Medical Billing & Coding Specialist Southwest Network Company BrandMedical Billing & Coding SpecialistPhoenix, ArizonaProvides 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.
Medical Billing and Insurance Coding Instructor (63815) International Education CorporationMedical Billing and Insurance Coding Instructor (63815)Mesa, AZTo 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.
Coding Instructor/Code Sensei Code NinjasCoding Instructor/Code SenseiPhoenix, ArizonaWe are looking for a Coding Instructor/Code Sensei 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.
Coding Quality Assurance (QA) Manager, Remote Aledade IncCoding Quality Assurance (QA) Manager, RemotePhoenix, AZRemoteQuality Audits: Oversee and perform comprehensive quality assurance reviews for coding completed by internal CDI staff and external vendor partners, ensuring compliance with official ICD-10-CM guidelines and risk adjustment models. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Coding Instructor/Code Sensei Cognito LLCCoding Instructor/Code SenseiPhoenix, AZWe are looking for a Coding Instructor/Code Sensei 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.
HIM Coding Educator Valleywise HealthHIM Coding EducatorPhoenix, AZ$30.37–$44.80 / hourExperience: 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.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantPhoenix, AZIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
TOA, EDUCATOR MENTOR / ADULT LEARNING COORDINATOR (BIOSCIENCE/PHOENIX CODING) 2026-2027 SCHOOL YEAR Phoenix Union High School DistrictTOA, EDUCATOR MENTOR / ADULT LEARNING COORDINATOR (BIOSCIENCE/PHOENIX CODING) 2026-2027 SCHOOL YEARPhoenix, AZThe 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.
Code Enforcement Officer Willdan Group IncCode Enforcement OfficerPhoenix, AZConducts field investigations regarding possible violations of a variety of Town/County codes and ordinances, and related state codes including zoning, nuisance, property maintenance, housing, transportation, and animal and business license/permits, health and sanitation. For more than 62 years, Willdan has been a trusted partner to cities and counties across the nation, delivering innovative solutions in building & safety, engineering, planning, and public services.
Associate, Payment Integrity IBR Oscar Health IncAssociate, Payment Integrity IBRTempe, AZ$82,717–$108,566 / yearThis is accomplished by leveraging a deep understanding of Oscar''s claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Associate, Payment Integrity IBR Oscar Health InsuranceAssociate, Payment Integrity IBRTempe, AZ$82,717–$108,566 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Associate, Payment Integrity IBR Oscar HealthAssociate, Payment Integrity IBRTempe, AZ$82,717–$108,566 / yearThis is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)AZ$43,888–$102,081 / yearThe 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. 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.
NewCertified Medical Claims Auditor (CPC/CIC) ValenzCertified Medical Claims Auditor (CPC/CIC)Phoenix, AZRemoteVlenz 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.
Billing Specialist Quipt Home MedicalBilling SpecialistMesa, AZThe purpose of the DME Billing and Account Receivables Specialist is initiate billing claims, actively process all denials and ensure follow up on the collection efforts to ensure timely reimbursement for services provided. Job Summary: Ideal candidates will preferably have prior experience, all necessary license and credentials, a record of accomplishment, a history of reliability, and an expectation of providing outstanding service to our customers.
Data Entry & Medical Records Specialist State of ArizonaData Entry & Medical Records SpecialistPhoenix, AZRemoteProcesses 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.
Medical PA/UR & Transport Manager State of ArizonaMedical PA/UR & Transport ManagerPhoenix, AZRemoteSelective Preference(s): Minimum: Possession of a current license to practice as a registered nurse in the State of Arizona OR Licensed Behavioral Health Professional AND four (4) years professional experience related to health programs appropriate to the assignment, which includes program planning or administration; AND Two (2) plus years of managerial experience or (2) plus years as an AHCCCS Health Care Nursing Consultant. Job Summary: Under the direction of the Clinical Administrator, responsible for the management and oversight of the DFSM Medical Prior Authorization/Utilization Review (PA/UR) and Non-Emergency Medical Transportation (NEMT), including direct supervision of unit staff.
Certified Coder Lee Hecht HarrisonCertified CoderPhoenix, AZ$25–$34 / hourThis contract role is ideal for detail-oriented coding professionals with a strong background in neurology coding who are looking for a competitive hourly rate and stability within a specialty practice. Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.
NewClinical Bill Review Analyst ValenzClinical Bill Review AnalystPhoenix, AZRemoteVlenz 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.
Charge Entry Clerk IMS Care CenterCharge Entry ClerkAvondale, ArizonaReviews and analyzes patients encounter forms to ensure accuracy and completeness prior to performing charge entry and consults with medical providers to take necessary action to correct the encounter form if/when needed. Must demonstrate knowledge and understanding of ICD10 and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as required for the assigned practice areas.