• Du übernimmst die Primärkodierung und Qualitätssicherung von DRG-Fällen. • Mit deinem Feedback machst du unsere Software DAMEDIC code jeden Tag besser. • Gemeinsam mit deinem Team entwickelst du Standards für komplexe Fallkonstellationen und sicherst damit die höchste Kodierqualität für unsere Kunden. • Du startest im Homeoffice, checkst Slack und stimmst dich kurz mit deinen Kollegen ab. • Du kodierst DRG-Fälle für einen unserer Kunden und nutzt dabei DAMEDIC code. • Am Nachmittag überprüfst du auffällige Fälle in der Kodierrevision. • Austausch mit unserem Tech-Team: Dein Feedback zu einem neuen Feature wird direkt aufgenommen.

Role Description The position is responsible for monitoring, evaluating and approving or denying payment of medical and/or behavioral healthcare services through prospective, concurrent, and retrospective review for the Fee for Service population. The position determines medical necessity based on standards of care, rules, regulations, policies and procedures governing the provision of covered services. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance. Major duties and responsibilities include but are not limited to: - Performs medical claims review/adjudication using claims industry standards. Determines if a claim meets emergency criteria, medical necessity, and/or correct revenue code/CPT/HCPC coding. Also determines if the level of care and length of stay is appropriate for the AHCCCS recipient. - Prepares reports and analyzes savings and trends. Interacts with other departments/providers as needed. - Performs special projects including but not limited to research projects. Qualifications - Must maintain a current Arizona medical license (RN or higher) or Arizona Behavioral Health license (Associate or higher) and 3 years of relevant healthcare experience. - Experience in Prior Authorization, Utilization Management, claims review, auditing, or managed care; knowledge of population served preferred. Requirements - Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s 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. - All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits - 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. - 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

• The Hospital Coder II reviews and accurately codes and abstracts the most complex hospital services such as same day surgeries, in-patient procedures, overnight / multi-night stay services and all other complex medical services. • The Hospital Coder II utilizes appropriate coding guidelines to assign ICD and CPT codes. • Must understand and conform to applicable Medicare, Medicaid and other third party payor guidelines to ensure receipt of accurate reimbursement. • Work in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment. • Work closely with management to resolve problems and meet deadlines.

🌟 We’re Hiring: Medical Patient Coordinator IMPORTANT - Watch this quick Loom video on how to get hired: https://www.loom.com/share/345f776084e642ba99c24aabe40a67a0 - C1 ENGLISH LEVEL IS REQUIRED, THE SELECTED CANDIDATE WILL BE SPEAKING STRICTLY IN ENGLISH DURING THEIR WHOLE SHIFT. - PLEASE SUBMIT YOUR RESUME AND AUDIO RECORDING IN ENGLISH 📋 Job Information - Job Title: Medical Patient Coordinator - Job ID: ANAGOL1 - Industry: Medical - Location: LATAM - Job Status: Full Time - Work Schedule: Monday to Friday, 8:30 AM – 5:30 PM EST - Compensation: $8 – $9 per hour - Target Start Date: ASAP 🧩 Role Overview About the Client: The client is a high-volume, specialized cardiology practice dedicated to providing elite cardiovascular care. Led by a seasoned healthcare professional with over 12 years of experience in medical office leadership, the clinic is known for its clinical precision and strong commitment to patient-centered service. About the Role: The Medical Patient Coordinator will support the daily operations of a busy cardiology practice with a strong focus on referral management, fax handling, and patient recall. This role requires an experienced professional who understands medical office workflows, can operate independently, and maintain efficiency in a high-volume environment. The position is critical in ensuring smooth coordination between patients, providers, and external healthcare partners. 🔑 Key Responsibilities • Answer incoming calls and manage patient inquiries with professionalism • Manage the “No Show” process by following up promptly and rescheduling patients • Proactively recall patients who have missed or canceled appointments • Book new patients and manage the New Patient Packet process, including sending forms, ensuring completion, and uploading documents • Process incoming referrals and identify new patient referrals received via fax • Update patient charts with “Referral on File” notes and ensure documentation is complete • Serve as the primary point of contact for high-volume fax handling • Review and distribute incoming faxes to the appropriate departments • Handle medical records requests, including requests from external doctors and hospitals • Use EHR systems daily to manage patient records and workflow • Utilize Availity to check referral statuses and update accordingly • Upload incoming faxes, hospital consults, and medical reports into the correct patient charts 🎯 Qualifications & Skills • Native or near-native fluency in both Spanish and English is required • 3–5+ years of experience in medical office administration • Strong understanding of medical terminology, including the ability to identify and sort documents such as CT scans and consults • Experience working with cardiology practices is a plus • Proficiency in EHR systems and Availity • Strong customer service skills with the ability to communicate effectively with patients • Ability to work independently with minimal supervision • Strong organizational skills and attention to detail • “Closer” mindset with a proactive approach to patient follow-ups and rescheduling • Reliable computer, high-speed internet, and backup power solution (UPS/generator) required • Experience using monitoring tools such as Hubstaff or similar platforms for productivity tracking • Ability to manage high-volume workflows while maintaining accuracy and efficiency 🚀 Submit your application today and take the first step toward your next great opportunity!