Medical Billing & Coding Specialist

Tohono O'odham Nation Healthcare; Tucson (AZ); On-site; USD 42,000 - 60,000; Full time

Job summary

Tohono O'odham Nation Healthcare is seeking a detailed medical billing specialist to manage claims from submission through payer reimbursement. You will apply CPT/HCPCS codes, verify supporting documentation, and ensure regulatory compliance under HIPAA.

The role requires accuracy, timely filing, and collaboration with providers and payers across TONHC facilities to maximize claims capture and revenue cycle efficiency.

Qualifications

• Two years of work experience in medical billing, third-party billing, accounting, budget, financial management support, or equivalent.
• Knowledge of CPT/HCPCS coding and ICD-10 procedures.
• Familiarity with HIPAA, privacy regulations, and confidentiality requirements.

Responsibilities

• Process and bill medical claims from submission to payer payment.
• Verify accuracy of claims and supporting documents.
• Abstract and code services using CPT/HCPCS and ensure compliance with AMA/HCFA rules.
• Ensure timely billing to meet internal deadlines (6–10 days depending on service).
• Maintain documentation, logs, and communications with payers and providers.

Skills

Medical billing

CPT/HCPCS coding

HIPAA compliance

Education

High School Diploma or GED

Tools

RPMS

Job description

Tohono O'odham Nation Healthcare is seeking a detailed medical billing specialist to manage claims from submission through payer reimbursement. You will apply CPT/HCPCS codes, verify supporting documentation, and ensure regulatory compliance under HIPAA.

The role requires accuracy, timely filing, and collaboration with providers and payers across TONHC facilities to maximize claims capture and revenue cycle efficiency.