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Certified Professional Coder Job in Tucson, Arizona

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Job Title: Certified Professional Coder

Employer:Arizona Community Physicians
Specialties:Family Practice, Gynecology, Endocrinology, Rhuematolgy, Pediatrics, Dermatology
Required Certifications:CPC
Preferred Certifications:CPC
Required Experience:1 to 2 years
Preferred Experience:1 to 2 years
Location:5055 E. Broadway Blvd, Ste A100 Tucson 85711, AZ, US
Date Posted:10/16/2019

We are looking for certified professional coders with expertise who can be part of process improvement as we create a team to support the integration of compliance, revenue cycle and quality at Arizona Community Physicians. The qualified candidate will be an integral part of this progression as we focus on provider education and documentation that supports the highest quality care that we already provide. Our CPC team members will partner directly with the providers and staff to offer advice and education on Correct Coding Initiative (CCI) edits, improving Risk Adjustment Factors (RAF) and documenting Hierarchical Condition Categories (HCC). Additional CCI, RAF and HCC training will be provided as needed. This is an exciting opportunity to play a vital role in shaping this transition from vision to excellence. Sign on for the time of your life and come join our team! Job Summary Audits medical provider clinical documentation while adhering to Medicare/Medicaid billing regulations and Risk Adjustment (RAF) guidelines. Identifies areas for coding improvement and effectively communicates with providers and staff to review findings and best practices for medical coding. Performs in a professional manner, exercising good judgment and ethical standards. Interacts effectively and builds respectful working relationships across the organization. Demonstrates integrity by adhering to high standards of personal and professional conduct. Must be reliable and have the ability to maintain a high level of confidentiality within all aspects of job performance. Responsibilities • Performs coding services while meeting daily production and quality goals • Performs audit activities including review of medical chart coding and billing documentation • Partners with providers and staff to improve quality and efficiencies in coding and documentation of provider claims which involves educating and coaching on compliant coding practices and risk adjustment guidelines • Maintains excellent documentation of all reviews, methodologies employed, results and corrective actions implemented and monitored • Appropriately uses coding principles to code to the highest specificity while complying with CMS regulations and company goals and policies • Reviews CMS and insurance bulletins, newsletters and periodicals to maintain policies and stay abreast of current coding issues, trends and changes • Understands and adheres to The Health Insurance Portability and Accountability Act (HIPPA) and CMS Coding requirements • Maintains knowledge of policies and procedures and performs in accordance with the ACP’s policies and procedures, applicable regulatory requirements, external laws and accreditation standards • Facilitates and supports a culture of compliance, ethics and integrity • Maintains professional certifications • Travel to office locations will be required • Performs other duties and responsibilities as required Qualifications • Minimum 1-2 years’ experience coding outpatient Evaluation & Management (E/M) Services, preferably Primary Care • Certified Professional Coder (CPC) certification • Advanced knowledge of  ICD-10, CPT and HCPCS • Some knowledge of HCC codes and the Medicare Advantage “Risk Adjustment” process • Thorough understanding of healthcare compliance with experience in auditing E/M services and providing professional constructive feedback in regard to billing and documentation practices • Thorough understanding of Medicare/Medicaid billing regulations and documentation guidelines • Strong knowledge of chart auditing/abstracting process • Effective communication, relationship-building and interpersonal skills • Exceptional attention to detail and proficiency in Microsoft Word and Excel • Possess a valid Arizona Driver's license. 

Remote coding not available.


Please email your resume to: careers@azacp.com

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