Become part of Arizona Community Physicians (ACP), Arizonas largest and most successful physician- owned medical group. ACP is a patient-centered organization consisting of approximately 800 employees. Our group includes 170 providers in the specialties of family medicine, internal medicine, geriatrics, pediatrics, endocrinology, rheumatology, dermatology, and gynecology. We are located in 58 locations of varying sizes in Tucson, Oro Valley and Green Valley. Our dynamic group offers lots of opportunities for professional growth and personal satisfaction
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.
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 ACPs 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
Minimum 3 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
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
Founded in 1994, Arizona Community Physicians is a physician-owned, predominantly primary care medical group practice, with offices in Tucson, Oro Valley, and Green Valley.
Since its inception, ACP’s goal has been to be a patient-centered, full-service, physician-owned medical group providing comprehensive outpatient services. We strive to develop personal, long-term relationships between our patients and their physicians, nurse practitioners, physician assistants and ACP office staff.
Today, we are Arizona’s largest and most successful physician-owned medical group. ACP is a forward looking organization consisting of approximately 800 employees. Our group includes 166 providers in the specialties of family medicine, internal medicine, geriatrics, pediatrics, endocrinology, rheumatology, dermatology and gynecology. We are located in 50+ locations of varying sizes in Tucson, Oro Valley, and Green Valley.
As a physician group, we also are aware that the growth in health care costs is not sustainable over time, which is why we formed Abacus Health, an accountable care organization. We believe there is room to improve efficiencies as we improve patient care and we applaud restructuring the system to recognize providers for the good work they do in making patients healthier and improving their satisfaction.