Physician Practices Billing Manager Los Alamos Medical CenterPhysician Practices Billing ManagerLos Alamos, NMWe have achieved an 'A' for our Leapfrog grade, have acquired Lifepoint Health NQP accreditation, Newsweek has named us a Top Hospital in New Mexico, and have been honored for our Lifepoint Health Diversity Program. Employee Well-being : Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Health Information Management Coder Lead - Coding CHRISTUS HealthHealth Information Management Coder Lead - CodingSanta Fe, NMCoding Lead will work with Coders as a resource to maintain current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and/or Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coding Leads will work to ensure Coders abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.
Monte Carlo Codes Postdoctoral Research Associate Los Alamos National LaboratoryMonte Carlo Codes Postdoctoral Research AssociateLos Alamos, NMNote to Applicants: Due to federal restrictions contained in the current National Defense Authorization Act, citizens of the People's Republic of China-including the special administrative regions of Hong Kong and Macau-as well as citizens of the Islamic Republic of Iran, the Democratic People's Republic of Korea (North Korea), and the Russian Federation, who are not Lawful Permanent Residents ("green card" holders) are prohibited from accessing facilities that support the mission, functions, and operations of national security laboratories and nuclear weapons production facilities, which includes Los Alamos National Laboratory. Responsibilities include developing and maintaining high-performance scientific software in Fortran, C/C++, and Python; conducting verification and validation (V&V) studies for electron transport and coupled multi-particle transport physics; performing software testing, benchmarking, and documentation; and supporting modern software engineering workflows, including version control and continuous integration.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)NM$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistNM$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
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.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteNMRemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
Certified Cardiothoracic Vascular Surgery Coder Presbyterian Healthcare ServicesCertified Cardiothoracic Vascular Surgery CoderNMResponsibilities: Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
Coordinator Charge Capture - Oncology CHRISTUS HealthCoordinator Charge Capture - OncologySanta Fe, NMCommunicates regularly with clinical staff as questions arise regarding the accuracy and compliance of charge entry; demonstrates a good working relationship with various clinical and non-clinical departments. Identifies patterns by department and facility, identifies education opportunities, and communicates with Coding, Nurse Auditors, and clinical managers as needed to ensure accurate charge capture.
Medical Director - ENT CVS Health CorpMedical Director - ENTNM$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONM$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
NewScheduler - Chemotherapy CHRISTUS HealthScheduler - ChemotherapySanta Fe, NMThis is supported by gathering patient-specific demographic and provider information to accurately assess the nature of the request and determine the appropriate appointment area; properly advising patients regarding the need for co-payments and referral authorizations to ensure the patient arrives on time and is prepared for their procedure or visit; Through this process, the Oncology Scheduling Coordinator responds to and interacts with a variety of individuals including patients, customers, referring physicians, clinical staff and family members. Regularly meets with providers (physician, PA, nurse, et.al.) to review their overall status, including reviewing and resolving patient or scheduling issues, and reviewing upcoming activities that may impact provider’s schedule and/or patient care.
Patient Experience Specialist ALLEVIO CARE, LLCPatient Experience SpecialistSANTA FE, NMCollect copays and other fees and perform proper money handling tasks (Total daily deposits, make copies of receipts, fill out daily deposit log). Proven initiative and a proactive mindset— you're someone who takes ownership, problem solves, works with a sense of urgency and drives projects forward.
Informatics Associate (Antibody Discovery) IQVIA Holdings IncInformatics Associate (Antibody Discovery)Santa Fe, NM$52,000–$130,000 / yearWhat We Are Looking For: PhD in Bioinformatics, Computational Biology, Computer Science, Molecular Biology, Immunology, Biochemistry, or a closely related discipline (fresh PhD acceptable); OR MSc in a related discipline with 2+ years of directly relevant industry or academic experience. You will combine hands-on wet-lab sequencing support with day-to-day informatics execution, delivering accurate, traceable sequence outputs and reports for discovery scientists on tight timelines.
Staff Software Development Engineer - Mobile CVS Health CorpStaff Software Development Engineer - MobileNM$106,605–$284,280 / yearThis Staff Engineer will design, develop, and implement digital solutions and systems by applying advanced technical expertise to architect and code software applications, conduct system testing and debugging, collaborate with cross-functional teams, and contribute to the overall technical direction and innovation of digital engineering projects. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerNM$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Software Developer 2 Los Alamos National LaboratorySoftware Developer 2Los Alamos, NMNote to Applicants: Due to federal restrictions contained in the current National Defense Authorization Act, citizens of the People's Republic of China-including the special administrative regions of Hong Kong and Macau-as well as citizens of the Islamic Republic of Iran, the Democratic People's Republic of Korea (North Korea), and the Russian Federation, who are not Lawful Permanent Residents ("green card" holders) are prohibited from accessing facilities that support the mission, functions, and operations of national security laboratories and nuclear weapons production facilities, which includes Los Alamos National Laboratory. We are a highly collaborative team working in a dynamic, fast-paced environment, responsible for developing and maintaining a smart factory supporting the Los Alamos National Laboratory Weapons Production directorate.
PFS Government A/R Specialist Presbyterian Healthcare ServicesPFS Government A/R SpecialistNMExcellent organizational, problem-solving, verbal and written communication skills, along with, attention to detail and the ability to interact effectively with other functional areas and management teams are required. All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Senior Manager - Software Development Engineering CVS Health CorpSenior Manager - Software Development EngineeringNM$106,605–$284,280 / year3+ years of experience defining technology strategy and leading the adoption and operationalization of technologies such as AI/ML, cloud services, automation, and developer productivity tools in a large-scale enterprise environment with evidence of measurable impact (e.g., reduction in MTTR, cost savings, efficiency gains, or adoption KPIs). Currently, we are seeking Senior Manager - Software Development Engineering who will lead and manage a team of software engineers, providing hands-on technical direction, architecture guidance, and mentorship while establishing measurable engineering goals aligned with business outcomes.
Assistant Business Office Manager Santa Fe Care CenterAssistant Business Office ManagerSanta Fe, New MexicoThis position will also be responsible for statement processing and posting payments and adjustments to patient accounts and assisting with Sliding Fee Scale applications and audit processes. May be asked to perform other duties that align withmission, including but not limited to participation on clinical committees, providing education, Quality Review and/or other activities.