NewMedical Biller JobotMedical BillerAlbuquerque, NM$18–$22 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewMedical Scribe Oak Street HealthMedical ScribeAlbuquerque, NM$17–$28.46Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Coding Quality Educator - Remote Providence St. Joseph HealthCoding Quality Educator - RemoteAlbuquerque, NMRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. This position will assist with new employee training and ongoing department education as well as assist with the identification, development and delivery of new and ongoing provider education and training related to coding and clinical documentation.
Medical Coding Auditor - Must have a NM Residence UNM Medical Group IncMedical Coding Auditor - Must have a NM ResidenceAlbuquerque, NMDuties and Responsibilities of a Medical Coding Analyst: Audits medical record documentation to identify undercoded and overcoded services, prepares reports and observations and meets with providers, support staff and coding personnel to provide education and training on accurate documentation and coding practices in compliance with regulatory requirements. Assists management in the review of external payer requests including but not limited to third party payers, Medicare Advantage plans, and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
Medical Coding Analyst I or II - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Analyst I or II - Must have a NM ResidenceAlbuquerque, NMRemoteReviews and analyzes medical records in order to assign appropriate CPT and ICD-10 codes for inpatient and outpatient consultations, procedures, anesthesia, inpatient visits, and office visits for new or established patients. Responsible for coding Inpatient/Outpatient charges and specialty services using appropriate ICD and CPT classification systems for the purpose of reimbursement, research and compliance in accordance with federal regulation.
Medical Coding Analyst I or II - Must have a NM Residence UNM Medical Group IncMedical Coding Analyst I or II - Must have a NM ResidenceAlbuquerque, NMRemoteReviews and analyzes medical records in order to assign appropriate CPT and ICD-10 codes for inpatient and outpatient consultations, procedures, anesthesia, inpatient visits, and office visits for new or established patients. Responsible for coding Inpatient/Outpatient charges and specialty services using appropriate ICD and CPT classification systems for the purpose of reimbursement, research and compliance in accordance with federal regulation.
Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Auditor - Must have a NM ResidenceAlbuquerque, NMAudits medical record documentation to identify undercoded and overcoded services, prepares reports and observations and meets with providers, support staff and coding personnel to provide education and training on accurate documentation and coding practices in compliance with regulatory requirements. Assists management in the review of external payer requests including but not limited to third party payers, Medicare Advantage plans, and Recovery Audit Contractor reviews for reconsideration, appeal and rebuttal actions.
Medical Coding Supervisor - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Supervisor - Must have a NM ResidenceAlbuquerque, NMRemote3. Provides ongoing training and education to staff on new department policies, coding rule changes, and updated payer requirements; ensures that the coding team is current on coding and billing. Provides feedback to providers regarding results and findings from billing/coding reviews/audits, medical records documentation deficiencies, and/or requests clarification of documentation.
Medical Coding Supervisor UNM Medical Group IncMedical Coding SupervisorAlbuquerque, NMRemoteProvides ongoing training and education to staff on new department policies, coding rule changes, and updated payer requirements; ensures that the coding team is current on coding and billing. Provides feedback to providers regarding results and findings from billing/coding reviews/audits, medical records documentation deficiencies, and/or requests clarification of documentation.
Dental Coding Analyst UNM Medical Group, Inc.Dental Coding AnalystAlbuquerque, NMThe Dental Billing Analyst promotes a positive patient experience through clear, respectful communication and high-quality customer service while supporting organizational revenue. The is seeking a highly motivated individual to work as a Dental Coding Analyst in our Division of Dental Services Residency Clinic.
Med Coding Analyst University of New MexicoMed Coding AnalystAlbuquerque, NMThe University of New Mexico Student Health & Counseling clinic (SHAC) is recruiting for a knowledgeable, detail-oriented Medical Coding Analyst to coordinate the processing of fees for professional services provided to patients within a specified group of clinical areas, for the purpose of reimbursement. This position analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements and assigns specified codes to medical diagnoses and/or clinical procedures.
Dental Coding Analyst UNM Medical Group IncDental Coding AnalystAlbuquerque, NMThe Dental Billing Analyst promotes a positive patient experience through clear, respectful communication and high-quality customer service while supporting organizational revenue. The is seeking a highly motivated individual to work as a Dental Coding Analyst in our Division of Dental Services Residency Clinic.
NewEntry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantAlbuquerque, New MexicoThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Central Billing Representative II First Choice Community Health CentersCentral Billing Representative IIAlbuquerque, NMParticipate in billing Helpdesk customer support, by receiving, responding and documenting all incoming account inquiries including electronic, telephone and written correspondence related to billing issues. Follow up on claims denials, make appropriate corrections, obtain approvals and resubmit claims denials for payment; appeal denials through the payer required appeals process.
Billing Research Specialist - Journal Center, (946) TriCore Reference LaboratoriesBilling Research Specialist - Journal Center, (946)Albuquerque, NMESSENTIAL FUNCTIONS: Performs billing research functions and problem solving activities utilizing internal computer systems and Internet sites as appropriate by locating missing requisitions, status inquiries for patient/client accounts, calling on problems, verifies insurance and diagnosis information, and resolving discrepancies. Enters billing information into billing system and other Business Office applications for scrubber edits (i.e. Rhodes Fusion Scrubber, Antrim, Fast Orders etc.) as appropriate.
Medical Coder (Inpatient Rehab) Remote ClearSky HealthMedical Coder (Inpatient Rehab) RemoteAlbuquerque, New MexicoRemoteCurrent knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations.
Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthCharge Description Master Specialist - Full time, Day, RemoteAlbuquerque, NMRemoteAs a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)NM$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
NewRN (CDI) Clinical Documentation and Compliance Specialist Presbyterian Healthcare ServicesRN (CDI) Clinical Documentation and Compliance SpecialistNMActs as expert clinical resource for the HIM Coding team, working collaboratively to identify areas for clarification of documentation in the medical record that meets regulatory requirements to accurately reflect patient severity of illness and services provided. Works collaboratively with the Medical Staff, Nursing Staff and other patient care givers to improve the quality of chart documentation to accurately reflect services provided and present an accurate hospital and physicians profile.
Compliance Auditor -Remote Providence St. Joseph HealthCompliance Auditor -RemoteAlbuquerque, NMRemoteAreas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT. This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager.
Billing Research Specialist-Journal Center, (1456) TriCore Reference LaboratoriesBilling Research Specialist-Journal Center, (1456)Albuquerque, NMESSENTIAL FUNCTIONS: Performs billing research functions and problem solving activities utilizing internal computer systems and Internet sites as appropriate by locating missing requisitions, status inquiries for patient/client accounts, calling on problems, verifies insurance and diagnosis information, and resolving discrepancies. Enters billing information into billing system and other Business Office applications for scrubber edits (i.e. Rhodes Fusion Scrubber, Antrim, Fast Orders etc.) as appropriate.
Primary Care Physician - Optum New Mexico UnitedHealth Group IncPrimary Care Physician - Optum New MexicoAlbuquerque, NMClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminAlbuquerque, NMRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Medical Practice Specialist University of New MexicoMedical Practice SpecialistAlbuquerque, NMThe Department of Neurosurgery values professional development and continuing education and in this spirit will support this position obtaining professional certification(s) such as the American College of Medical Practice Executive (ACMPE) or a Professional Coding Certification such as the American Academy of Professional Coders (AAPC). Duties for this position include but are not limited to: Oversee and evaluate the department's productivity and billing operations, while working with the department administration, the department leadership, UNMMG and UH to ensure compliance with appropriate procedures and applicable laws, regulations and policies.
Specialist,Clinical Informatics CVS Health CorpSpecialist,Clinical InformaticsAlbuquerque, NM$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerAlbuquerque, NMRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerAlbuquerque, NMRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
NewRemote Epic Revenue Cycle Optimization Analyst Signature PerformanceRemote Epic Revenue Cycle Optimization AnalystAlbuquerque, NMRemoteThe successful candidate will possess strong EPIC systems knowledge, certification, and experience in revenue cycle operations, aiding in improving organizational performance.#J-18808-Ljbffr. You will bridge operations, technology, and analytics to drive efficiency in revenue cycle processes across patient access, coding, billing, and accounts receivable.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerAlbuquerque, NMRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Health Information Management (HIM) Manager ClearSky HealthHealth Information Management (HIM) ManagerRio Rancho, New MexicoSafeguards the confidentiality of all medical records by ensuring the Release of Information policy is followed in accordance with HIPAA and other requirements; securing legal/risk management records; responding timely to subpoenas and/or court orders; and representing the hospital in court hearings and/or depositions as required. Oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to the organization’s policies and procedures covering the privacy of, and access to, patient health information in compliance with federal and state laws and the healthcare organization’s information privacy practices.
Medical Assistant / MA - Multiple Specialties Lovelace Health SystemMedical Assistant / MA - Multiple SpecialtiesAlbuquerque, New MexicoPatient visit support that may include: Greeting patients, and escorting patient to exam room and/or taking patients’ vital signs, and other applicable medical information to effectively support the reason for the patients visit and recommended treatment. Lovelace Medical Group is a multispecialty provider group which includes clinics, doctors, and advanced practice providers in a broad range of specialties and primary care.
NewSr. Analyst System Pricing - Work From Home Health Care Service CorpSr. Analyst System Pricing - Work From HomeAlbuquerque, NMRemote$61,500–$136,100 / yearKnowledge of CPT, HCPCS, ICD10, Revenue code and/or DRG coding practices, Relative Value Unit, Anesthesia, Durable Medical, and other methodology in support of current and future pricing scenarios. This position is responsible for system pricing development; support functions needed for contract financial analysis and performance; coordination of internal/external audit requests; performing routine and ad hoc reporting; and maintaining an understanding of provider contracts.
Medical Assistant I First Choice Community Health CentersMedical Assistant IAlbuquerque, NMUnder the supervision of the Nurse Flow Manager within the Health Center, the Medical Assistant I functions at the entry level of a Medical Assistant in clinical and clerical support as part of a patient care team of providers and nurses who provide direct patient care at the health centers. Administration of medication through inhalation, ears, eyes, orally and by injection after required trainings have been completed and having been observed and signed off by a provider or licensed health professional.
Medical Assistant First Choice Community Health CentersMedical AssistantAlbuquerque, NMUnder the supervision of the Nurse Flow Manager within the Health Center, the Medical Assistant I functions at the entry level of a Medical Assistant in clinical and clerical support as part of a patient care team of providers and nurses who provide direct patient care at the health centers. Administration of medication through inhalation, ears, eyes, orally and by injection after required trainings have been completed and having been observed and signed off by a provider or licensed health professional.
Full Time Family Nurse Practitioner needed at Lovelace Medical Group in Roswell, NM | $10,000 Commencement Bonus | Free Childcare Ardent Health Partners LLCFull Time Family Nurse Practitioner needed at Lovelace Medical Group in Roswell, NM | $10,000 Commencement Bonus | Free ChildcareAlbuquerque, NMFree Childcare: New Mexico now offers universal, no-cost childcare for all families, eliminating copays and income limits statewide-saving physicians and APPs an average of $12,000$14,000 per child per year while providing access to any licensed childcare setting. Our providers use Epic EMR and Ambience AI scribe technology to automate documentation, reduce administrative burden, improve patient flow, and ensure accurate coding-leading to better work-life balance and revenue.
Gastroenterologist Hospitalist | Lovelace Medical Center in Albuquerque, NM | 7 on/7 off |Commencement Bonus | Free Childcare Ardent Health Partners LLCGastroenterologist Hospitalist | Lovelace Medical Center in Albuquerque, NM | 7 on/7 off |Commencement Bonus | Free ChildcareAlbuquerque, NMOur physicians use Epic EMR and Ambience AI scribe technology to automate documentation, reduce administrative burden, improve patient flow, and ensure accurate coding-leading to better work-life balance and revenue. Lovelace Medical Group is searching for an inpatient-only, BE/BC Gastroenterologist Hospitalist for its growing system of hospitals and clinics in beautiful Albuquerque, New Mexico.
Gastroenterologist Hospitalist | Lovelace Medical Center in Albuquerque, NM | 7 on/7 off |Commencement Bonus | Free Childcare Lovelace Health SystemGastroenterologist Hospitalist | Lovelace Medical Center in Albuquerque, NM | 7 on/7 off |Commencement Bonus | Free ChildcareAlbuquerque, New Mexico$12,000–$14,000 / yearFree Childcare: New Mexico now offers universal, no-cost childcare for all families , eliminating copays and income limits statewide-saving physicians and APPs an average of $12,000–$14,000 per child per year while providing access to any licensed childcare setting. New Mexico is known for its Native American and Hispanic cultures; however, it is a diverse community filled with traditions, including the International Balloon Fiesta (as the Hot Air Ballooning Capital of the World) and delicious red and green chili cuisines.
Data Conversion Lead MaximusData Conversion LeadAlbuquerque, NMFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Patient Services Representative III First Choice Community Health CentersPatient Services Representative IIINMIncluding but not limited to greeting patients and visitors entering the health center, registers new and returning patients, collects payments from patients for their visit, places self-pay patients on payment plans, reviews all insurance benefits to include frequency limitations, deductible, co-insurances, wait periods and all other details involved in the dental insurance realm, review of next appointments and the ability to articulate these details to the patient in laymen's terms, with ease. to include, but no limited to- check the document center to ensure we have collected what we need to be paid for the encounter, check to make sure a procedure has been charged by a provider, check to make sure diagnoses codes are in the system, check for any outstanding claims (past) and bring those to the attention of Dental Central Billing, check for an outstanding balance and make sure we have an active payment plan if necessary, collect the payment, check to make sure the next appt.