- Humana (Phoenix, AZ)
- …our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ... compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and independent… more
- Datavant (Phoenix, AZ)
- …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...CIC, CRC) + Extensive knowledge of ICD -10 + 2 years' HCC coding experience + 1+ years' Team… more
- Datavant (Phoenix, AZ)
- …future of healthcare from your own workspace! Seeking full time ancillary coder . Must have experience coding labs, pathology, radiology, and preop. System experience ... with all HIM Division Policies. Seeking full time ancillary coder . Must have experience coding labs, pathology, radiology, and...certified credentials (CPC, CPC-H, COC, CIC or CRC). + 2 + years of coding experience in a hospital and/or… more
- Datavant (Phoenix, AZ)
- …from your own workspace! Seeking an experienced Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience. The ideal candidate ... Policies. Seeking an experienced Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience....certified credentials (CPC, CPC-H, COC, CIC or CRC). + 2 + years of coding experience in a hospital and/or… more
- Datavant (Phoenix, AZ)
- …Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review ... participates in the resolution of audit findings. + Provide coder education via email and/or conference calls, utilizing the...Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays,… more
- Molina Healthcare (AZ)
- …and cost-effective member care. We are looking for LVN's with at least 2 years of experience with the following: UM, Prior Authorization, NCQA accreditation, and ... Qualifications** * At least 3 years experience in health care, including 2 years experience in a managed care environment facilitating utilization reviews, or… more
- Banner Health (AZ)
- …**Ideal Candidate:** + XLS experience including filters, formulas, importing data; + ** 2 + years of Charge Capture experience** or deep understanding of clinical ... System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs). 2 . Identifies opportunities for improvement in clinical documentation. Shares that information… more
- Molina Healthcare (Phoenix, AZ)
- …claim adjustments, and/or requests from outside agencies. **Required Qualifications** * At least 2 years of managed care experience in a call center, appeals, and/or ... of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If you are… more
- Molina Healthcare (Mesa, AZ)
- …Qualifications** + At least 3 years' experience in health care, including 2 years' experience in a managed care environment facilitating utilization reviews, or ... suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case… more
- Datavant (Phoenix, AZ)
- …cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient ... + Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays + Free… more
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