See more Collapse

Billing Coder

1 month ago

Phoenix, United States Native American Connections Full time

**This position is not remote**

***:
Under the direct supervision the Billing Manager, the Medical Coder should understand NAC policies and all funding sources and contracts. The Coder reviews the physicians and clinician documentation for accuracy of claims submissions. Coder must have knowledge of ICD-10, CPT, HCPCS diagnostic and procedural codes

**RESPONSIBILITIES**:

- Reviews medical and behavioral claims for correctness of claims utilizing the ICD-10, CPT and HCPT code set.
- Prepares and submit claims for Medicare, must have knowledge of Medicare coding guidelines.
- Maintains communication providers to ensure timely notification of identified documentation issues that may impact revenue or compliance.
- Reviews all prior authorization received and attach to services for billing
- Create invoice and send to Tribal payor source, post payment when received in EHR.
- Analyze and monitoring denied claims; make appropriate adjustments for resubmissions or prepare for write offs.
- Make collections calls to payors for claims not paid after 60 days.
- Reconciling invoices with balance sheet reports and resolving any discrepancies. Complete and close any claims not paid within 90, prepare for charge off
- Attends quarterly meeting for MCOs, TRBHAs or RBHAs
- Works with Billing Manager on updating fee schedule and making updates according to CMS, and Medicaid changes.
- Other duties as assigned

**EDUCATIONAL REQUIREMENT**
- High School or GED required.
- CPC(Certified Professional Coder), COC(Certified Outpatient Coder) or CCS(Certified Coding Specialist) or other qualified certification from an AAPC or AHIMA required.

**WORK EXPERIENCE/SKILLS REQUIREMENT**
- Knowledge of assigning and sequencing ICD-10, CPT, HCPC and modifiers codes.
- Knowledge of medical terminology, anatomy and physiology, knowledge of medical records requirements, HIPAA privacy rules.
- Working knowledge of Medicare, NCCI(National Correct Coding Initiative), LCD(Local Coverage Determination) and NCD(National Coverage Determination) and other claims edits.
- Familiarity with Medicare, Medicaid and other private insurance requirements.
- Experience in AHCCCS enrollment and benefit verification processes
- At least two years coding in a medical office
- Knowledge of HIMS/AXIOM preferred, or other EHR software
- Highly detail oriented
- Must be a team player, possess a strong work ethic and be able to coordinate multiple tasks while meeting require deadlines
- Possess excellent customer service, communication, organizational and interpersonal skills
- Excellent communication skills - written and oral
- Experience in working with the Native American population preferred
- Proficiency in MS Office, particularly Excel

**FAIR LABOR STANDARDS ACT**:
This position is considered to be Non
- Exempt for overtime pay provisions as provided by the Federal Fair Labor Standards Act (FLSA) and any applicable state laws. Non-Exempt employees are entitled to overtime pay for hours worked in excess of forty (40) hours per work week.

**Important Notes**:
NATIVE AMERICAN PREFERENCE: Preference is given to qualified Native American Applicants in accordance with the Indian Preference Act. If claiming a preference, a copy of valid documentation will be necessary.

EEO/AA

**FAIR LABOR STANDARDS ACT**:
This position is considered to be Exempt for overtime pay provisions as provided by the Federal Fair Labor Standards Act (FLSA) and any applicable state laws.

This position is considered to be Non
- Exempt for overtime pay provisions as provided by the Federal Fair Labor Standards Act (FLSA) and any applicable state laws. Non-Exempt employees are entitled to overtime pay for hours worked in excess of forty (40) hours per workweek.

We have other current jobs related to this field that you can find below

  • Coder - Remote

    2 months ago

    Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:Competitive Health & Welfare BenefitsMonthly $43 stipend to use toward ancillary benefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportMinimum...

  • Coder - Remote

    2 months ago

    Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:Competitive Health & Welfare BenefitsMonthly $43 stipend to use toward ancillary benefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportMinimum...

  • Coder - Remote

    1 week ago

    Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:Competitive Health & Welfare BenefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportMinimum Qualifications:Minimum 2 years coding experience. Surgery coding for...

  • Coder - Remote

    2 months ago

    Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:$18-22 an hourCompetitive Health & Welfare BenefitsMonthly $43 stipend to use toward ancillary benefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportMinimum...

  • Coder - Remote

    4 weeks ago

    Phoenix, United States Center for Orthopedic and Research Excel Full time

    Job DescriptionJob DescriptionBenefits:$18-22 an hourCompetitive Health & Welfare BenefitsMonthly $43 stipend to use toward ancillary benefitsHSA with qualifying HDHP plans with company match401k plan after 6 months of service with company match (Part-time employees included)Employee Assistance Program that is available 24/7 to provide supportMinimum...

  • Medical Billing and Credentialling Specialist

    4 weeks ago

    Phoenix, United States Foothills Podiatry Full time

    **1. APPLICANTS ARE REQUIRED TO CALL THE OFFICE (602.456.2085) TO CONFIRM THEIR SCHEDULED INTERVIEW WITHIN 1-2 BUSINESS DAYS OR THEY WILL BE REJECTED.** **2. APPLICANTS WHO RESCHEDULE WITHOUT NOTIFYING THE OFFICE WILL BE REJECTED AND REPORTED AS NO SHOWS.** **This is due to the high volume of no-shows. We value your time, please value ours. Thank you in...

  • Certified Coder I

    4 weeks ago

    Phoenix, United States Caris Life Sciences Full time

    Position Summary The Certified Coder I is responsible for providing documentation review, coding, and data abstracting of medical service documentation to ensure that Caris Life Sciences receives appropriate reimbursement and conforms to applicable guidelines and regulations. The role requires technical coding expertise and willingness to provide...

  • Certified Professional Coder- REMOTE

    1 month ago

    Phoenix, Arizona, United States Allscripts Full time

    AllscriptsWelcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of todays healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harnessing the power of research,...

  • Medical Coder and Billing Specialist

    4 weeks ago

    Phoenix, United States Blue And Gold Services, LLC. Full time

    Job Overview: We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical claims, ensuring timely reimbursement from insurance companies and patients. Your role is crucial in maintaining the financial health of our medical practice. Responsibilities: -...

  • Medical Billing and Collections

    4 weeks ago

    Phoenix, United States TTF Full time

    Job DescriptionJob DescriptionTTF is looking for a few A/R Specialists for full-time, contract-to-hire positions in Phoenix, AZ. These are Monday through Friday positions with a starting pay rate depending on experience. Job duties primarily include insurance follow-up with all medical insurance payors for unpaid or denied claims. Candidates must have...

  • Medical Billing and Collections

    1 month ago

    Phoenix, United States TTF Full time

    Job DescriptionJob DescriptionTTF is looking for a few A/R Specialists for full-time, contract-to-hire positions in Phoenix, AZ. These are Monday through Friday positions with a starting pay rate depending on experience. Job duties primarily include insurance follow-up with all medical insurance payors for unpaid or denied claims. Candidates must have...

  • Coder, Outpatient Revenue Cycle

    7 days ago

    Phoenix, United States Mountain Park Health Center Full time

    Job DescriptionJob DescriptionPLEASE NOTE:  This position will be remote in Phoenix.  Candidates must reside in the Phoenix area to be consideredOVERVIEW:This role will be responsible for identifying and resolving coding issues, being proactive and developing solutions for coding within the Revenue Cycle. Work with Mountain Park Health Centers Revenue...

  • Medical Collector

    3 weeks ago

    Phoenix, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is looking for a few A/R Specialists for full-time, contract-to-hire positions in Phoenix, AZ. These are Monday through Friday positions with a starting pay rate depending on experience.Job duties primarily include insurance follow-up with all medical insurance payors for unpaid or denied claims. Candidates must have...

  • Medical Collector

    1 month ago

    Phoenix, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is looking for a few A/R Specialists for full-time, contract-to-hire positions in Phoenix, AZ. These are Monday through Friday positions with a starting pay rate depending on experience.Job duties primarily include insurance follow-up with all medical insurance payors for unpaid or denied claims. Candidates must have...

  • Medical Collector

    4 weeks ago

    Phoenix, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is looking for a few A/R Specialists for full-time, contract-to-hire positions in Phoenix, AZ. These are Monday through Friday positions with a starting pay rate depending on experience.Job duties primarily include insurance follow-up with all medical insurance payors for unpaid or denied claims. Candidates must have...

  • Front Office/Financial Counselor

    2 months ago

    Phoenix, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is recruiting for a Front Office/Financial Counselor position for a growing client in the Ahwatukee area. This is a Direct Hire position, and the starting pay will depend on experience. Qualified candidates will have a background in insurance verification and previous experience working with patient financial responsibility....

  • Front Office/Financial Counselor

    4 weeks ago

    Phoenix, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is recruiting for a Front Office/Financial Counselor position for a growing client in the Ahwatukee area. This is a Direct Hire position, and the starting pay will depend on experience. Qualified candidates will have a background in insurance verification and previous experience working with patient financial responsibility....

  • Medical Accounts Receivable Specialist

    2 months ago

    Phoenix, United States Recruiting Firm Full time

    Job DescriptionJob DescriptionMedical Accounts Receivable Specialist: Keeping the Revenue Cycle Flowing!Do you have a knack for numbers and a passion for efficiency? Are you a detail-oriented problem solver with a calming presence in the face of the billing processes? We are seeking a meticulous and results-oriented Medical Accounts Receivable Specialist to...

  • Front Office/Financial Counselor

    1 week ago

    Phoenix, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is recruiting for a Front Office/Financial Counselor position for a growing client in the Ahwatukee area of Phoenix, AZ. This is a Direct Hire position, and the starting pay will depend on experience. Qualified candidates will have a background in insurance verification and previous experience working with patient financial...

  • Medical Front Office and Financial Counselor

    2 months ago

    Phoenix, United States TTF Full time

    Job DescriptionJob DescriptionTTF is recruiting for a Front Office/Financial Counselor position for a growing client in the Ahwatukee area.  This is a Direct Hire position, and the starting pay will depend on experience.  Qualified candidates will have a background in insurance verification and previous experience working with patient financial...