Explore 4 coder jobs from 3 hiring companies in Drexel Heights, AZ, US. Filter by remote, salary, experience, and company, then open any listing to apply.

coder

Coder

Tucson

Tucson Estates

Valencia West

Flowing Wells

Casas Adobes

Catalina Foothills

Sahuarita

Oro Valley

Tanque Verde

Green Valley

Summit

Marana

Vail

Picture Rocks

Saddlebrooke

Rio Rico

Three Points

Corona de Tucson

Catalina

Coder Jobs

TMC Health

Tohono O'odham Nation Health Care

Tucson Dermatology

Onsite

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
 The Lead Medical Coder serves as a certified professional coder and assists the Medical Coding Office Manager with oversight of daily coding operations. Performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers.
 Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The incumbent works independently under the general supervision of the Supervisor or designee.
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):
<ul>
<li>Assists with the leadership and guidance to the day-to-day inpatient and outpatient medical coding service and staff.</li>
<li> Assigns codes to diagnosis and procedures using ICD (International Classification of Diseases), HCPCS (Healthcare Common Procedure Coding System), and CPT (Current Procedural Terminology) codes.</li>
<li>May be assigned to medical inpatient coding; reviews physician's patient medical documentation and determines the most appropriate corresponding code.</li>
<li>Performs the full range of coding per current ICD coding conventions and the official coding guidelines under Federal, State, and Cooperating Parties.</li>
<li>Ensures codes are accurate and sequenced correctly per government and insurance regulations.</li>
<li>Reviews Electronic Health Record (EHR) data and ensures providers and other clinicians assign the appropriate ICD codes; follows up with the provider on insufficient or unclear documentation.</li>
<li>Assigns the appropriate CPT code for all outpatient medical, surgical, non-physician professional services, and diagnostic services.</li>
<li>Utilizes the CPT Assistant or other coding software to assist in the proper use of codes.</li>
<li>Observes the coding rules established by AMA (American Medical Association).</li>
<li>Assigns the appropriate HCPCS code for items, supplies, and non-physician services used in reimbursement claims processing.</li>
<li>Appropriately assigns modifiers to codes and verifies site, unit number, and location of services based on the documentation of the record.</li>
<li>Assigns and reports codes clearly and consistently supported by physician documentation in the health record.</li>
<li>Assists and educates physicians and other clinicians in proper documentation practices, further specificity, sequencing, or inclusion of diagnoses or procedures to reflect acuity, severity, and other events.</li>
<li>Establishes a working relationship with providers; consults physicians and other clinicians for clarification and additional documentation before code assignment when necessary.</li>
<li>Work with computerized information systems, including an electronic health record, encoding software, the internet, and other software applications.</li>
<li>Maintains and enhances coding skills, stays abreast of changes in codes, coding guidelines, and regulations.</li>
<li>Abstracts and enters all data for coding, billing, GPRA indicators and CMS, The Joint Commission (TJC), and the governmental reporting process.</li>
<li>Abstracts and enters all data into a computer system for statistical purposes, third-party billing, and continuity of patient care.</li>
<li>Provide analysis of documentation and coding issues regarding areas of concern of the health record, including lack of documentation, legibility, system issues, EHR, and other matters.</li>
<li>Assists with the formulation of query forms and formats for providers to be used for clarification and documentation.</li>
<li>Identifies inconsistencies within the medical record and participates in QA functions and peer reviews.</li>
<li>Participates in developing hospital and health centers coding policies and ensuring coding policies complement the official rules and guidelines.</li>
<li>Assist with technical issues within the computer systems, including the EHR.</li>
<li>Assist in maintaining and updating the ADT and PCC software packages.</li>
<li>Provides expertise and support in EHR development and maintenance of charge lists, pick lists, templates, and subject matter experts.</li>
<li>Monitors and reports any discrepancies in the EHR in regards to proper code assignments.</li>
<li>Ensures the quality of data in information systems by conducting audits and continuously analyzing the data.</li>
<li>Attends meetings and serves as a resource person for coding.</li>
<li>Assists with coding and training of coworkers, providers, contractors, student interns, and other employees.</li>
<li>Serves as a resource for PCC data entry staff, assisting with coding, EHR; and, documentation issues.</li>
<li>Contributes to a team effort and performs other job-related duties as assigned</li>
</ul>
Knowledge, Skills, and Abilities:
 
<ul>
<li>Knowledge of the Tohono O'odham culture, customs, and traditions.</li>
<li>Knowledge of applicable federal, state, tribal laws, regulations, and requirements.</li>
<li>Knowledge of computer software, including word processing, database, and spreadsheet application.</li>
<li>Knowledge of legal regulations and requirements on confidentiality, specifically to the Privacy Act of 1974 and Health Insurance Portability and Accountability Act of 1996 (HIPAA).</li>
<li>Knowledge of and skill in applying a comprehensive body of rules, procedures, and operations, such as health information management, medical records activities, and computerized data entry and retrieval systems.</li>
<li>Knowledge of official coding conventions and guidelines established by the AHIMA, AHA, CMS, NCHS, etc.</li>
<li>Knowledge of ICD/CM (International Classification of Diseases/Clinical Modification), and HCPCS (Healthcare Common Procedure Coding System), CPT (Current Procedural Terminology) appropriate Level coding.</li>
<li>Knowledge and understanding of Diagnostic Related Group (DRG) and Ambulatory Patient Classification (APC) systems and associated encoding software applications.</li>
<li>Ability to abide by and promote compliance with the AHIMA Standards of Ethical Coding and with the Compliance Plan and Coding Compliance Plan of the TONHC Hospital and Clinics; and the Internal Control Policy of IHS.</li>
<li>Knowledge of the healthcare industry pertains to the functions of the position, capacity, and willingness to obtain continuing education required to maintain certification and stay apprised of changes in coding and the health care industry.</li>
<li>Knowledge of pharmacology, including the ability to reference the Physician's Desk Reference (PDR).</li>
<li>Knowledge of the RPMS software program, specifically the PCC, ADT, Scheduling, and EHR applications.</li>
<li>Knowledge and ability to use computers, scanners, and reference materials for day-to-day tasks within the hospital.</li>
<li>Knowledge of and ability to conduct chart reviews and coding audits to ensure accuracy and appropriate coding and compliance with rules and regulations.</li>
<li>Ability to use standardized computer software such as spreadsheets, word processors, electronic email systems, and database software programs.</li>
<li>Skill and commitment to accuracy and detail.</li>
<li>Skill in providing superior customer service to external and internal customers.</li>
<li>Skill in operating various word-processing, spreadsheets, and database software programs.</li>
<li>Skill in organizational and office technology.</li>
<li>Ability to communicate effectively with others, orally and written.</li>
<li>Ability to prepare reports in a well-written, concise format using applicable software applications.</li>
<li>Ability to generate reports and analyze data from these systems.</li>
<li>Ability to establish performance improvement functions, track and report outcomes and conclusions or follow up orally and in writing.</li>
<li>Ability to organize and plan work.</li>
<li>Ability to deal with individuals from a variety of diverse backgrounds.</li>
<li>Ability to work independently, use sound judgment, and meet deadlines.</li>
<li>Ability to provide accurate reports.</li>
</ul>
Minimum Qualifications:
<ul>
<li>High School Diploma or General Education Diploma.</li>
<li>Three years of work experience in medical coding or billing.</li>
<li>Six months supervisory or leadership work experience in an office setting.</li>
</ul>
Licenses, Certifications, Special Requirements:
<ul>
<li> Must possess and maintain certification as a Certified Coder certificate from the American Academy of Professional Coders or the American Health Information Management Association, or equivalent.</li>
<li>Must type 40 WPM.</li>
<li>Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.</li>
<li>May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).</li>
<li>If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.</li>
<li>Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.</li>
</ul>
Medical, Dental, Vision, Group Life Insurance, Supplemental Life for Dependents, Short Term Disability, Long Term Disability, 401(k), Paid Time Off-eligible to accrue upon the first day of employment and 15 Paid Tribal Holidays

Lead Medical Coder

3 years medical coding/billing; 6 months supervisory; Certified Coder required; high school diploma; typing 40 WPM.

SUMMARY:Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM and CPT codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for outpatient services.ESSENTIAL FUNCTIONS:Assigns the correct ICD-10-CM and CPT codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets.Responsible for accurately coding outpatient record types including but not limited to emergency department, surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts.Follows departmental and current official ICD-10-CM and CPT coding guidelines to ensure consistent and accurate coding of diagnostic and procedural data.Utilizes 3M, CAC (Computer Assisted Coding), Epic, and any other necessary applications for proper coding, ensuring accuracy.Ensures that the medical staff documents have sufficient information for accurate coding and appropriate reimbursement, requesting clarification from the provider when information is incomplete. Assists physicians, their office staff, quality management and other hospital personnel with coding and APC questions.Inputs abstract data and codes into computer to gather administrative and clinical data for distribution to outside regulatory agencies, third party payers, administrative staff and physicians.Ensures that institutional policies and procedures for maintenance of medical records are followed.Maintains current knowledge of coding principles and guidelines as coding conventions are updated.Maintains a 95% coding accuracy rate and achieves average weekly utilization productivity of 95% of standard.Participates in coding special accounts when necessary to ensure the smooth flow of the department.Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.Performs related duties as assigned.<h6 style="margin-top:12.0pt;">MINIMUM QUALIFICATIONS</h6>EDUCATION: Completion of a 2-year college or technical school curriculum in Health Information Management, or an equivalent combination of relevant education and experience.EXPERIENCE: Demonstrated knowledge of current ICD-10-CM and CPT coding. Two (2) years experience in a Health Information Management department preferred.LICENSURE OR CERTIFICATION: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) to be obtained within one year.KNOWLEDGE, SKILLS AND ABILITIES: ·       Knowledge of current ICD-10-CM, CPT codes, and APC reimbursement models.·       Knowledge of medical terminology.·       Skill in the coding of medical information and maintaining databases to ensure accuracy.·       Skill in organizing tasks to ensure the timely and accurate coding of information.·       Skill in both oral and written communication. ·       Ability to read, analyze and interpret professional journals, governmental regulations, and coding  guidelines.·       Ability to follow written and verbal instructions.·       Ability to maintain good working relationships and communication with the medical staff, nursing, administration, and other ancillary departments with the hospital.·       Ability to perform multiple tasks and ensure completion to meet strict deadlines.

HIM Coder Associate - Quality Assurance

HIM Coder Associate

Knowledge of ICD-10-CM, CPT, APC; coding accuracy; experience with medical terminology and data management.

Two years experience in Health Information Management preferred; ICD-10-CM and CPT coding knowledge; accurate coding and data entry; familiarity with 3M, CAC, Epic.

Location: Tucson&#160; Employment Type: Full-Time Schedule: Monday &#8211; Friday Our multi-location healthcare organization is seeking a highly organized professional who understands both medical&#160;billing/coding and provider credentialing and can support operational improvements within the revenue cycle. Position Overview The Medical Biller / Coder &amp; Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate&#160;billing, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes Ensure coding complies with payer regulations and industry guidelines Identify documentation gaps and communicate with providers when clarification is required Support coding compliance and documentation improvement Claims &amp;&#160;Billing Prepare and submit electronic claims through the practice management system Monitor claim status and follow up on unpaid or denied claims Investigate claim rejections and coordinate corrections with staff Work with clearinghouses and insurance payers to resolve&#160;billing&#160;issues Revenue Cycle Management Monitor and manage accounts receivable Track aging reports and follow up on outstanding balances Investigate underpayments and payer discrepancies Support efforts to improve clean claim rate and reduce days in A/R Provider Credentialing &amp; Enrollment Manage provider credentialing and recredentialing with commercial and government payers Maintain provider enrollment records and credentialing documentation Track credentialing timelines and renewal deadlines Coordinate payer enrollment applications and updates Ensure provider information is accurately reflected in payer systems Work with leadership and providers to ensure timely credentialing during onboarding Compliance &amp; Quality Maintain compliance with&#160;billing&#160;regulations and payer policies Support internal&#160;billing&#160;and coding audits Ensure HIPAA compliance and protection of patient data Reporting &amp; Operational Support Generate&#160;billing, collections, and credentialing status reports Identify opportunities to improve&#160;billing&#160;workflows and revenue cycle performance Collaborate with leadership to improve operational efficiency Qualifications Required Minimum 3 years experience in medical&#160;billing, coding, or revenue cycle management Experience with provider credentialing and payer enrollment Strong knowledge of ICD-10, CPT, and HCPCS coding Experience working with insurance payers and claim follow-up Strong attention to detail and organizational skills Preferred CPC, CCS, or equivalent coding certification Experience in dermatology or outpatient specialty practices Experience with Modernizing Medicine (ModMed EMA) or similar EMR systems Knowledge of dermatology procedures, Mohs surgery&#160;billing, or cosmetic services Key Competencies Strong analytical and problem-solving abilities Excellent attention to detail Ability to manage multiple priorities and deadlines Strong communication skills with clinical and administrative teams Commitment to compliance and&#160;billing&#160;accuracy What We Offer Competitive compensation based on experience Monday&#8211;Friday work schedule Professional and collaborative work environment Opportunity to support and improve revenue cycle operations within a growing healthcare organization &#160;

Medical Biller / Coder & Credentialing Specialist

3+ years medical billing, coding, or revenue cycle; credentialing and payer enrollment; ICD-10/CPT/HCPCS knowledge; dermatology experience preferred.

Coder Jobs in Drexel Heights, AZ, US

Coder Jobs market signals in Drexel Heights, AZ, US

Companies appearing in this market

Work location mix in visible results