Medical Coding Specialist (Remote) Optima MedicalMedical Coding Specialist (Remote)ArizonaRemoteWe go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death.
Coding Specialist II - Profee Oncology SavistaCoding Specialist II - Profee OncologyArizonaRequired: An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
Coding Specialist II-Profee Orthopedics SavistaCoding Specialist II-Profee OrthopedicsArizonaRequired: An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
Coding Specialist II - OB/GYN Profee SavistaCoding Specialist II - OB/GYN ProfeeArizonaRequired: An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
Coding Specialist II-Profee Oncology SavistaCoding Specialist II-Profee OncologyArizonaRequired: An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. DUTIES AND RESPONSIBILITIES: Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)AZRemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
Medical Coder I/II/III- Echo Cliffs Health Center Tuba City Regional Health Care CorporationMedical Coder I/II/III- Echo Cliffs Health CenterCoppermine, ArizonaFull timeQuantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Advance knowledge of medical terminology, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes; pharmacology; and the metric system to identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record.
Charge Master Analyst Sutter HealthCharge Master AnalystAZ$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewSr. Inpatient Clinical Coder TEEMA GroupSr. Inpatient Clinical Coder"-", AZRemote$80,000–$90,000The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management.
HP Grievance & Appeals Coordinator Banner HealthHP Grievance & Appeals CoordinatorArizonaDetermines which claim disputes meet acceptable claim dispute criteria, specifically screening for Untimely claims and Resubmissions; maintains a log, categorizes and tracks all received documents, notices, returned receipts; decides and responds to those appeals and claim disputes not meeting criteria with appropriate correspondence and routing. 2. Enters all accepted appeals and claim disputes and its corresponding information into the CRM; creates and maintains case files, including appropriate review sheets for Medical Review and/or Claim Review according to policy, AHCCCS, HCG, and CMS regulations; updates CRM for ongoing cases with responses from reviewers.
Program Integrity Auditor CVS HealthProgram Integrity AuditorArizonaThe Auditor will also be recommending follow-up action including (but not limited to) provider education, recoupment of funds or rebilling of claims, and referral to state regulators for any suspected fraud, waste, or abuse ( FWA ). Serve as an audit team member for a health plan(s) which currently administers benefits to Medicaid members across multiple lines of business including acute, behavioral health, individuals with developmental disabilities, and children in out-of-home care.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Camp Verde, AZ$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Revenue Cycle Reimbursement Auditor Titan Healthcare Management SolutionsRevenue Cycle Reimbursement AuditorAZFull timeAt Titan, we are committed to ensuring accurate and timely payments, fostering a collaborative environment where your skills will directly impact our mission of identifying underpayment patterns to maximize revenue recovery for our clients. As a Reimbursement Auditor, you will play a pivotal role in ensuring our clients' claims are processed accurately and identifying areas where additional revenue can be pursued.
Senior Representative - Patient Account Collector HonorHealthSenior Representative - Patient Account CollectorArizonaUtilizes top customer service skills with all customers: patients, government agencies, commercial insurances, other hospital departments, physicians' offices and attorneys' offices. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.
Patient Benefits Coordinator - Echo Cliffs Tuba City Regional Health Care CorporationPatient Benefits Coordinator - Echo CliffsCoppermine, ArizonaFull timeResources are Medicare, Medicaid, Arizona Health Care Cost Containment System (AHCCCS), Department of Veterans Affairs, Bureau of Employment Compensation, Third Party Liability, Workers’ Compensation, Children’s Special Health Services, Aide to Families with Dependent Children and assist with affordable health insurance required by Federal and State requirements, relevant to the Affordable Health Care Act of 2013/Tribal Exemption. Establishes and verifies eligibility for Alternate Resources for the patients; must work closely with the Social Security Administration Offices (local and regional), VA, Tribal Offices, Community Department of Welfare or Human Resources, Department of Social Services, State Medical Assistance Office and other appropriate agencies.
Coder Educator Phys Pract Banner HealthCoder Educator Phys PractArizonaRemoteThis position assists with the development of education/training materials, conducts and coordinates training and development of Health Information Management staff and other Banner staff as appropriate, including physicians/providers, and provides technical staff training in the usage of information systems components of the medical records database system. Must possess a current knowledge of business and/or healthcare as normally obtained through the completion of a bachelor’s degree in business administration, healthcare administration or related field, plus advanced training in Health Information Management requirements and systems and in adult learning principles.
Informatics Consultant CVS Health CorpInformatics ConsultantAZ$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Provider Compensation Analyst HonorHealthProvider Compensation AnalystArizonaRemoteESSENTIAL FUNCTIONS Data and Payment Accuracy Assist in calculating monthly/quarterly provider compensation Audit payroll files and true-up payment records against plan terms Participates in annual provider compensation related surveys. Documentation and Workflow Support Maintain organized records for comp plans, approval documentation, and policy references Help respond to audit or compliance inquiries with clear supporting files.
Medical Director - Radiation Oncology - MD or DO CVS HealthMedical Director - Radiation Oncology - MD or DOArizonaThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Medical Biller PHOENIX FAMILY MEDICAL CARE PLLCMedical BillerPhx, AZFull timeThis role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detail‑oriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies.