NewForensic Medical Coder Ensemble Health PartnersForensic Medical CoderGilbert, AZ$24.65–$27.10Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects.
NewSpecialized Coder - Cardiology, Vascular and CVTS Ensemble Health PartnersSpecialized Coder - Cardiology, Vascular and CVTSTempe, AZ$29.75–$32.70Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.
NewRadiologic Technologist - Cath Lab - Methodist Carle HealthRadiologic Technologist - Cath Lab - MethodistPeoria, AZ$31.32–$53.87 / hourCertifications: Registered in Radiography (R) - American Registry of Radiologic Technologists (ARRT); Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Licensed Radiologic Technologist - Radiography - Illinois Emergency Management Agency (IEMA), Education: Certificate of Completion: Radiologic Technology (Required), Work Experience: Responsibilities. Assigns/completes charging/coding worksheet on each patient undergoing procedures within the area in an accurate and timely manner to ensure correct billing, optimal revenue reimbursement, and productivity statistics based on procedural charges.
NewRadiologic Technologist - Methodist Cath Lab Carle HealthRadiologic Technologist - Methodist Cath LabPeoria, AZTo maintain a working knowledge of aseptic technique Proficient in set-up of all procedures Assist in passing sterile guidewires, catheters, and other devices as required, using aseptic technique Prepare instruments for sterilization Suggest equipment of procedural changes required for the quality care of the patient Aseptic technique Proficient in preparing sterile field Understands requirements for maintaining aseptic technique Observes for deviation from proper aseptic technique by others then has it corrected Report significant observations to appropriate personnel and document observations and care provided. License/Certifications: Basic Life Support (BLS) Provider - American Heart Association (AHA); Licensed Radiologic Technologist - Radiography - Illinois Emergency Management Agency (IEMA); Advanced Cardiac Life Support (ACLS) within 1 year - American Heart Association (AHA); Registered in Radiography (R) - American Registry of Radiologic Technologists (ARRT).
Revenue Cycle Medical Coder (7179) Terros HealthRevenue Cycle Medical Coder (7179)Phoenix, AZStay 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.
Lead Medical Coder Tohono O'odham Nation HealthcareLead Medical CoderTucson, AZFull timePerforms the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Assists with the leadership and guidance to the day-to-day inpatient and outpatient medical coding service and staff.
NewCertified Medical Coder Feed My People Food BankCertified Medical CoderPhoenix, ArizonaRemoteAfter work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications.
Revenue Cycle Medical Coder (7179) Terros, Inc.Revenue Cycle Medical Coder (7179)Phoenix, AZStay 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.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)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.
Medical Biller / Coder & Credentialing Specialist Tucson Dermatology, Ltd.Medical Biller / Coder & Credentialing SpecialistTucson, AZFull timeThe Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. Our multi-location healthcare organization is seeking a highly organized professional who understands both medical billing/coding and provider credentialing and can support operational improvements within the revenue cycle.
NewProfee Coder Complex Neurosurgery Neurology Banner HealthProfee Coder Complex Neurosurgery NeurologyArizonaRemoteRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
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.
NewCoder 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.
Profee Coder Surgical Urology Banner HealthProfee Coder Surgical UrologyPhoenix, AZRemoteRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder - Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
NewProfee Complex Coder Surgical Cardiology Banner HealthProfee Complex Coder Surgical CardiologyArizonaRemoteRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Profee Coder GI Trauma Surgery Banner HealthProfee Coder GI Trauma SurgeryArizonaRemoteRequires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Certified Coding Associate (CCA), Certified Professional Coder – Apprentice (CPC-A), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Certified Coder American Vision PartnersCertified CoderPHOENIX, ArizonaFull timeOur 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.
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.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)AZ$43,888–$93,574 / yearThe 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.
Certified Coder-HHK-Sacaton Gila River Health CareCertified Coder-HHK-SacatonSacaton, AZPosition Summary: Analyzes, codes, abstracts, and compiles medical records of patients to document patient condition and treatment largely for billing purposes by performing the following duties personally. Utilizes and maintains continually updated knowledge and understanding of Current Procedural Terminology, Healthcare Common Procedure Coding, and International Statistical Classification of Diseases.
ED/Observation Coder Kingman Regional Medical CenterED/Observation CoderKingman, AZBenefits (Full Time Employees) We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities: Exceptional Colleagues Join us and youll be a part of a culture where we support each other and celebrate what makes each of us a special person as we work together with integrity, compassion, teamwork, respect, and accountability. Ensure complete and accurate charge capture of ED and Observation services, including procedures, supplies, injections, infusions, and other billable items supported by the physician orders and clinical documentation.
Certified Coder - Cardiology IMS Care CenterCertified Coder - CardiologyAvondale, ArizonaThis position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the Organization's and Department's established policies and procedures. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems.
NewCPC Coder- Onsite TTF, LLCCPC Coder- OnsitePhoenix, AZTTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. The TTF Coding and HIM Division partners with healthcare organizations nationwide to match top talent in the Coding and HIM industry with organizations that want to hire the best talent.
NewCPC Coder- Onsite TTF Search and StaffingCPC Coder- OnsitePhoenix, AZTTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. The TTF Coding and HIM Division partners with healthcare organizations nationwide to match top talent in the Coding and HIM industry with organizations that want to hire the best talent.
Certified Coder Genesis OB/GYNCertified CoderPeoria, AZFull timeThe ideal candidate will have 2-3 years of OB/GYN coding experience, experience with Athena EHR system, excellent attention to detail and the ability to work independently. Review and accurately code OB/GYN medical records, procedures, surgeries, and office visits using ICD-10-CM, CPT, and HCPCS codes.
Certified Coder - Cardiology IMS Care Center LLCCertified Coder - CardiologyAvondale, AZPart timeThis position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the Organization's and Department's established policies and procedures. The Certified Coder will be accountable for processing medical claim information through data-entry in the Practice Management System and researching and correcting data entry errors using various electronic healthcare systems.
Coder II, Inpatient Phoenix Children's HospitalCoder II, InpatientAZAssigns diagnosis codes and procedure codes utilizing the current version of ICD diagnosis and procedure codes and CPT-4 coding classification systems in compliance with hospital guidelines, ICD-9-CM Official Guidelines for Coding and Reporting, and UHDDS definitions. This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes for Inpatient medical records or outpatient Infusion accounts.
Sr. Clinical Coder Cook SystemsSr. Clinical CoderPhoenix, ArizonaWe partner with Fortune 500 enterprises and high-growth companies alike to deliver agile technology solutions, AI-driven talent strategies, and our signature FastTrack program that develops the next generation of tech talent. As a subject matter expert, this role provides coding-related information to various departments and functions as the designated recipient for factual network provider claim review requests.
NewCoder I Outpatient HonorHealthCoder I OutpatientArizonaOutpatient: CPC-H (Certified Professional Coder-Hospital Outpatient), or CPC (Certified Professional Coder), or COC (Certified Outpatient Coder), or CCS (Certified Coding Specialist), or RHIT () or RHIA (Registered Health Information Administrator) Required . Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.
HIM Coder III Tucson Medical CenterHIM Coder IIIPhoenix, AZLICENSURE OR CERTIFICATION: Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician-based (CCS-P), or Certified Professional Coder (CPC), or Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC). Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital's policies and procedures.
Medical Billing Specialist American Vision PartnersMedical Billing SpecialistPHOENIX, ArizonaFull timeOur 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.
Medical Assistant TTF, LLCMedical AssistantTucson, AZThe TTF Physician Office Staffing Division places MA’s, Medical Assistants, Medical Front Office, Medical Back Office, Physician Referrals and Authorizations, Schedulers, Nurse Practitioners, Physician Assistants, Licensed Practical Nurses, Licensed Vocational Nurses, Medical Billers/Collectors, Coders, Office Managers/Administrators, and other positions. TTF is a healthcare search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields.
Medical Assistant TTF Search and StaffingMedical AssistantTucson, AZThe TTF Physician Office Staffing Division places MA’s, Medical Assistants, Medical Front Office, Medical Back Office, Physician Referrals and Authorizations, Schedulers, Nurse Practitioners, Physician Assistants, Licensed Practical Nurses, Licensed Vocational Nurses, Medical Billers/Collectors, Coders, Office Managers/Administrators, and other positions. TTF is a healthcare search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields.
Certified Medical Claims Auditor ValenzCertified Medical Claims AuditorPhoenix, AZRemoteFull timeVālenz ® 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.
NewMedical 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.
NewSIU Coding Manager & Audit Lead CVS HealthSIU Coding Manager & Audit LeadPhoenix, AZCVS Health is seeking the Certified Professional Coder (CPC) Manager to oversee a team of medical coders within the Special Investigations Unit, ensuring compliance through comprehensive record reviews across medical and related healthcare providers. You will lead, train, and mentor CPCs, conduct audits for CPT/HCPCS compliance, and drive performance with clear goals and measurable outcomes.
Mgr/Sr Manager, Payment and Coding Policy- Hybrid Blue Cross and Blue Shield AssociationMgr/Sr Manager, Payment and Coding Policy- HybridPhoenix, AZAZ 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.
Emergency Medicine Billing Specialist Banner HealthEmergency Medicine Billing SpecialistTucson, AZActs as a liaison between providers and specialty third party coding group leadership regarding all issues of coding work flow including reconciling visits seen versus charged, documentation requirements and any items requiring resolution to support timely processing. Acts as a revenue cycle operational consultant with expertise in emergency medicine documentation and coding to continually educate and give feedback to Faculty Physicians regarding effective practices to capture RVU's for services rendered.
Certified Coding Specialist- AZ- Clinic Finance Midwestern UniversityCertified Coding Specialist- AZ- Clinic FinanceGlendale, AZMore than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. The Certified Coding Specialist protects and recovers the clinic's patient reimbursement by acting as a coding/billing resource for all MWU clinics, educating providers, monitoring accounts receivable, and collecting delinquent accounts.
NewConsultant, Billing/Coding HCTHealthcareConsultant, Billing/CodingFlagstaff, AZKeywords: Medical Billing Technician; Medical Billing Specialist; Revenue Cycle; Claims Processing; Medical Coding; CPT; HCPCS; Insurance Billing; Third-Party Payers; Healthcare Billing. Experience: Experience in medical billing, claims processing, or revenue cycle operations within a healthcare setting; experience with third-party payer billing and claim corrections preferred.
NewProfessional Coding Manager HonorHealthProfessional Coding ManagerPhoenix, ArizonaThe Coding Manager for Professional Services is a Certified Professional Coder (CPC) responsible for the leadership, supervision, and performance of the professional services coding team across the HonorHealth Network. The Coding Manager also plays a key role in organizational data analysis related to coding trends, communicating insights and leading improvement initiatives.
NewCharge Master Analyst Sutter HealthCharge Master AnalystPhoenix, AZ$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.
Audit and Coding Consultant HonorHealthAudit and Coding ConsultantPhoenix, ArizonaUnder 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.
Program Integrity Auditor CVS Health CorpProgram Integrity AuditorAZ$46,988–$122,400 / yearThe 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.
Auditor, Risk Adjustment Oscar HealthAuditor, Risk AdjustmentTempe, AZRemote$82,717–$108,566 / yearResponsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Senior Manager, Corporate Compliance - Risk Adjustment CVS Health CorpSenior Manager, Corporate Compliance - Risk AdjustmentScottsdale, AZ$75,400–$165,954 / yearThis position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements. As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements.
Clinical Documentation Improvement Lead Healthcare Outcomes Performance CompanyClinical Documentation Improvement LeadPhoenix, Arizona
Program Manager Revenue Integrity CommonSpirit HealthProgram Manager Revenue IntegrityPhoenix, AZEssential Functions: Collaboration: Establish collaborative working relationship with research revenue producing departments (Physician Investigators, Research Program Leaders), revenue integrity teams, Optum 360 personnel, information systems personnel, technical and clinical personnel to identify research chargeable activities, establish charge capture mechanisms, and to properly code (or add modifiers) research charges for timely and accurate recording of research claim related revenue consistent with research regulations, state and federal requirements. Research Revenue Cycle: Manage research patient charge revenue cycle beginning with management of Medicare Cost and Coverage Analysis Worksheet (MCCAW) personnel required to translate MCCAW into research patient billing grid to identify billable versus non-billable research charges.
Auditor, Risk Adjustment Oscar Health IncAuditor, Risk AdjustmentArizona, AZRemote$82,717–$108,566 / yearResponsibilities: Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar''s unlimited vacation program and annual performance bonuses.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystPhoenix, AZRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.