Title: CPC / CSS Certified Professional Coder 1

• 525213

• PHOENIX
• REMOTE OPTIONS

• AHCCCS

• Full-time

This position is responsible for assisting the Medical Coding Manager in oversight, implementation and research of all medical coding related system changes. The position is responsible for being current on all medical coding regulations and requirements.

Major duties and responsibilities include but are not limited to:
* Assist in research and analysis to determine solutions to coding issues presented by AHCCCCS internal staff, contracted health plans, provider and other community stakeholders. Serves as subject matter expert across multiple topic involving the Reference Table Review and Update Process and Medical Coding email questions. Reviews Medical claims submitted for accuracy and writing up written reports.
* Assists in the annual, and quarterly parameter development for all new, CPT, HCPCS, ICD-10, and CDT codes.
* Assists with the Coding Benefits Review Team (CBRT) cross divisional meeting.
* Assists with project interface with Information Services Division (ISD) to affect procedure and system changes needed to be in compliance with the current regulations and requirements for medical coding.

Knowledge:
* The principles and practices of effective medical coding with particular attention to planning and implementing comprehensive medical coding services
* Managed care concepts and practices
* Healthcare delivery systems
* Code of Federal Regulations
* AHCCCS Rules and Regulations
* AHCCCS Programs
* Agency policies and procedures
* Healthcare industry coding standards, including use of diagnosis procedure and revenue coding
* Understand national Coding Guideline and how to use them for all CPT,CDT, ICD-10, and HCPCS, NCCI, CMS, PPRRVU and LCD/NCD as well as AHCCCS policies
* Principles of utilization review, appropriateness of services related to care given vs alternative level of care
* Human Anatomy/Medical terminology and clinical experience/skills in Health Care field
* Research and analysis techniques
* Principles of project management

Skills:
* Interpersonal skills with all levels of management and staff
* Written and oral communications skills
* Strong computer skills, including mastery of Excel, Google products, and Word documents.

Abilities:
* Research coding rules related to behavioral health codes and support the research
* Organizational ability, ability to quickly absorb changes in medical coding standards and determine the impact on AHCCCS
* Find issues and bring to the table possible solutions for discussion
* Research National Standards using the coding material and AHCCCS policy to support decisions.
* Write and clearly explain policies to people who are not coders
* Support your findings in a manner that the requester will be able to understand

Minimum:
* Two years of professional experience in the medical coding field with an emphasis in Medicaid or Medicare Environment and current CPC or CCS coding certification in good standing is required.

Preferred:
* Read and understand the CMS PPRRVU and I/OCE as well as the CLIA language.

* Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.

* Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agencys ability to reasonably accommodate any restrictions.

* Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

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: Drivers License Requirements.

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

Among the many benefits of a career with the State of Arizona, there are:
* 10 paid holidays per year
* Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
* Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
* Other Leaves - Bereavement, civic duty, and military.
* A top-ranked retirement program with lifetime pension benefits
* A robust and affordable insurance plan, including medical, dental, life, and disability insurance
* Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
* RideShare and Public Transit Subsidy
* A variety of learning and career development opportunities

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

Lifetime Pension Benefit Program
* Administered through the Arizona State Retirement System (ASRS)
* Defined benefit plan that provides for life-long income upon retirement.
* Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
* Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
* Voluntary participation.
* Program administered through Nationwide.
* Tax-deferred retirement investments through payroll deductions.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.

Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.