Claims Clinical Documentation Reviewer - CCDBK#001 Job at NavitsPartners, Phoenix, AZ

S2F6bUY2WUxtU0dNbkUzeElNVXdMRFdMZHc9PQ==
  • NavitsPartners
  • Phoenix, AZ

Job Description

Job Title: Claims Clinical Documentation Reviewer

Location: Phoenix, AZ (Remote — Candidate must be local to Arizona)

Type: Contract

Schedule: 5–10 hours per week (flexible — any day/time, including weekends)

Pay Rate: $45 – $49/hour

Position Summary

"Navitas Healthcare, LLC" is seeking Claims Clinical Documentation Reviewer for an exciting job in Phoenix, AZ.

Responsibilities
  • Conduct re-reviews of behavioral health clinical records under the direction of leadership.

  • Complete and submit standardized audit tools accurately and on time.

  • Participate in meetings with internal teams and providers as needed.

  • Ensure documentation meets compliance, quality, and regulatory requirements.

Knowledge Requirements
  • Principles and strategies of Service Authorization.

  • Behavioral health service delivery systems, including services for children and individuals designated as SMI.

  • Behavioral health management, clinical assessment, and individualized treatment planning.

  • Substance abuse treatment concepts and approaches.

  • HCPCS Levels I & II, ICD coding, DSM IV/V, and medical billing standards.

  • Healthcare technology tools such as EHRs and HIE systems.

  • Medicaid and Medicare regulations, AHCCCS policies, and state statutes.

  • AHCCCS program structure, provider networks, prior authorization processes, and funding sources.

  • General understanding of American Indian Tribes, programs, and related policies.

Experience
  • Minimum of 1 year of clinical and programmatic experience in behavioral health service delivery (preferred).

  • Advanced experience in clinical and/or claims documentation review and analysis is highly desirable.

Requirements
  • Active Behavioral Health License (Associate or Independent) in the state of Arizona.

For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront. 

Job Tags

Contract work, Local area, Remote work, 10 hours per week, Flexible hours,

Similar Jobs

Midtown Athletic Club - Willowbrook

Hospitality Lead Job at Midtown Athletic Club - Willowbrook

 ...Midtown is looking for a Hospitality Lead who will play a key role in creating a positive experience in every interaction with members and guests. The Position Midtown believes in putting the customer at the center of every decision that we make. Customer Experience... 

St. David's South Austin Medical Center

PRN Emergency Medicine Physician Assistant in Austin, Texas Job at St. David's South Austin Medical Center

 ...TeamHealth has an excellent PRN opportunity for a physician assistant (PA) to join our emergency department team at St. David's Medical Center South in...  ...ask that you have a minimum of 2 years of emergency medicine (EM) experience to apply. You will work with an outstanding... 

Ardent Health

Registered Nurse / RN NICU Job at Ardent Health

 ...Join our team as a night shift, PRN, Neonatal Intensive Care Unit (NICU) Registered Nurse (GN) in Tyler, TX. Why Join Us?...  ...Associates Degree in Nursing (ADN) Must maintain current Texas RN License BLS certification must be obtained within 14 days of hire... 

KBR

RF Engineer Job at KBR

Title:RF EngineerBelong. Connect. Grow. with KBR!KBR's National Security Solutions team provides high-end engineering and advanced technology solutions to our customers in the intelligence and national security communities. In this position, your work will have a profound... 

Dental Associates Group

Hygiene Assistant - Centerville Dental Center Job at Dental Associates Group

 ...Join our team as a Hygiene Assistant and play a crucial role in ensuring a safe and healthy space for everyone! Position: Hygiene Assistant Location: Centerville Dental Center. Type: Full-Time. Pay: Up to $18/hr. Responsibilities: Ensure all areas...