Responsibilities:- Review provider medical coding of services rendered for medical claim submission
- Review and respond to medical coding inquiries submitted by providers and staff
- Work directly with providers to resolve specific medical coding issues
- Analyze data for errors and report data problems
- Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input
- Work with clinical and non-clinical groups to identify undesirable coding trends
- Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalation of issues that may impact this immediately to the Compliance Committee
- Abide by HIPAA and Coding Compliance standards
- Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment
- Accomplish other tasks as assigned
Qualifications:- 2+ years coding 2+ years medical billing experience (preferred but not required)
- Experience with insurance and revenue cycle management processes
- Ability to read and understand insurance EOBsProficient in reviewing edits between CPT, ICD10, and HCPCS codes
- Experience in reviewing insurance review denials and payer policies
- Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMALeadership qualities with the ability to effectively educate providers remotely
- Acute attention to detail with a strong, self-sufficient work ethic
- Excellent organization and use of time management skills
- Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise
- Proficient with computers and navigating within multiple applications
- Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)
- Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers
- Goal-oriented and a consistent performer
- Must be self‑motivated, punctual, dependable, and able to work independently
- Must be trustworthy, honest and have a positive and professional attitude
- Experience with wound care (preferred but not required)
- Benefits & Schedule
Compensation: $21.00 - $23.00 hourly
Classification: Hourly, Non‑Exempt
Schedule: Part‑time, 20–25 hours per week (onsite)
Location & Work Setting Onsite in Tucson, Arizona Not remote. Local applicants only. This role requires physical presence and active collaboration with providers, billing, and clinical staff.
