Medical Billing / Coding Specialist Ansible Government SolutionsMedical Billing / Coding SpecialistAlbuquerque, NMFull timeul>Review medical record documentation and accurately assign ICD-9/ICD-10 diagnoses and procedure codes, as well as CPT IV and HCPCS codes leading to the assignment of the correct Medicare Severity-Diagnosis Related Group (MS-DRG) or All Patient Refined-Diagnosis Related Group (APR-DRG). Ansible Government Solutions, LLC (Ansible) is seeking Medical Billing / Coding Specialists to work in support of Sandia National Laboratories located at 1515 Eubank Blvd SE, Albuquerque, NM 87123.
Medical Billing and Insurance Coding Instructor (60539) International Education CorporationMedical Billing and Insurance Coding Instructor (60539)Albuquerque, NMp>Some of the great work youll do includes: • Supporting students through their education journey and witness their dreams become reality • Helping students achieve their educational goals • Teaching experience is not required. To Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career.
Medical Coding Auditor - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Auditor - Must have a NM ResidenceAlbuquerque, NMWe ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. 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.
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, NMRemoteWe ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. Reviews 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.
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, NMRemotep>Reviews 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.
Billing Research Specialist - Journal Center, (946) TriCore Reference LaboratoriesBilling Research Specialist - Journal Center, (946)Albuquerque, NMp>ESSENTIAL 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 Coding Supervisor - Must have a NM Residence UNM Medical Group, Inc.Medical Coding Supervisor - Must have a NM ResidenceAlbuquerque, NMRemoteWe ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. 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 .
Medical Coding Supervisor UNM Medical Group IncMedical Coding SupervisorAlbuquerque, NMRemoteol start="3">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.
PFS Billing Specialist I-ABQ Presbyterian Healthcare ServicesPFS Billing Specialist I-ABQAlbuquerque, NMAll 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. Summary: Accurately submit all insurance claims, for all payer types, including Government payers within claims clearinghouse application and patient accounting system.
Dental Coding Analyst UNM Medical Group, Inc.Dental Coding AnalystAlbuquerque, NMWe ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. The Dental Billing Analyst promotes a positive patient experience through clear, respectful communication and high-quality customer service while supporting organizational revenue.
Central Billing Representative II First Choice Community Health CentersCentral Billing Representative IIAlbuquerque, NMli>Participate 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.
Medical Billing Specialist JobotMedical Billing SpecialistAlbuquerque, NM$18–$25 / 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.
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.
Billing Research Specialist-Journal Center, (1456) TriCore Reference LaboratoriesBilling Research Specialist-Journal Center, (1456)Albuquerque, NMPerforms 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. MINIMUM EXPERIENCE: Requires one of the following: One (1) year experience as a Medical Data Entry Specialist in the TriCore Business Office.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Rio Rancho, NMREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Inpatient Rehab Medical Coder (Remote) ClearSky HealthInpatient Rehab Medical Coder (Remote)Albuquerque, New MexicoRemoteWe distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.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. Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing.
Medical Coder (Inpatient Rehab) Remote ClearSky HealthMedical Coder (Inpatient Rehab) RemoteAlbuquerque, New MexicoRemoteWe distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.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. Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing.
Senior Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthSenior Charge 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.
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.
Charge Description Master Specialist - Full time, Day, Remote Providence St. Joseph HealthCharge Description Master Specialist - Full time, Day, RemoteAlbuquerque, NMRemotep>As 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.
NewCompliance Auditor -Remote Providence St. Joseph HealthCompliance Auditor -RemoteAlbuquerque, NMRemotep>Areas 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.
Medical Practice Specialist University of New MexicoMedical Practice SpecialistAlbuquerque, NMp>The 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.
Primary Care Physician - Optum New Mexico UnitedHealth Group IncPrimary Care Physician - Optum New MexicoAlbuquerque, NMp>Clinical ›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.
Nurse Practitioner - PRN CompassusNurse Practitioner - PRNAlbuquerque, NMThe Nurse Practitioner, if providing hospice care, functions as an extension of the interdisciplinary team (IDT) and hospice physician to provide routine recertification and emergency assessments, educational, and evaluative services to meet the needs of patients and their families. If providing Hospice Face to Face Visits: Performs routine and emergency assessments: Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).
Medical 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.
NewManager Practice II - Primary Family Medicine CHRISTUS HealthManager Practice II - Primary Family MedicineAlbuquerque, NMManages subordinate personnel, prepares clinic budget, ensures data accuracy, prepares financial analyses, handles customer service issues and maintains provider/staff communications. Works closely with leadership to develop, implement, and maintain programs that enhance quality of care and achieve a high level of patient and provider satisfaction as well as meeting budgeted financial clinic performance.
PRN Pharmacist UnitedHealth Group IncPRN PharmacistAlbuquerque, NMp>Clinical ›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. A career with Genoa Healthcare means youre part of a collaborative effort to serve behavioral health and addiction treatment communities.
Account Operations Tech 1 UNM Medical Group IncAccount Operations Tech 1Albuquerque, NMp>Summary: Performs a variety of routine day-to-day operations related to the administration of billing accounts for a defined University medical service or billing agent. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence.
Medicare/Medicaid Claims Specialist JobotMedicare/Medicaid Claims SpecialistAlbuquerque, 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.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care AG & Co KGaADialysis Clinical Manager Registered Nurse - RNAlbuquerque, NMOther: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.