Management Analyst 3

DEPT OF HEALTH SERVICES

The Arizona Department of Health Services promotes and protects the health of Arizona’s children and adults. Our mission is to promote, protect, and improve the health and wellness of individuals and communities in Arizona. We strive to set the standard for personal and community health through direct care, science, public policy, and leadership. ADHS promotes alternative work schedules, flexible hours. We have positions that can fit any stage in your career, from entry to senior level. We offer a robust benefit package, including the ADHS Student Loan Assistance Program, where eligible employees can receive up to $437.50 per month for their outstanding student loans. Come check us out and see how you can make a difference in the lives of all Arizonans.

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%)

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).

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.

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.