Claims Clinical Documentation Reviewer - CCDBK#001
NavitsPartnersJob 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
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Conduct re-reviews of behavioral health clinical records under the direction of leadership.
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Complete and submit standardized audit tools accurately and on time.
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Participate in meetings with internal teams and providers as needed.
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Ensure documentation meets compliance, quality, and regulatory requirements.
Knowledge Requirements
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Principles and strategies of Service Authorization.
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Behavioral health service delivery systems, including services for children and individuals designated as SMI.
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Behavioral health management, clinical assessment, and individualized treatment planning.
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Substance abuse treatment concepts and approaches.
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HCPCS Levels I & II, ICD coding, DSM IV/V, and medical billing standards.
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Healthcare technology tools such as EHRs and HIE systems.
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Medicaid and Medicare regulations, AHCCCS policies, and state statutes.
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AHCCCS program structure, provider networks, prior authorization processes, and funding sources.
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General understanding of American Indian Tribes, programs, and related policies.
Experience
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Minimum of 1 year of clinical and programmatic experience in behavioral health service delivery (preferred).
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Advanced experience in clinical and/or claims documentation review and analysis is highly desirable.
Requirements
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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.