• Clinical Pharmacy Program Specialist

    Prime Therapeutics (Phoenix, AZ)
    …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacy Program Specialist / CPT preferred-REMOTE **Job Description** This ... and confidentiality of protected health information. + Generate and enhance clinical outreach materials to maximize program results. + Assist and participate… more
    Prime Therapeutics (03/13/25)
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  • Coding II Specialist

    HonorHealth (Phoenix, AZ)
    …same day surgery, observation, emergency room. Required Licenses and Certifications Non Clinical \CCS - Certified Coding Specialist Certified Coding Specialist ... urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization,… more
    HonorHealth (03/04/25)
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  • Revenue Specialist

    Sonora Quest (Phoenix, AZ)
    …experience of Microsoft Excel. **PREFERRED QUALIFICATIONS** + Extensive knowledge of clinical laboratory operations. + Five (5) years' of medical billing/insurance ... related experience. + Comprehensive knowledge of ICD-10 coding, CPT coding, HCPCS coding, modifiers, and government and commercial payer guidelines. + Advanced… more
    Sonora Quest (03/12/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Phoenix, AZ)
    …Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... 4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical more
    Molina Healthcare (02/09/25)
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  • Coder II - Inpatient

    HonorHealth (Phoenix, AZ)
    …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... more at HonorHealth.com. Responsibilities Job Summary Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT , and HCPCs codes through review of Inpatient or Outpatient … more
    HonorHealth (01/15/25)
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  • Coding Auditor Educator

    Highmark Health (Phoenix, AZ)
    …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (02/07/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Phoenix, AZ)
    …Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology ( CPT ) and other coding references to ensure accurate coding. Coding ... into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate,… more
    Baylor Scott & White Health (02/06/25)
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  • Physician Coder Interventional Radiology Complex

    Banner Health (Phoenix, AZ)
    …patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
    Banner Health (03/14/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Phoenix, AZ)
    …disclosure of health information **KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and ... EXPERIENCE - 2 Years of Experience **CERTIFICATION/LICENSE/REGISTRATION** + Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional… more
    Baylor Scott & White Health (03/13/25)
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