Arizona Medical Board
The mission of the Arizona Medical Board is to protect public safety through the judicious licensing, regulation, and education of all allopathic physicians.
ARIZONA MANAGEMENT SYSTEM (AMS):
All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results. State employees are highly engaged, collaborative and embrace a culture of public service.
1740 W. Adams Street
Phoenix, AZ 85007
The Investigator will be responsible for conducting investigations of allegations against allopathic physicians and physician assistants licensed in Arizona, with an emphasis on billing complaints. The investigator will also investigate quality of care complaints and professional conduct violations. Matters investigated can include sensitive issues such as substance abuse and sexual misconduct. Some duties are equivalent of a paralegal, such as preparing and serving subpoenas. Additionally, an investigator must also utilize their judgment when prioritizing, planning, organizing and conducting investigations including interpreting statutes and rules, drafting case reports, conducting site inspections and investigational interviews, and present cases before the Arizona Medical Board in addition to testifying before the Office of Administrative Hearings.
KNOWLEDGE, SKILLS AND ABILITIES (KSAs):
Statutes and rules governing the practice of medicine.
Familiarity with medical records review. And experience performing clinical coding reviews to ensure accuracy of medical coding and utilize expertise and judgment to determine correct coding/billing.
Microsoft products, the Internet, and database input and retrieval.
Applying and interpreting Federal and State statutes and rules governing investigations and the practice of medicine.
Reading and interpreting medical records.
Production of timely and accurate reports and documentation.
Verbal and written communication with attention to detail.
Public speaking skills to present cases in a hearing or trial setting.
Must be able to handle and prioritize a large case load.
Working independently (requiring minimum supervision), interviewing techniques to elicit information, effective verbal and written communication, basic computer skills, interpersonal relations as applied to contact with attorneys, physicians, and members of the pubic, the use of tactful diplomacy due to the nature of the job.
Conduct investigations, including review of medical records to determine relevance to the investigation.
Work in a team environment.
Multi-task, prioritize, plan, analyze, and coordinate investigations.
Extract and utilize facts from a variety of sources and apply the relevant statutes, rules and policies to prepare clear, accurate and quality legal documents within specified time frames.
Function in an orderly and purposeful manner under pressure or in high stress situations and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
Medical billing/coding experience is a plus.
Certification as a fraud examiner, health care fraud investigator, or coder is preferred.
The Arizona Department of Administration offers a comprehensive benefits package to include:
Vacation with 10 paid holidays per year
Health and dental insurance
Life insurance and long-term disability insurance
Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance
Positions in this classification participate in the Arizona State Retirement System (ASRS).
Enrollment eligibility will become effective after 27 weeks of employment.
If you have any questions, please feel free to contact ADOA Recruitment at [email protected] or at (602) 542-5482 for assistance.
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting Evangeline Webster at [email protected] Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.
State Of Arizona