IP Facility Coder with CCS - Medical Records Presbyterian Healthcare ServicesIP Facility Coder with CCS - Medical RecordsNMThe IP Facility Coder 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.
Medical Records Clerk First Choice Community Health CentersMedical Records ClerkAlbuquerque, NMIs responsible for filing of x-ray, EKG and other reports according to health record order of assembly format; Checks for errors in patients identification; Pulls and screens health records for completeness, makes patient identification cards and re-files records upon completion of activities; Responsible for sending medical records to appropriate destination either through fax, phone, or mail; Responsible for charging appropriate fees if any for copies of medical record(s) and submit to Central Billing for further processing; Where dental services offered, completes dental charts for medical records; Checks encounter forms against medical record to assure conformity, audits medical records to ensure adequate documentation to patient encounter; Checks encounter forms against sign-in list to see that no encounter forms are issued; Assures that all statistical reporting forms (family and individual registration forms and encounter forms) are checked for accuracy to see that all categories are filled in; Maintains daily census from sign-in list; Responsible for archiving medical records at the end of the year, by labeling, boxing, and utilizing the computer system to place notes and further research in the future; Responsible for purging of health records; Obtains and releases medical information as directed by physician; Performs miscellaneous job-related duties as assigned. Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications.
Orthopedic Surgeon Telecommute Medical Review Stream Physician Concentra Inc.Orthopedic Surgeon Telecommute Medical Review Stream PhysicianAlbuquerque, NMMust be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Spine Telecommute Medical Review Stream Physician Concentra Inc.Spine Telecommute Medical Review Stream PhysicianAlbuquerque, NMMust be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Physical Medicine & Rehabilitation Telecommute Medical Review Stream Physician Concentra Inc.Physical Medicine & Rehabilitation Telecommute Medical Review Stream PhysicianAlbuquerque, NMMust be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
Remote IP Facility Coder with CCS - Medical Records Presbyterian System ServicesRemote IP Facility Coder with CCS - Medical RecordsNew MexicoRemoteThe IP Facility Coder 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.
Medical Record Assistant PACS Group IncMedical Record AssistantArtesia, NMEnsure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistAlamogordo, New Mexico$16–$22 / yearFull timeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
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.
Medical Records Clerk First Choice Community HealthcareMedical Records ClerkAlbuquerque, NMIs responsible for filing of x-ray, EKG and other reports according to health record order of assembly format; Checks for errors in patients identification; Pulls and screens health records for completeness, makes patient identification cards and re-files records upon completion of activities; Responsible for sending medical records to appropriate destination either through fax, phone, or mail; Responsible for charging appropriate fees if any for copies of medical record(s) and submit to Central Billing for further processing; Where dental services offered, completes dental charts for medical records; Checks encounter forms against medical record to assure conformity, audits medical records to ensure adequate documentation to patient encounter; Checks encounter forms against sign-in list to see that no encounter forms are issued; Assures that all statistical reporting forms (family and individual registration forms and encounter forms) are checked for accuracy to see that all categories are filled in; Maintains daily census from sign-in list; Responsible for archiving medical records at the end of the year, by labeling, boxing, and utilizing the computer system to place notes and further research in the future; Responsible for purging of health records; Obtains and releases medical information as directed by physician; Performs miscellaneous job-related duties as assigned. Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianNM$37,193–$44,780 / yearRefer 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. Required 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."
NewSupervisory Medical Records Technician US Department of Health and Human ServicesSupervisory Medical Records TechnicianGallup, NM$62,392–$81,114 / yearMINIMUM QUALIFICATIONS: GS-09: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience leading or supervising patient registration/admission staff; assigning work; adjusting priorities, schedules, and staffing; evaluating performance and work quality; resolving complaints; and providing training; Experience reviewing and maintaining registration, admission, discharge, transfer, census, and related medical records; verifying patient identity, eligibility, demographics, and payer information; and applying medical terminology, privacy, and confidentiality requirements; Experience analyzing workflow, workload, patient flow, quality, eligibility, productivity, and revenue-cycle data; preparing reports; and identifying training or process improvements; Experience supporting automated patient registration, ADT, scheduling, sensitive-patient tracking, and patient-accounting systems; training users; maintaining templates and tracking methods; troubleshooting; and escalating unresolved technical issues. 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.
RN Case Manager / Utilization Review Cibola General HospitalRN Case Manager / Utilization ReviewGrants, NMThe Case Manager / Utilization Review Nurse serves as a liaison between patients, families, providers, payers, and post-acute resources to facilitate safe, timely, and cost-effective transitions of care while supporting hospital reimbursement integrity and compliance with Medicare, Medicaid, commercial payer, and regulatory requirements. The referral incentive will be awarded only for applicants who are hired and successfully complete ninety (90) days of active employment in a regular full-time position in the followingjobs: Registered Nurse, Medical Technologist / Medical Laboratory Technologist, Ultrasound Technologist,Radiologic Technologist, Pharmacist, Certified Registered Nurse Anesthetist, Physician, Physician's Assistant, andNurse Practitioner.
Case Manager / Utilization Review CIBOLA GENERAL HOSPITAL CORPORATIONCase Manager / Utilization ReviewGrants, NMThe Case Manager / Utilization Review Nurse serves as a liaison between patients, families, providers, payers, and post-acute resources to facilitate safe, timely, and cost-effective transitions of care while supporting hospital reimbursement integrity and compliance with Medicare, Medicaid, commercial payer, and regulatory requirements. The position combines clinical Case Management functions with Utilization Review responsibilities, including medical necessity reviews, inpatient and concurrent authorizations, concurrent reviews, denial prevention, and interdisciplinary collaboration.
Value Based Clinical Quality Coordinator El Centro Family HealthValue Based Clinical Quality CoordinatorEspañola, NMAssociate Degree in Nursing (ADN) with an active RN license in New Mexico or a compact state; alternatively, a Licensed Practical Nurse (LPN) with 5+ years of HEDIS/Star program experience may be considered. The Value-Based Clinical Quality Coordinator is responsible for promoting consistency, streamlining processes, and sharing best practices across assigned provider groups to achieve a minimum 4-star quality performance.