nurse coder jobs in Phoenix

Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure...

Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Clinical Coding Analyst RN, Consultant will report to the Senior Manager, Facility Compliance Review. In this role you will be supporting...

Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness. Validates that clinical documentation supports medical necessity of services and accurate coding. Ensures documentation reflects patient’s clinical status, risk of mortality, and care complexity. Applies advanced knowledge of disease processes,...

Company DescriptionAltegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit,...

Join Arizona’s largest, most prominent not-for-profit hospice, serving the valley since 1977. Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977.  A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to...

JOB TITLESpecialist - Clinical Review POSITION SUMMARYThe Specialist – Clinical Review is responsible for reviewing, analyzing, and appealing denied claims for Ambulatory Surgery Center (ASC) services. This role focuses on denials related to medical necessity, authorization/pre-certification, level of care, medical documentation, and payer policy...

Primary City/State:Phoenix, ArizonaDepartment Name: Dept of Prof Practice-CorpWork Shift: DayJob Category:NursingThis role offers a unique opportunity to influence professional practice across an entire health system. Responsible for system‑level design, alignment, and oversight of professional practice standards, this leader ensures consistent,...

Primary City/State:Phoenix, ArizonaDepartment Name: Clinic Admin-ClinicWork Shift: DayJob Category:Clinical SupportJoin a high performing executive team where you'll partner with nationally recognized physician leaders to solve complex challenges, drive transformational growth and shape the future of academic medicine.  This is an exciting opportunity to...

Primary City/State: Phoenix, Arizona Department Name: Dept of Prof Practice-Corp Work Shift: Day Job Category: Nursing This role offers a unique opportunity to influence professional practice across an entire health system. Responsible for system‑level design, alignment, and oversight of professional practice standards, this leader ensures...

Location: Phoenix, Arizona, United StatesSalary: $28.00 - $30.00/hrCompany: TEKsystemsPosted: OverviewWe are seeking an experienced Emergency Department Facility Coding Specialist to join our remote coding team. This role is responsible for reviewing emergency department medical records and accurately assigning ICD-10-CM, CPT/HCPCS, and facility Evaluation &...

Emergency Department Facility Coder Position Summary The Emergency Department Facility Coder is responsible for reviewing and analyzing emergency department medical records to accurately assign diagnosis, procedure, and facility coding in accordance with ICD-10-CM, CPT, HCPCS, and regulatory guidelines. This role supports accurate reimbursement,...

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with...