; additionally, enters internal and external review decisions including charge adjustments, corrections, proper payment and resubmission of claims in the claims system). The Accounts Receivable Representative is responsible for the management of patient accounts receivable and posting payments in a timely manner by following the Department’s established policies and procedures.

    30+ days ago

    Hospital Billing Operator Deloitte Touche Tohmatsu Ltd

    Hospital Billing Operator
    AZ
    • $70,000–$90,000 / year

    Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    30+ days ago
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