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.
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.
Code Enforcement Specialist (Planning - Housing Code Enforcement) City of AlbuquerqueCode Enforcement Specialist (Planning - Housing Code Enforcement)Albuquerque, NM$51,043.20–$56,264 / yearEnforce city-land use requirements, zoning codes and related ordinances through inspections, surveys and field investigations of residential and commercial properties, to include vacant lots, for compliance of all applicable City zoning codes and ordinances, and issue appropriate notifications regarding zoning code violations, when appropriate. Communicate and work with developers, contractors, apartment managers and maintenance staff to maintain code requirements and resolve problems relating to code compliance, providing related information to enforcement agencies including City of Albuquerque Legal Department, Police Department, Fire Department, Environmental Health Department and neighborhood groups.
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 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.
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 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.
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.
NewRN (CDI) Clinical Documentation and Compliance Specialist Presbyterian System ServicesRN (CDI) Clinical Documentation and Compliance SpecialistAlbuquerque, New MexicoActs 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.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Albuquerque, NMRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
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.
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.
Inventory Control Specialist The Staffing Resource Group, IncInventory Control SpecialistBelen, NMWe provide contract, contract-to-hire, and direct hire placements across a wide range of critical roles including Scientists, Formulators, Engineers, QA/Regulatory Affairs, Microbiologists, Manufacturing Technicians, Supply Chain/Procurement Specialists, Project Managers, and Business Development professionals. SRG4 Life Sciences delivers flexible staffing solutions nationwide, specializing in pharmaceutical, CDMO/CMO, medical device, clinical research, PBM, pharmacy, food and beverage, nutraceutical, laboratory, and consumer product sectors.
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.
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.
LOAN SERVICING SPECIALIST Sandia Area Federal Credit UnionLOAN SERVICING SPECIALISTAlbuquerque, NMThis includes, but is not limited to, sending delinquent accounts to the attorney, ensuring collection fees are expensed accurately, transferring payments as directed by Special Accounts Officers, coding accounts under bankruptcy protection and charging off loans and share accounts at appropriate times. Backup for various loan servicing tasks such as payment adjustments, non-hardship modification requests, monitoring HELOCs past their draw period, reviewing insurance waiver requests and reviewing holds on share secured loans.
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.
Store Protection Specialist Ross Stores IncStore Protection SpecialistAlbuquerque, NMThe Specialist makes eye contact, smiles, and greets all Customers in a prominent, courteous and friendly manner deterring opportunity for theft by demonstrating "command" presence in a Company issued vest/required black attire, and monitoring the Code 50 package inspection policy. Provides visible "command" presence, including prominent greetings with eye contact, at Store entrances/exits and on sales floor in a Company issued vest/required black attire, monitoring for potential safety issues.
NewCertified Peer Recovery Specialist New SeasonCertified Peer Recovery SpecialistALBUQUERQUE, NMAs an for patients, the Certified Peer Specialist will be responsible providing expertise and consultation the multidisciplinary to promote a culture in which individual''s treatment and are recognized, understood, respected, and integrated into treatment, rehabilitation, and self-help activities. Models effective coping and self-help strategies and techniques to individuals or groups of patients overcome fears, anxieties, urges, * triggers.
NewJudicial Specialist 2 Full-Time, Perm in Albuquerque, NM New Mexico CourtsJudicial Specialist 2 Full-Time, Perm in Albuquerque, NMAlbuquerque, NMBenefitsMedical, Dental, Vision, and Rx, Short and Long Term Disability Insurance Programs, employee assistance program (EAP) paid life insurance, supplemental and dependent life insuranceOptional flexible spending accounts for medical, day‑care, and travel expensesPaid vacation and sick leave up to eight (8) weeksEleven (11) paid holidaysUp to 12 weeks of paid parental leaveDeferred Compensation 457(b) planLifetime Defined Benefits Retirement Plan work schedules and alternative work locationsFree health care, Rx, and lab work at the facility (Stay Well Health Center) in Santa Fe, NMBilingual compensationTraining and career development opportunitiesHigher education opportunities, educational leave, and tuition reimbursementMay qualify for the Public Service Loan Forgiveness Program (PSLF)May receive overtime holiday or shift differential payMay receive physical fitness leaveThese benefits vary by job classification or need. Competencies and QualificationsThe successful applicant should demonstrate knowledge of legal terminology and phrases; basic knowledge of jury service; filing methods; case processing; knowledge of Specialty Court Programs; research methodology; project management techniques; court fee accounting practices; court monitoring procedures; Court Clerk's Procedures Manual and Code of Ethics; court's and States Language Access Policies, access to the Certified Language International Interpreting Line; and general organizational structure of the judiciary.
Information Technology Specialist Galapagos Federal Systems LLC.Information Technology SpecialistAlbuquerque, New Mexico$100,000–$110,000 / yearFull timeThe position also supports LAN connectivity, network cabling, switches, routers, printers, telephones, UPS systems, and Video Teleconference (VTC) systems, as well as IT equipment installation, relocation, accountability, sanitization, and disposal activities in accordance with DoD security policies and procedures. Responsibilities include supporting Windows and Linux operating systems, VMware and Microsoft Hyper-V virtualization platforms, and enterprise Microsoft services including Active Directory, Group Policy, DNS, DHCP, DFS, SQL Server, and Azure.
Heating and Air Conditioning Specialist Bernalillo CountyHeating and Air Conditioning SpecialistAlbuquerque, NMUtilizes common HVAC equipment including wrenches, snips, riveter, sheet metal forming equipment, brazing torch, welder, saws, pipe threader, hand tools, small power tools, ladders, and other customary equipment. • Work hazards include steam; climbing ladders, catwalks, and scaffolds; entry into crawlspaces and sewers; operation of a county vehicle; risk of lacerations, burns, contusions and other injuries; and exposure to high pressure fluids and gases.
NewParts Specialist OReilly Auto PartsParts SpecialistAlbuquerque, NMProvide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee. Perform various in-store services for customers (where state and local laws allow) - (i.e. install wipers, test and charge batteries, test charging system, scan vehicle trouble codes, replace headlight capsules, etc.).
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistAlbuquerque, NM$17–$18.15 / hourJob Responsibilities: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Technical Specialist, High Complexity Lab-Woodward/Chemistry, (1362) TriCore Reference LaboratoriesTechnical Specialist, High Complexity Lab-Woodward/Chemistry, (1362)Albuquerque, NMAs assigned, design, implement and ensure proficiency testing is performed as scheduled, results are evaluated, and any required corrective (technical) action is performed. May perform the responsibilities of a Technical Supervisor under Code of Federal Regulations (CFR) 493.1451 except in the specialties of clinical Cytogenetics, Cytology, Histocompatibility, Histopathology and Transfusion Medicine.
Parts Specialist O'Reilly Automotive IncParts SpecialistAlbuquerque, NMProvide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee. Perform various in-store services for customers (where state and local laws allow) - (i.e. install wipers, test and charge batteries, test charging system, scan vehicle trouble codes, replace headlight capsules, etc.).
Case Management Specialist- Advanced Practice Compass ConnectionsCase Management Specialist- Advanced PracticeAlbuquerque, New MexicoRequired – For individuals possessing a degree in social work, psychology, criminal justice, sociology, or related field of study, three (3) years of related experience including experience working in crisis intervention and case management; Individuals who do not possess a degree in social work, psychology, criminal justice, sociology, or a related field of study, may be considered for the position if they possess seven (7) years of related experience, including experience working in crisis intervention and case management. Provide feedback, support, and consultation as assigned to crisis line staff to ensure an appropriate response to crisis calls, families’ needs are addressed through the best possible supports, and follow-ups are conducted as needed.
Public Benefit Specialist Ensemble Health PartnersPublic Benefit SpecialistAlbuquerque, NM$18.65–$20.50 / hourEssential Job Functions: Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions. Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
Sr. Patient Access Specialist Ensemble Health PartnersSr. Patient Access SpecialistAlbuquerque, New MexicoReviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Essential Job Functions: Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
Reporting Specialist MaximusReporting SpecialistAlbuquerque, 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.
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.
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.
Psychiatrist - Child & Adolescent - MD/DO - Inpatient PRN Presbyterian System ServicesPsychiatrist - Child & Adolescent - MD/DO - Inpatient PRNAlbuquerque, New MexicoThe hospitalist is responsible for managing the care of inpatients and works collaboratively with nurses, therapists, case and care managers, care coordinators, consulting and primary care physicians and other facility-based healthcare professionals who comprise the patients care team. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees.
Pediatric Neurologist MD/DO - PRN (Per Required Need) Presbyterian System ServicesPediatric Neurologist MD/DO - PRN (Per Required Need)Albuquerque, New MexicoOur regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari.
Pediatric Neurologist MD/DO - Albuquerque, NM Presbyterian System ServicesPediatric Neurologist MD/DO - Albuquerque, NMAlbuquerque, New MexicoOur regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari.