Hybrid Healthcare Coder: Compliance & Audits
Southwest Network Company Brand
Essential Functions for This Position Ensures that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complies with all medical coding guidelines. Follows up and clarifies any information that is not clear with the rendering provider. Conducts ad‑hoc audits to ensure fidelity to coding guidelines. Serves as an expert for Southwest Network on accurate and efficient coding practices. Analyzes medical records and identifies documentation deficiencies. Nonessential Functions Follows policies and procedures and adheres to the requirements of the Corporate Compliance Program. Ensures confidentiality of verbal and written information in accordance with HIPAA standards and Southwest Network policy, and adheres to the legal, ethical, and professional guidelines adopted by Southwest Network. Other duties as assigned. Working Conditions and Driving Travel between Southwest Network sites as well as in the community is required. Must have a registered and reliable vehicle that meets Arizona state law standards and meets the insurance standards of Southwest Network. This is a hybrid position. Work is performed in the community as well as an office setting; must be able to move about; occasionally exposed to outside weather conditions. Must be able to remain in a stationary position for long periods of time and position self to reach items under or above desks, in storage, or in areas not easily accessible; some lifting also required. Evening or weekend hours required on an as‑needed basis. Qualifications Skills Behaviors Motivations Education Experience Licenses & Certifications Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Southwest Network Company Brand
- ...Concurrent Coding / Inpatient Coder Full-time Company... ...Description Accounting and Finance/Healthcare Job Description... ...applying ICD coding systems. Audits for documentation opportunities... ...in real time. Ensures coding compliance and acts as technical resource...SuggestedFull timeWork at office
- ...Solution is looking for an experienced Quality Assurance Coder/Auditor in Phoenix, AZ. This hybrid role involves developing risk mitigation programs and... ...are required. Responsibilities also include tracking QA audits and ensuring accurate documentation. #J-18808-Ljbffr...Suggested
$59.3k - $80.9k
...peer reviews to ensure compliance with coding guidelines... ...~ Outpatient facility auditing experience ~... ...Accounts Receivable ~3M Coder software experience... ...will provide Home or Hybrid Home/Office associates... ...personal wellness and smart healthcare decisions for you and...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Phoenix, AZ is seeking a Senior Internal Auditor to support SOX compliance and audit projects. You will work closely with the Senior Manager,... ...experience, and the ability to communicate effectively. This hybrid role offers a dynamic work environment, combined with strong...Suggested
- ...financial operations, ensuring accuracy and compliance. Responsibilities include full-cycle... ...financial statements, and support during audits. Candidates should have a Bachelor's in... ...role offers comprehensive benefits and a hybrid work schedule. #J-18808-Ljbffr...Suggested
- ...is seeking a Controller to join their team in Greater Phoenix, AZ. This role offers a hybrid schedule and a clear growth path, overseeing financial reporting, audits, and tax compliance according to GAAP/IFRS. Ideal candidates will have a strong background in leading...
- A healthcare delivery organization is seeking a Senior Accountant to manage corporate accounting operations including treasury, tax, and accounts receivable. The role is hybrid, requiring occasional onsite collaboration in Scottsdale, Arizona. Candidates should have a...Work at office
- A leading healthcare organization in Phoenix is seeking an Internal Auditor to manage and execute audits across various departments. Responsibilities include conducting process walkthroughs... ...certifications such as CPA or CIA. This hybrid role offers a dynamic work environment and...
$32 - $42 per hour
A healthcare data collaboration platform is seeking experienced inpatient coders to join their remote team. The role requires attention to detail, proficiency in medical coding, and strong communication skills. Candidates should have at least 3 years of inpatient coding...Hourly payRemote workFlexible hours- ...Clinical Analyst to assess member utilization and predict future healthcare spending. The successful candidate will collaborate with... ...Utilization Review or Care Management. This position promotes a hybrid work environment, emphasizing flexibility and teamwork. #J-188...
- ...Applicants must possess at least a Bachelor's degree and three years of experience in a hospital or healthcare setting, preferably in risk or quality management. This hybrid role also requires strong problem-solving skills and the ability to collaborate effectively. The...
$120k - $135k
The American Society for Healthcare Risk Management is seeking an experienced Senior Risk Management Consultant to provide high-value consultation... ...position offers a salary range of $120,000 - $135,000 and a hybrid work schedule after onboarding, complementing a mission-driven...$35 - $45 per hour
...A healthcare data solutions company is seeking an Inpatient Auditing Specialist to conduct coding audits, ensure compliance, and validate DRGs specifically for Medicare. Ideal candidates will have at least 3 years of experience, relevant certifications, and the ability...Hourly payRemote work$110k - $130k
A growing national healthcare services organization is seeking a Senior Franchise Paralegal to support franchising operations and legal compliance. This hybrid position requires an in-office presence three days a week in Scottsdale, Arizona. The ideal candidate will have...Contract workWork at officeFlexible hours3 days per week$61k - $77k
A healthcare organization in Scottsdale, Arizona, is seeking an Associate level Accounting Grants Specialist.... ...providing leadership for grant accounting, ensuring compliance with regulations, and preparing for annual audits. A Bachelor's degree in Accounting or related...Full timeWork at office- A prominent healthcare organization is seeking a Director of Complex Claims & Counsel in Phoenix, Arizona. This hybrid role involves managing complex claims, providing legal counsel on... ...and legal processes, ensuring compliance with regulations and guidelines. The position...
- ...provider meetings Supervise, mentor, audit, and evaluate providers Support recruitment... ...(CDI) models Monitor regulatory compliance and quality standards Collaborate on... ...Minimum 3 years clinical experience in a healthcare system Minimum 2 years leadership/...Work at officeShift work
- ...manage financial data, prepare financial statements, and ensure compliance with GAAP for construction projects. The ideal candidate has a... ...least 4 years of experience. Responsibilities include supporting audits, assisting with internal controls, and managing financial...
- ...preparation of U.S. federal corporate tax returns and provide documentation for IRS audits. The role requires a Bachelor's in Accounting or Finance and a strong background in tax compliance. Benefits include a full benefits package, including medical, dental, vision, and...Work at office
$43.89k - $85.07k
CVS Health Corporation is seeking an Analyst, Network Management to join their specialized Pharmacy Audit division. This role entails conducting compliance audits and verifying pharmacy-submitted claims related to Medicare, ensuring adherence to CMS standards. The ideal...Full time- ...7 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth... ...provide either risk event management or compliance assessment analysis. Develops, coordinates... ...risk management data systems, performs audits, monitor processes and utilizes other resources...Remote workFlexible hoursShift work
- ...on premises, in the cloud, or through a hybrid approach. Teradata delivers real business... ...Development & Leadership Controls Audit Interface Reporting to the Audit Committee... ...GAAP and IFRS and that the Company is in compliance with all regulatory (SEC and other)...Permanent employmentFlexible hours
- Arizona Department of Health Services is seeking a Compliance Manager to coordinate regulatory compliance at the Arizona State Hospital in Phoenix. This role involves conducting performance audits, developing audit tools, and providing technical support to ensure compliance...
- Southwest Network is looking for a Medical Coder in Phoenix, Arizona. This role involves... ...insurance regulations and conducting audits for compliance. Candidates should have an associate... ...Arizona driver’s license. It offers a hybrid work model with travel between various...Work at office
- ...designing individualized ABA programs for young children, collaborating with various healthcare professionals, and benefitting from comprehensive support and training. The center offers a hybrid work environment and numerous benefits, emphasizing a commitment to clinical...
- ...seeking an experienced Quality Assurance Coder/Auditor in Phoenix, AZ on a Hybrid basis. This opportunity will... ...Managed Care requirements Track QA audits and send out monthly updates to Vendor... ...recommendations regarding closing healthcare gaps, medical record documentation,...Contract workWork at officeRemote work1 day per week
- ...clinical leaders, developing risk mitigation strategies, and ensuring compliance with regulatory requirements. The ideal candidate will have a... .... Responsibilities include resolving complaints, conducting audits, and supporting patient-centric care initiatives, along with a...
- ...optimal communication between patients and healthcare team. Responsibilities Develop risk... ...related topics. Perform risk assessments and audits in various clinical settings and... ...and financial recommendations needed for compliance with tracking and insurer requirements....Full timeWork at office
- GAS GLOBAL SERVICES is seeking an Environmental Specialist to support compliance across the North Region, ensuring adherence to environmental regulations and programs. The specialist will conduct audits and site visits, manage hazardous waste, and foster safety culture...Remote job
- ...in Phoenix is looking for a Portfolio Management Analyst I to execute risk management controls in a hybrid role. Responsibilities will include ensuring borrower compliance, tracking loan advancements, and maintaining client interactions. The ideal candidate will possess...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Hybrid Healthcare Coder: Compliance & Audits. Be the first to apply!
- project manager healthcare construction Phoenix, AZ
- marketing manager healthcare Phoenix, AZ
- business development manager healthcare Phoenix, AZ
- health care reporter Phoenix, AZ
- healthcare strategy Phoenix, AZ
- healthcare informatics Phoenix, AZ
- healthcare team leader Phoenix, AZ
- healthcare benefits specialist Phoenix, AZ
- health care technician Phoenix, AZ
- healthcare coordinator Phoenix, AZ


