- BroadPath Healthcare Solutions (Tucson, AZ)
- …**Work from Home Appeals and Grievance Specialists** . The Appeals and Grievance Specialist plays a key role in helping members navigate and understand their ... interpretation to support communication between Spanish-speaking members and non-bilingual clinical staff while being mindful of cultural nuances and applying… more
- Abbott (Tucson, AZ)
- …branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist , CPT - Tucson, AZ** **Working at Abbott** At ... the pain continuum. **The Opportunity** Our team is actively recruiting for a ** Clinical ** ** Specialist I, CPT ** **in** **Tucson, AZ** . As a member of… more
- CommonSpirit Health (Prescott Valley, AZ)
- **Job Summary and Responsibilities** The Coding Analyst & Education Specialist position champions coding accuracy and integrity across our facilities and provider ... impactful coding and billing training, and crafting robust educational resources. The Specialist will be the go-to authority for all coding updates, regulatory… more
- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT , and appropriate coding references for accurate DRG and APC assignment. +… more
- Oracle (Phoenix, AZ)
- …exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim ... **Job Description** Oracle Clinical AI Assistant (CAA) allows providers and their...+ Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT , ICD coding structures, and billing forms (UB, 1500).… more
- Banner Health (Chandler, AZ)
- …diagnostic testing within a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or ... specialist prior to the services being rendered. The position...a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the… more
- Banner Health (Phoenix, AZ)
- …academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly ... a primary care practice. This position provides all pertinent clinical information needed for the payor authorization and the...needed for the payor authorization and the facility or specialist prior to the services being rendered. The position… more
- Datavant (Phoenix, AZ)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...State Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word,… more
- Children's Clinics (Tucson, AZ)
- …same day appointments + Reviews patient information including diagnosis ICD10 codes, CPT codes and submits authorization request and all required documentation to ... meeting timely standards to include data-entry, coordination with offsite providers and clinical staff for scheduling and communication of status and requests +… more
- Sonora Quest (Phoenix, AZ)
- …management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional development to ... or in a healthcare setting. + Comprehensive knowledge of ICD-10 coding, CPT coding, HCPCS coding, modifiers, and government and commercial payer guidelines. +… more
