div class="vdl-col-xxl-3 vdl-col-xl-6 vdl-col-sm-12 ng-star-inserted">Albuquerque, NM29 days ago
The Internal Auditor supports the university by providing independent analysis and advisory services to help ensure operations are effective, efficient, and compliant with applicable policies and regulations. This position performs operational, compliance, financial, and investigative audits of intermediate complexity and provides management advisory services.
Albuquerque, NM29 days ago
Oversee, coordinate and perform auditing activities within the Internal Audit Department; audit, evaluate, analyze and report on a variety of City operations, the achievement of goals, financial accuracy and record keeping and compliance with applicable laws, policies and regulations; implement program goals and objectives; perform a variety of professional and technical tasks in support of assigned area of responsibility. Oversee, coordinate and perform auditing activities including developing the program and risk assessment, determining scope, conducting extensive research, analyzing various financial data, retrieving evidence and preparing detailed analytical reports.
Albuquerque, NM30+ days ago
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.
With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.
With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.
Work At Home, NM17 days ago
Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
p>Responsibilities: With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.
With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.
Albuquerque, New Mexico8 days ago
p style="text-align:inherit"/>Notice of candidate Privacy Rights: https://www.atriumhospitality.com/privacy-policy.
The Atrium SPIRIT is a belief in the power ofService, Perseverance, Inclusion, Respect, Innovation, and Teamwork to create an environment where everyone thrives.
Albuquerque, New Mexico30+ days ago
div class="careers-description__container">Job Summary: We are seeking a reliable and detail-oriented Night Auditor to work overnight shifts. The ideal candidate should have excellent communication, customer service, and organizational skills, and be able to work independently with minimal supervision.
Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions:
- Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Rio Rancho, NM30+ days ago
ul>Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. - At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America. He/she is also responsible for effectively communicating concerns and/or related issues to all levels of management and performing guest service agent duties as required, including check-in, check-out, switchboard operation and reservations.
p>Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America. He/she is also responsible for effectively communicating concerns and/or related issues to all levels of management and performing guest service agent duties as required, including check-in, check-out, switchboard operation and reservations.
Albuquerque, New Mexico30+ days ago
strong>About Marriott Albuquerque:Albuquerque Marriott looks for team members who can grow, think, dream and create by focusing on ensuring an excellent customer experience.
Marriott Albuquerque is currently seeking a Night Auditor, the night auditor will assure the highest guest satisfaction by providing superior customer service.
Albuquerque, NM30+ days ago
p>What You Will Be Doing: • Conduct home energy assessments in residential single and manufactured homes • Install instant savings measures such as LED's and other energy savings devices • Complete detailed and accurate data collection and measurements and enter the data in the program software tool • Accurately document activities in the field and assist in monitoring progress towards program goals on customer participation and the completion of eligible projects • Interact with homeowners and tenants, answering questions regarding energy efficiency and recommend next steps • Promote and encourage adoption of energy saving measures recommended in the home energy assessment • Coordinate with or follow up on program Quality Assurance activities such as field inspections and customer surveys, as appropriate • Prepare summary reports identifying opportunities found during visit • Perform introductory tablet energy audit in a timely and efficient manner • Investigate main drivers of energy consumption in a given home and troubleshoot comfort issues within the home • Attend community events, home and trade shows promoting and registering homeowners for the program.
What We Would Like You To Have:
• Able to lift boxes no heavier than 30 pounds, climbing stairs and ladders, driving, walking, standing, installing light bulbs and equipment, above head arm movements • Certified RESNET HERS Rater, HESP or equivalent experience • Experience with energy audits and experience promoting energy efficiency in the residential sector • BPI certified Building Analyst • Willingness to obtain required certification within six months of hire, with company-provided preparation and payment • Experience with energy modeling software • Understanding of building science applications or construction background • Bilingual English/Spanish.
p>Requsition ID: 437237 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Together, 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. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Albuquerque, New Mexico30+ days ago
p style="text-align:left">Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future.We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive.
Roswell, New Mexico6 days ago
a href="https://nam10.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.highgate.com%2F&data=05%7C02%7Cchristopher.greene%40highgate.com%7C5ba1db61aa2644870bcf08deb103a625%7C3b290724ee0b4b3a88d66a1172257251%7C0%7C0%7C639142826441724766%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=0TCAQBOY4kN%2B%2FdFutYKy8kziiFuFaDqmAs31mroqA%2BY%3D&reserved=0" rel="noopener nofollow noreferrer" target="_blank">www.highgate.com. Compensation Type: Hourly Highgate Hotels: Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America.
Albuquerque, New Mexico26 days ago
ul style="margin-top:0;margin-bottom:0">Perform bookkeeping activities, such as balancing accounts and conducting nightly audits. - Work schedule varies and may include working on holidays, and weekends.
Albuquerque, New Mexico30+ days ago
Franklin Energy is redefining the clean energy future as the only integrated provider of comprehensive solutions, combining unmatched expertise in strategic consulting, program delivery, product solutions, and design/build services. This role includes completing walk through energy efficiency assessments, the installation of energy efficiency equipment and products, and for deepening customer awareness of and participation in rebate programs and the Utility's energy efficiency program.
JOB OBJECTIVE: As a member of the Inn of The Five Graces the Night Auditor is to assist with all guest reservation needs or requests prior to their arrival and while in house. While performing the duties of this job, the employee will be working within a well-lit and medium sized workspace and will be exposed to outside weather.
Albuquerque, NM30+ days ago
Bloomfield, NM30+ days ago
In this role, you will ensure a smooth guest experience from check-in to check-out, assist with reservations, complete nightly audits, and deliver exceptional customer service. Key Responsibilities: Greet guests and complete check-in and check-out professionally.
Albuquerque, NM5 days ago
li>Assist with drafting audit reports and associated administrative fine paperwork to support the issuance of Notices of Intent to Fine, Final Orders, Warning Notices and other related documentation for HSI audits related to the employment eligibility verification process. The role assists in reviewing employment eligibility documentation, conducting database research, and preparing audit-ready case files and reports that support administrative enforcement actions and related determinations.
Albuquerque, NM24 days ago
Analyze system logs utilizing a variety of cybersecurity tools such as Wazuh, Elastic Stack, Splunk, Graylog. Some or all certifications: CISA, CISSP, CISM, DoD 8140/8570 IAT/M Level III.
Albuquerque, New Mexico26 days ago
Analyze system logs utilizing a variety of cybersecurity tools such as Wazuh, Elastic Stack, Splunk, Graylog. • Some or all certifications: CISA, CISSP, CISM, DoD 8140/8570 IAT/M Level III.
Las Vegas, New Mexico30+ days ago
b>To see all open assignments available, rates of pay, assignment details and locations, please visit our home page https://ccmiretailservices.com and CLICK on VIEW ALL under open opportunities..
Hobbs, New Mexico30+ days ago
b>To see all open assignments available, rates of pay, assignment details and locations, please visit our home page https://ccmiretailservices.com and CLICK on VIEW ALL under open opportunities..
Roswell, New Mexico30+ days ago
b>To see all open assignments available, rates of pay, assignment details and locations, please visit our home page https://ccmiretailservices.com and CLICK on VIEW ALL under open opportunities..
Ruidoso, New Mexico30+ days ago
b>To see all open assignments available, rates of pay, assignment details and locations, please visit our home page https://ccmiretailservices.com and CLICK on VIEW ALL under open opportunities..
Taos, New Mexico30+ days ago
b>To see all open assignments available, rates of pay, assignment details and locations, please visit our home page https://ccmiretailservices.com and CLICK on VIEW ALL under open opportunities..
Socorro, New Mexico30+ days ago
b>To see all open assignments available, rates of pay, assignment details and locations, please visit our home page https://ccmiretailservices.com and CLICK on VIEW ALL under open opportunities..
Albuquerque, New Mexico30+ days ago
Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.
Albuquerque, New Mexico30+ days ago
Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.
Santa Fe, New Mexico30+ days ago
The IT Internal Audit Senior executes IT General Controls (ITGC) and IT Application Controls (ITAC) testing as part of the company's SOX compliance program, while also planning and executing risk-based IT internal audits across the broader technology environment. Bachelor's degree in a major or concentration relevant to the position, such as Accounting, Business Administration, Risk Management, Information Systems, Management Information Systems, Computer Information Systems, or a related field .
GHD will reimburse 50% of the cost of the following to maximum of $250.00 reimbursement annually for such items as: Health club membership fees, Home exercise equipment purchases, Bicycles, Race, run & marathon entrance fees, Smoking cessation programs, Weight loss programs (i.e.-Weight Watchers, Jenny Craig), Fitbits and Fitness Tracking devices. Clean Water Act (CWA) in support of National Pollutant Discharge Elimination System (NPDES), Spill Prevention, Control, and Countermeasure (SPCC), Stormwater Pollution Prevention Plan (SWPPP)• Coordination with the New Mexico State Land Office (NMSLO) for operations on state trust lands, including permitting and surface use requirements.