Address:

 150 N 18th Ave.

Phoenix, AZ 85007

Salary: $52,800 

Grade: 20

This position is responsible for the evaluation of data processing and data quality assurance activities for the Federally funded National Breast and Cervical Cancer Screening Program (NBCCEDP) through the Well Woman HealthCheck Program (WWHP) . The position will review patient documents and enter data with speed and accuracy at an error rate at or below .01%. In addition, the position will review the Current Procedural Terminology (CPT) and CMS codes on the patient listings, ensure codes are accurate and sequenced correctly in accordance with NBCCEDP and Medicare regulations, follow up with the clinic coordinators on any documentation that is insufficient or unclear and communicate with other contracted clinical staff regarding documentation. This individual will attend weekly huddles, learn the program SOW, NBCCEDP manual , CPT codes, and be well vice in current procedural terminology.

Review patient documents and billing submitted by contractors participating in the Well Woman HealthCheck Program (WWHP) for accuracy and enter data in CaST database. Supports daily data program activities and ensures accuracy and timeliness of data entry including prioritizing of activities and tasks.

Performs studies/research medical procedure codes billed to ensure compliance with NBCCEDP Program Manual and the State of Arizona WWHP policies and procedures as stated in the program Scope of Work. Communicate effectively with providers and other clinical staff regarding insufficient or unclear documentation.

Deny/Approve or correct codes based on medical documentation provided. Engage contractors for clarification, missing documentation or to remind them of the program guidelines and inform them of program funding appropriation.

Ensure codes are accurate and sequenced correctly. Research coding for complex or unusual cases. Troubleshoot difficult cases and coding scenarios with Lead Analyst WWHP Program Manager, Cancer Program Administrator, and Epidemiologist for best decision making.

Uses available systems and tools to conduct surveys, compiles information, analyzes findings, and recommends practical solutions and support team members as needed. Participate in weekly huddle for program and quarterly contractor meetings.

Other duties as assigned as related to the position (typically 5% - 10%)

Knowledge of:
- Medical billing and coding education/
training.
- CPT codes and Medicare regulations.
- Working knowledge of CMS Medicaid &
Medicare authorized billing codes.
- Strong understanding of Microsoft Excel
and working with adobe PDF files.
- Data processing and database management methodologies and protocols.
- Resource allocation and effective prioritizing techniques.

- Performance Management (PM), and Continuous Quality Improvement (CQI) and Lean methodologies.

Skill in:
- Reviewing and entering data into a
specialized system.
- Setting up, manipulating, and editing documents.
- Identify problems and determine effective
solutions.
- Excellent typing and transcription skills,
with speed and accuracy.
- Must have understanding of medical terminology.
- Data entry protocols and techniques.
- Document archiving procedures.

Ability to:
- Exhibit excellent communication Skills
including verbal and written.
- Conduct basic research and collect
data.
- Accuracy and attention to detail.
- Organizational and time-management Skills.
- Problem solve independently
- Learn a new systems and concepts quickly.
- Read and understand the program manual and scope of work.
- Task and project prioritization.
- Multitasking.
- Effective communication skills.
- Work under pressure.
- Problem solve creatively.
- Be flexible as the environment changes and demands fluctuate.

Certified Medical Billing and Coding and 3 years experience working as a medical biller/coder. Preference given to candidates with a Medical Billing and Coding Certification.

N/A

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

The State of Arizona provides an excellent comprehensive benefits package including:
− Affordable medical and dental insurance plans
− Paid vacation and sick time
− Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
− 10 paid holidays per year
− Wellness program and plans
− Life insurance
− Short/long-term disability insurance
− Defined retirement plan
− Award winning Infant at Work program
− Credit union membership
− Transit subsidy
− ADHS Student Assistance Pilot Program

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Certified Medical Billing and Coding and 3 years experience working as a medical biller/coder. Preference given to candidates with a Medical Billing and Coding Certification.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 542-1085. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. DHS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.