• Payment Integrity Coding…

    Humana (Phoenix, AZ)
    **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
    Humana (12/18/25)
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  • Coding Analyst Education Specialist

    CommonSpirit Health (Prescott Valley, AZ)
    …and Responsibilities** The Coding Analyst & Education Specialist position champions coding accuracy and integrity across our facilities and provider teams. ... patient, medical record, department, and employee confidentiality at all times. Accurate Coding and Data Integrity : Accurately assigns and sequences CPT,… more
    CommonSpirit Health (12/06/25)
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  • Payment Integrity Clinician

    Highmark Health (Phoenix, AZ)
    …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
    Highmark Health (11/14/25)
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  • Senior Medical and Financial Risk Evaluation…

    Humana (Phoenix, AZ)
    …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
    Humana (12/09/25)
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  • Sr Financial Analyst

    CommonSpirit Health (Phoenix, AZ)
    …using Qlik, Looker, and Google BigQuery. + Leverage expertise in reimbursement/ payment policies, medical terminology, medical record coding , and claim ... reports and deliver compelling presentations to diverse audiences. + Consistently demonstrate integrity and ethical conduct in all professional interactions and… more
    CommonSpirit Health (12/17/25)
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  • IT Quality Assurance Analyst - Contract Role (AN)

    Nelnet (Phoenix, AZ)
    …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more
    Nelnet (12/03/25)
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  • Account Care Educator - Specialty Pharmacy

    AssistRx (Phoenix, AZ)
    …Completing Medicare and Commercial insurance claim submission. + Documenting and reporting payment information. + Professional level skills in computer use, ... product. You will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. + Single point… more
    AssistRx (12/09/25)
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