Medical coder jobs in Albuquerque, NM - 67 jobs

This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose: The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical data, mitigates diagnosis, and/or PCS coding-related claims scrubber edits, and may interact with client staff and providers. Essential Duties & Responsibilities: Assigns either ICD-10-CM and/or PCS codes for inpatient and/or inpatient rehabilitation visits at commercially reasonable production rates and at a consistent 95% or greater quality level. Validates either MS-DRG or APC assignments, as applicable. Abstracts clinical data appropriately. Mitigates either hospital inpatient coding-related claims scrubber edits or professional and technical coding-related claims scrubber edits. Tolerates short-term assignments for up to two different clients. Participates in client and Savista meetings and training sessions as instructed by management. Maintains an ongoing current working knowledge of the coding convention in play at client assignments. Performs other related duties as required. Minimum Qualifications: An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential One year of relevant, productive coding experience for the specific patient type being hired and within the last six months Passing score of 80% on specific pre-employment tests assigned Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $28.00 - $33.00 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice

About SynapticureAs a patient and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases such as Alzheimer's, Parkinson's, and ALS.Our clinical and operational teams rely on accurate, high-quality documentation to ensure exceptional patient care, regulatory compliance, and optimal performance in value-based care programs. This role sits at the intersection of clinical reasoning, coding expertise, and documentation excellence. The RoleSynapticure is seeking an experienced Clinical Documentation & Coding Specialist with deep expertise in Hierarchical Condition Category (HCC) coding and strong clinical interpretation skills-particularly in neurology, dementia, psychiatry, and behavioral health.In this role, you will execute the full lifecycle of chart preparation, diagnosis identification, documentation review, and accurate coding both before and after patient encounters. Your work ensures that providers have comprehensive, clinically supported information during visits and that Synapticure captures all relevant chronic conditions to support high-quality care and value-based performance.The ideal candidate is meticulous, clinically fluent, and highly organized-able to synthesize complex documentation from multiple sources and apply CMS risk adjustment guidelines with precision. You must be comfortable working independently, applying feedback consistently, and operating in a fast-paced, highly regulated environment. Job Duties - What you'll be doing Perform comprehensive chart preparation for dementia-care patients by reviewing multi-year clinical histories, consult notes, diagnostics, medication lists, and hospital records. Identify suspected, undocumented, or insufficiently supported chronic conditions and prepare findings for provider review. Review medical records for documentation gaps, inconsistencies, or unclear diagnostic specificity and flag issues in advance of visits. Accurately assign ICD-10-CM codes in compliance with CMS HCC guidelines and official coding rules. Validate that all diagnoses meet MEAT documentation standards and are supported within the medical record. Review post-visit documentation to reconcile diagnoses, address missed opportunities, and provide coding recommendations. Query providers for clarification when documentation is incomplete, ambiguous, or inconsistent, ensuring compliant query practices. Provide feedback and education to providers on documentation needs for accurate HCC capture. Collaborate with revenue cycle, CDI, and auditing teams to close documentation gaps and improve workflows. Maintain high accuracy and productivity benchmarks in both chart prep and coding. Participate in internal and external audits and implement corrective actions as needed. Stay current with CMS, HHS, and payer-specific risk adjustment updates, especially those impacting neurology and dementia care. Ensure CPT/HCPCS/ICD-10 coding for encounter-based services is accurate, compliant, and ready for timely claim submission. Requirements - What we look for in you High school diploma required; Associate's or Bachelor's degree in a health-related field preferred. Active CPC or CCS certification (AAPC or AHIMA). CRC certification strongly preferred. 2-3+ years of medical coding experience, including 1-2 years in HCC/risk adjustment. Demonstrated experience performing detailed pre-visit chart preparation. Experience coding neurology, psychiatry, behavioral health, or dementia conditions (strongly preferred). Strong understanding of ICD-10-CM, HCC models, MEAT criteria, and CMS/HHS risk adjustment principles. Ability to analyze medical records, identify unsupported diagnoses, and detect coding gaps. Excellent communication skills for provider interaction and compliant query writing. Proficiency with coding software, EHR platforms, and technology tools. Ability to work independently, maintain accuracy under volume, and meet tight deadlines. Preferred Qualifications Experience with multiple payer HCC methodologies (CMS RAF, ACA HHS, MA, etc.). Knowledge of CPT and HCPCS coding rules. Experience in managed care, value-based care programs, or large health systems. Advanced clinical literacy in neurology and dementia-related documentation patterns. Experience navigating multiple EHR systems and data workflows. Strong critical thinking and pattern-recognition skills for identifying clinical clues and documentation opportunities. We're founded by a patient and caregiver, and we're a remote-first company. This means our values are at the heart of everything we do, and while we're located all across the country, these principles tie us together around a common identity: Relentless focus on patients and caregivers. We provide exceptional experiences for the patients we serve and put them first in all decisions. Embody the spirit and humanity of those living with neurodegenerative disease. With empathy, compassion, kindness, and hope, we honor the seriousness of our patients' circumstances. Seek to understand, and stay curious. We listen first-with authenticity, humility, and a commitment to continual learning. Embrace the opportunity. We act with urgency and intention toward our mission. Competitive salary based on experience Comprehensive medical, dental, and vision coverage 401(k) plan with employer match Remote-first work environment with home office stipend Generous paid time off and sick leave Professional development and career growth opportunities

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. So, if you're looking for a change and want to join a pioneering team, look no further. Are you a dedicated and compassionate individual seeking a fulfilling career where you can make a real difference in people's lives? Look no further! Our organization is looking for a Medical Coder to join our dynamic and thriving healthcare organization committed to providing exceptional patient-centered care, and we want YOU to be a vital part of our team. Click here to watch a video and learn more about what it is to be a part of the ClearSky Rehabilitation team. 🌟 What We Offer: Your Path to a Rewarding Career Starts Here! 🌟 Competitive Compensation Comprehensive Benefits Package including Medical, Dental, Vision 401k Matching Student Loan Repayment and Tuition reimbursement Professional Development Opportunities to include CEU Opportunities Health and Wellness Programs Career Advancement Inclusive and Supportive Culture Work Life Balance Employee Recognition Program 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. This position must integrate company values into daily practice. This position is full time and will work day shifts. Job Duties include, but are not limited to: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM) ensuring that the codes are accurate and sequenced correctly in accordance with government and insurance regulations while maintaining a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries physician for clarification and diagnostic details as needed for accuracy and specificity in coding. Remains up-to-date and knowledgeable of coding and diagnostic procedures and remains current on federal legislative changes. Complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), to protect patient confidentiality Requirements for consideration: 3 years medical coding experience OR Coding certification (AHIMA or AAPC) required. Rehabilitation coding experience preferred. Associate's degree in related field preferred. We value our employee's skills, talents and input. We believe in maintaining hospital environments where employees are valued, treated with dignity, respected, provided educational and training opportunities recognized and rewarded. These values are included in our competitive and comprehensive compensation and benefits. #INDALB

" Job Title: Certified Outpatient Coder Job Type: Full-time Your experience matters At Memorial Medical Center, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. How you'll contribute You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. Qualifications and requirements Codes diagnosis and procedures from medical records for the purpose of reimbursement, research and compliance with regulations. Insures billing procedures per MMC/LCPP standards. * High School Diploma or GED. Formal education in coding preferred. Formal education in medical terminology, anatomy and physiology or equivalent experience. * Minimum one (1) year medical office experience in coding preferred. * Working knowledge of ICD-CM and CPT coding standards and practices. * Certified Professional Coder (CPC) & Certified Evaluation & Management Certified (CEMC) preferred Certification or completion courses must meet the standards of Memorial Medical Center. Job Description outlines physical requirements of the position. About Us Memorial Medical Center is a 199 bed acute medical/surgical teaching hospital located in Las Cruces, NM, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. EEOC Statement "Memorial Medical Center is an Equal Opportunity Employer. MMC is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran "

Job Description UNM Medical Group, Inc. is hiring for a Medical Coding Analyst Auditor - Educator to join our Coding Department. This opportunity is a REMOTE, full-time, day shift opening located in New Mexico. *This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico* **Sign-On Bonus - $4,000** Minimum $58,905 - Midpoint $73,632* *Salary is determined based on years of total relevant experience. *Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Reporting to Manager, Medical Coding, responsible for the quarterly medical coding audits and monthly educational sessions for the UNM Medical Group, Inc., Medical Coding Analysts. Works closely with the Coding Supervisors, Manager and Director to identify areas and make recommendations for educational improvement for both coding staff and medical providers as needed. Minimum Job Requirements for a Medical Coding Analyst Auditor - Educator: High school diploma or GED with 2 years directly related experience. Must be a CPC (Certified Professional Coder) and CPMA (Certified Professional Medical Auditor) or certificate eligible to pass CPMA within 12 months of employment. Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Verification of education and licensure (if applicable) will be required if selected for hire. UNM Medical Group Inc. is proud to offer membership coverage for your AAPC or AHIMA membership as well as an annual webinar subscription package for CEU attainment. Duties and Responsibilities for a Medical Coding Analyst Auditor - Educator: Assesses the auditing and medical coding educational needs of professional fee Medical Coding Analysts and develops programs and research educational resources to meet those needs. Develops training materials and medical coding aids for use by MCAs in daily work. Responsible for performing medical coding audits for all UNMMG professional fee coding staff to assure coding accuracy and prepares reports and observations. Responsible for follow-up feedback and working in conjunction with Medical Coding Leadership to improve coder accuracy when inappropriate coding patterns are identified, and accuracy goal is not met. Responsible for working in conjunction with Medical Coding Leadership in providing 1:1 and/or group educational coding sessions for MCA and UNMMG medical providers. Serves as a TES/Claims Manager edit resource to ensure medical coding edits are as current as possible and meet professional documentation and medical coding standards; reports and revises TES Edit information when inaccurate. Reviews and analyzes CMS, Federal, State, and other billing guidance agencies to ensure Medical Coding Department guidelines are accurate and kept up to date to reflect any changes or updates that are utilized by medical coding staff. Assists Medical Coding Management in the formulation of the annual work plan to capture risks in audit plan. Provides “On Boarding” education and training of all newly hired Medical Coding Analysts. 10. Ensures strict confidentiality of medical and financial records. 11. Attends medical coding conferences, workshops and in-house sessions to receive updated coding and auditing information and changes to regulations. Why Join UNM Medical Group, Inc.? Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. 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. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone. Benefits: Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package. Insurance Coverage: Includes medical, dental, vision, and life insurance. Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Full-time Description ESSENTIAL FUNCTIONS: · Consistently and accurately assigns ICD-10-CM, CPT and/or HCPCS codes in accordance with current year CMS/AMA CPT-4, HCPCS and Official ICD-10 Coding Guidelines by reviewing and interpreting medical documentation from physician office visit notes, procedure notes, nurse visit notes, provider orders, pathology, labs, etc. · Identifies and abstracts any additional documented HCC diagnosis not listed by the provider in the Assessment/Impression/Final Diagnosis · Review and report missing or incomplete documentation · Query providers or clinic staff as necessary for clarification of documentation or lack thereof as it pertains to proper application of ICD-10-CM diagnosis coding, HCPCS and CPT E/M and procedure coding · Monitor assigned work lists and provider lists to ensure all records are coded in a timely manner · Meets departmental productivity standards for coding · Maintain current knowledge of medical compliance, coding guidelines and federal regulations, such as medical necessity issues and correct coding initiatives · Keep informed of the changes/updates in ICD-10-CM/CPT guidelines by attending appropriate training, review coding clinics and other resources and implementing these updates in daily work · Meet continuing education requirements for coding certification · Maintain annual compliance education · Participate in coding meetings and education conferences to maintain coding skills and accuracy Attend conference calls as necessary to exchange information related to Coding ADDITIONAL RESPONSIBILITIES: · Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision · Consistently demonstrates time awareness, reduces non-essential interruptions to an absolute minimum · Demonstrates thorough understanding of how position impacts the department, clinics, and hospital · Demonstrates a good rapport and works to establish cooperative working relationships with all members of department, clinic, and hospital staff · Assists billing office staff with claims denials. Verify accuracy of billing data and make corrections as appropriate for re-billing purposes as needed · Performs special projects as directed by Supervisor · Identify and communicate trends and educational opportunities to ensure proper documentation, coding, and accuracy of billing · Respond to inquiries from providers, staff, and management in a timely and professional manner · Organized and completes tasks · Regular and reliable attendance · Responsible and dependable · Present to work on time as scheduled · Strong communication skills, oral and written with a friendly, helpful attitude · Strong work ethic and flexibility required · Analytical skills experience and sound judgment to make decisions · Self-motivated problem-solver with professional demeanor · Must be able to seek assistance from supervisor when any change in schedule or issues with assigned work arise · Ability to use whatever tools and equipment is available to get the job done · Knowledgeable in multiple computer programs, i.e., Microsoft Outlook, Excel, Word · The ability to work with little to no supervision · Perform other duties as assigned by supervisor KNOWLEDGE/SKILL/ABILITIES: · AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position. Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security. Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations. MINIMUM POSITION QUALIFICATIONS: Ø Education - High School Diploma/GED or higher Ø Work Experience - Preferred 2+ years of post-certification medical coding experience o Experience with various encoder systems (3m, Knowledge source, Encoder Pro, Evident, etc.) Ø Training - Experience with CPT-4/HCPCS Procedure coding o Experience with ICD-10-CM coding o Ø License/Certification - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-a, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually o All the candidates must have current coding certifications and must provide proof of certification with valid certification identification number during interview/offer process o 2+ years of experience in a PC in a Windows environment, including MS-Excel and EMR systems o Proficient Excel skills o Medical terminology knowledge ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids. Salary Description $21.00 - $33.00 HR DOE

Join Southwest Eyecare Specialists PC in Albuquerque, NM, as a Full-Time Ophthalmology Billing and Coding Specialist. This onsite position offers an engaging environment where you can apply your expertise in a dynamic healthcare setting. You will play a crucial role in ensuring seamless billing processes and improving patient experiences. Your contributions will directly impact the efficiency of our operations and the quality of care provided. With a competitive pay rate of $16.00 per hour, this role offers a great opportunity to be part of a dedicated team. Experience personal growth while honing your skills in a vital field. The chance to thrive in a supportive workplace is one not to be missed. You will have benefits such as Medical, Dental, Vision, 401(k), Flexible Spending Account, Paid Time Off, Employee Discounts, and Paid Holidays. Seize this opportunity to advance your career in ophthalmology billing and coding today. Who are we? An Introduction The mission of Southwest Eyecare/Eyewear is to exceed expectations by providing the highest quality of compassionate and precise eye care services to patients of all ages. We work as a team, utilizing the most advanced technology available to accurately diagnose and treat routine and medical eye conditions. By educating and communicating, our physicians and staff can facilitate a lifetime of the best possible vision for every patient. It is our intent to grow and nurture lasting professional relationships with our patients, our staff, and their families. Your role as a Ophthalmology Billing and Coding Specialist As a Full-Time Ophthalmology Billing and Coding Specialist at Southwest Eyecare Specialists PC in Albuquerque, NM, you will be responsible for critical tasks that ensure smooth revenue cycle management. Your role will involve claim scrubbing to enhance accuracy and efficiency, addressing denials to minimize lost revenue, and posting payments promptly to maintain financial integrity. Additionally, you will provide exceptional customer service, assisting patients and colleagues with inquiries while fostering a positive atmosphere. This position offers a unique opportunity to impact the organization significantly by streamlining billing processes and enhancing patient satisfaction. What we're looking for in a Ophthalmology Billing and Coding Specialist To excel as a Full-Time Ophthalmology Billing and Coding Specialist at Southwest Eyecare Specialists PC, candidates should possess a solid foundation in medical billing and coding, including proficiency in ICD-10 and CPT coding systems. A comprehensive understanding of medical terminology is essential for accurate documentation and communication. Ophthalmology experience is preferred, as it equips you with specialized knowledge relevant to the field. Strong analytical skills will help you effectively address claim denials and streamline the billing process. Additionally, excellent attention to detail, organizational abilities, and effective communication skills are crucial for providing outstanding customer service in a fast-paced healthcare environment. Familiarity with billing software and coding tools is also necessary to ensure efficient workflows and accurate patient account management. Knowledge and skills required for the position are: Medical Billing and Coding ICD-10 CPT Medical Terminology Ophthalmology experience preferred Join our team today! Applying for this position is a walk in the park if you feel it's a good fit for you. Best of luck!

Job Description Are you passionate about providing exceptional customer service in the medical supply industry? Do you thrive in a fast-paced, energetic environment? If so, we have an exciting opportunity for you to join our team as a Reimbursement Services- Billing Representative at HME Specialists, LLC in Albuquerque! As a Billing Representative, you will play a crucial role in ensuring accurate and timely reimbursement for our customers, helping to solve problems and provide solutions. You will have the opportunity to showcase your empathy and customer-centric approach, working closely with insurance providers and clients to navigate the billing process. Working onsite, you will be part of a forward-thinking team that is dedicated to delivering exceptional service to our customers. Your attention to detail and professional attitude will be highly valued as you help ensure the financial success of our clients and our company. With competitive pay and a supportive work environment, this position offers an exciting opportunity for career growth and personal development. You can get great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, and Paid Time Off. Apply today and take the next step in your career! HME Specialists, LLC: Our Mission We strive to help each patient reach their highest level of medical independence by delivering equipment and services seamlessly, with exceptional care. Your day to day as a Reimbursement Services- Billing Representative As a Reimbursement Services- Billing Representative at HME Specialists, LLC in Albuquerque, you can expect a dynamic and rewarding work environment. On a day-to-day basis, you will be responsible for a range of tasks to ensure accurate and timely reimbursement for our customers. This will include processing billing claims, verifying insurance coverage, and resolving any billing discrepancies or issues that may arise. You will also have the opportunity to interact with insurance providers and clients to gather necessary information and answer any billing-related inquiries. In this Monday-Friday position, you will work regular business hours to support our customers and meet their needs effectively. With our team-oriented approach, you can expect to collaborate closely with colleagues and other departments to provide comprehensive solutions and exceptional service. Your problem-solving skills and customer-centric mindset will be instrumental in delivering the high-quality support that our customers rely on. Join our team today and embark on a fulfilling career in the medical supply industry! Are you a good fit for this Reimbursement Services- Billing Representative job? To excel in the role of a Reimbursement Services- Billing Representative at HME Specialists, LLC in Albuquerque, you will need a set of skills and proficiency in various software and tools. First and foremost, strong attention to detail is essential, as accuracy is crucial in processing billing claims and resolving discrepancies. Excellent organizational and time management skills will help you prioritize tasks and meet deadlines effectively. Proficiency in Microsoft Office Suite, particularly Excel, is important for data entry and analysis. Familiarity with billing software systems and electronic medical records (EMR) is a plus, as it will facilitate managing and tracking billing-related information efficiently. As a problem solver, you should possess excellent analytical and critical-thinking abilities. Strong communication skills are also important, as you will be interacting with insurance providers and clients regularly. A customer-centric mindset and empathy are key in handling inquiries and providing exceptional customer service. If you are a detail-oriented individual with excellent organizational skills and proficiency in relevant software and tools, apply today to be part of our energetic and forward-thinking team! Connect with our team today! So, what do you think? If this sounds like the right position for you, go ahead and apply. Good luck!

Responsible for reviewing patients' medical records after a visit and translating the record into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting queries when appropriate. Essential Job Responsibilities Promote the mission, vision, and values of the organization Responsible for making sure CPT, HCPCS, modifiers, and ICD-10 codes are assigned correctly and sequenced appropriately as per guidelines and regulations. Ensuring compliance with medical coding guidelines and policies. Reviewing patients' records and documents for verification and accuracy. Following up and clarifying any information that is not clear to other staff members. Appropriately querying providers per coding guidelines. Ensure all codes are current and active Observe confidentiality and safeguards of all patients' related information. Maintain a good working relationship within the department and other departments. Adhere to hospital requirements, policies, and standards. Provide excellent customer service. Answering office phone. Responding to voicemails within 24 hours, not to include weekend Non-Essential Functions Performs other duties as assigned. Roosevelt General Hospital (RGH) is committed to providing safe, quality care to patients. Employees are required to adhere to the Values of RGH. Integrity We are committed to honesty and ethical principles, where our words and actions reflect our dedication to fostering strong relationships and maintaining professional credibility. We take accountability for our actions and their impact on others, consistently honoring our commitments and upholding moral standards and values in every situation. Learning We promote personal growth and professional excellence by embracing continuous learning through training, mentorship, and constructive feedback. We foster a collaborative culture driven by curiosity and critical thinking, encouraging staff to ask questions, seek answers, and share knowledge. Innovation We confidently embrace changes in technology, processes, and practices, encouraging strategic risk-taking and creativity to enhance healthcare delivery, patient safety, and the quality of care. We collaborate with partners from other hospitals, academic institutions, industry leaders, and community organizations to promote continuous improvement and remain at the forefront of advancing healthcare outcomes. Kindness We engage in open communication with patients, families, and colleagues to understand their needs and concerns, while respecting their differences and upholding their dignity. We foster a nurturing environment where individuals feel supported, understood, and valued, strengthening relationships, promoting growth, and enhancing the overall well-being of all. Excellence We strive to be a model rural healthcare facility, setting high standards in healthcare delivery and ensuring exceptional patient satisfaction within the communities we serve. We take pride in our accountability and fiscal responsibility, skillfully balancing costs and outcomes to guarantee that superior patient care is always delivered. Unity We collaborate across departments and disciplines to deliver effective and compassionate healthcare, working alongside patients, families, and community partners to ensure seamless coordination of care and achieve our common goals of wellness and healing. We prioritize open communication and mutual respect, empowering our teams to collaborate effectively by acknowledging and celebrating the unique contributions and strengths of each individual. Qualifications High school graduate or equivalent. Minimum of five years' experience in a related field. Minimum of two years' experience in coding. Coding Certificates General computer knowledge. Previous hospital experience preferred. Professional Requirements Adhere to dress code, appearance is neat and clean. Complete annual education requirements. Maintain patient confidentiality at all times. Report to work on time and as scheduled. Wear identification while on duty. Maintain regulatory requirements, including all state, federal and local regulations. Represent the organization in a positive and professional manner at all times. Comply with all organizational policies and standards regarding ethical business practices. Communicate the mission, ethics and goals of the organization. Participate in performance improvement and continuous quality improvement activities. Attend regular staff meetings and in-services. Knowledge, Skills, and Abilities Knowledge of health information management services Must have an enthusiastic and positive attitude Possess a genuine desire to help RGH become an exemplary hospital in the surrounding community and the state Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude Ability to manage multiple and simultaneous responsibilities and to prioritize duties/tasks Ability to initiate communication with patients, their families and hospital visitors Must have excellent customer service and communication skills with the ability to effectively calm patients and be able to deal with distressed and/or agitated patients and their families Must have a professional demeanor and excellent public relations skills Willingness to develop or improve public speaking skills Must have excellent written skills with knowledge of medical terminology Must be dependable and on time Possess good 'people skills' for building relationships with colleagues at all levels Ability to plan and prioritize workload to meet deadlines Physical Requirements and Environmental Conditions Work is performed during regular work hours, but may require overtime and/or weekend hours to meet deadlines Work in varying degrees of temperature (heated or air conditioned) Work under extreme pressures Position requires sitting for approximately 4-8 hours per day with walking up to for 2 hours per day Position requires light to moderate work with 50 pounds maximum weight to lift and carry Position requires reaching, bending, stooping, and handling objects with hands and/or fingers, talking and/or hearing, and seeing

MELE requires an exceptional candidate to fill a new Standards & Records Information Management Specialist role to support NNSA's Nuclear Emergency Support Team (NEST) Standards and Training Program (NSTP). The Information Management Specialist is responsible for developing, implementing, and maintaining the organization's data information management program. This role ensures that informational assets are properly organized, stored, and accessible to support the organization's training programs and operational needs. The position will establish and maintain the information management plan, manage version control, ensure information sharing, and provide guidance to staff on information management best practices, policies and procedures. ESSENTIAL FUNCTIONS Develop, implement, and maintain the organization's records and information management plan, policies, workflows, and procedures. Collect and organize relevant records from various sources (e.g., training materials, assessments, feedback) to support decision-making. Ensure records and data are stored in an accessible, organized, and secure manner, following relevant protocols and security requirements. Classify, organize, and index records and information assets, including data metrics, documents, training curriculum, standardized task lists, and performance metrics. Create and maintain file plans and retention schedules in accordance with legal and regulatory requirements. Craft data models to represent the structure and relationship of information assets. Assist in the development and management of an electronic document management system, ensuring proper configuration, user access, and system maintenance. Implement procedures for managing, versioning, and tracking all published documents, forms, training materials, and other information assets used by the NSTP. Ensure that relevant and updated information is accessible to stakeholders in a timely and approved manner, using appropriate communication channels. Coach and educate staff on information management systems and industry best practices. Identify and implement opportunities to improve data collection, storage, organization, and analysis processes for increased efficiency and effectiveness. Become a trained and certified Derivative Classifier to ensure that classified information is properly marked, handled, and protected in accordance with DOE regulations and national security requirements. MINIMUM QUALIFICATIONS Clearance Required: Have or ability to obtain and maintain U.S. Department of Energy Q-level security clearance Bachelor's degree in Information Science, Library Science, Records Management, Archival Studies, Business Administration, or a related field. 5+ Years related experience in records and information management. Knowledge of records management principles, practices, and technologies. Experience with electronic document management systems. Strong organizational, analytical, and problem-solving skills. Excellent collaboration, influencing and interpersonal skills. Ability to work independently and as part of a growing team in an ambiguous and evolving work environment. PREFFERED QUALIFICATION Active TS/Q Clearance Master's degree in Library and Information Science (MLIS), Information Management, or related field. Certified Records Manager (CRM) or Information Governance Professional (IGP). A strong understanding of information management technologies such as database management systems, content management systems, search engines, and data analytics tools. Prior experience in supporting the assessment and development of government records programs in the areas of national security, homeland security, nuclear/radiological security, or related field. Knowledge of U.S. Department of Energy records guidelines and best practices. DOE Derivative Classifier training, certification and experience. LOCATION: This is a full-time on-site position in Albuquerque, NM SALARY: Salaries are determined based on several factors including external market data, internal equity, and the candidate's related knowledge, skills, and abilities for the position. BENEFITS Employer Paid, High Quality Employee Medical, Dental & Vision Care Low-Cost Family Health Care offered 11 Federal Holidays and 3 weeks' vacation 401k with Generous Employer Match Cross-training opportunities About MELE With over 300 employees and offices in Rockville, MD, Washington, DC, and Albuquerque, NM, MELE is a veteran and minority-owned government contractor empowering its customers with innovative solutions for more than three decades. MELE has team members located across the U.S. and has served more than a hundred countries across hundreds of project locations. The company offers technical, engineering, and programmatic support expertise to a host of U.S. federal and international agencies, including, but not limited to, the Department of Energy, the Department of Defense, the Department of Homeland Security, the Department of Justice, INTERPOL, and the International Atomic Energy Agency. MELE's services include National Security and Intelligence, CBRNE Defense and Security, Facility Management and Engineering, Law Enforcement and Emergency Response Training, Technical, Analytica, and Program Management Support, and IT/Cybersecurity. MELE Associates, Inc. is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. MELE Associates, Inc. is an E-Verify employer.

JOB STATUS: OPEN POSTING NUMBER: 00067445 SCHOOL YEAR: 2025-2026 CALENDAR: District Support / Full Year POSTING NUMBER: 00067445 DIRECTOR: RECORDS JOB DESCRIPTION: SUMMARY: The Director of Records manages the Albuquerque Public Schools Records Department, providing oversight of all records operations as required by state and federal law, and serving as the Custodian of Records as needed. The position ensures the secure management, protection, and lawful release of district records in compliance with the New Mexico Inspection of Public Records Act (IPRA), the Family Educational Rights and Privacy Act (FERPA), and applicable provisions of the Freedom of Information Act (FOIA). ESSENTIAL FUNCTIONS: ESSENTIAL FUNCTIONS: Incumbent must achieve the following outcomes with or without reasonable accommodation: * Direct the Records Department, including staff supervision, workflow management, and process improvement. * Serve as the district's Custodian of Records when required, ensuring compliance with IPRA, FERPA, and all related records obligations * Manage all aspects of IPRA requests, including intake, review, redaction, and timely response. * Oversee the release and protection of student educational records to ensure compliance with FERPA. * Manage the review and redaction of sensitive audio and video files, ensuring content is carefully examined and edited to remove confidential or protected information before release in response to public records requests. * Receive and process subpoenas, court orders, and legal requests in coordination with legal counsel. * Develop, implement, and maintain procedures for district-wide records retention, storage, and destruction. * Provide training and guidance to departments and schools on records management, disclosure, and privacy. * Monitor and interpret changes in legislation or case law affecting IPRA, FERPA, or records disclosure. * Prepare reports and metrics related to records requests, timeliness, and compliance. * Ensure that all requests for information are handled professionally, efficiently, and with appropriate legal review. DUTIES: In addition to the essential functions of this job, the incumbent must perform the following duties: * Complies with state-approved Code of Ethics of the Education Profession and upholds and enforces rules, administrative directives and regulations, school board policies, and local, state and federal regulations. * Articulates and facilitates the implementation of the mission and values of the Albuquerque Public Schools. * Safeguards confidentiality of privileged information. * Prepares and maintains accurate and complete records and reports as required by law, state directives, District policy and administrative regulations. * Shares the responsibility for the supervision and care of District inventory, proper and safe use of facilities, equipment and supplies, and reports safety hazards promptly. * Maintains professional relationships and works cooperatively with employees, the community, and other professionals. * Maintains professional competence through individual and staff training, in-service educational activities, and self-selected professional growth activities. * Attends and/or conducts staff meetings and participates on committees within area of responsibility. * Performs other tasks related to area of responsibilities as requested or assigned by an immediate supervisor. PREFERRED KNOWLEDGE, SKILLS, ABILITIES AND EXPERIENCE: PREFERRED KNOWLEDGE, SKILLS, ABILITIES, EXPERIENCE AND EDUCATION: * Paralegal certification or Juris Doctor (JD) preferred. * Experience in K-12 education, higher education, or government. * Supervisory experience managing staff or a records department. * Familiarity with records management systems. * Knowledge of HIPAA and other confidentiality standards. * Ability to interpret and apply statutes and regulations accurately. * Excellent judgment, discretion, and professionalism in handling sensitive information. * Strong project management and leadership skills. * Ability to manage multiple priorities and meet statutory deadlines. REQUIREMENTS: MINIMUM REQUIRED EDUCATION, LICENSES, CERTIFICATIONS, EXPERIENCE AND SKILLS: * Bachelor's degree in Legal Studies, Public Administration, Communications, or a related field. * Five (5) years of experience in records management, public records, legal compliance, government transparency, or related fields such as communications, journalism, or public affairs, with demonstrated responsibility for managing sensitve or regualted information. * Demonstrated knowledge of New Mexico's Inspection of Public Records Act (IPRA). * Understanding of FERPA and legal requirements governing student records. * Experience reviewing and redacting confidential or sensitive information. * Excellent organizational, analytical, and communication skills. * Exceptional customer service orientation. CONTACT INFORMATION: Contact: Johanna King at / king_*********** APPLY TO: Apply at *********** and submit a District Support application. A cover letter, resume and any other supporting documents MUST be submitted prior to 4:00 PM on the closing date of the advertisement for your application to be considered complete. The cover letter and resume are considered valid for one year from the submission date. ADDITIONAL INFO: GRADE / LEVEL: DSE 15 SALARY: $96,822.07 DAYS: 256 HOURS: 8 START DATE: ASAP

The Release of Information Specialist (ROIS) initiates the medical record release process by inputting data into Verisma Software. The ROIS works quickly and carefully to ensure documentation is processed accurately and efficiently. This position is based out of a Verisma client site in Albuquerque, NM. The primary supervisor is Manager of Operations, Release of Information. Duties & Responsibilities: Process medical ROI requests in a timely and efficient manner Process requests utilizing Verisma software applications Support the resolution of HIPAA-related release issues Organize records and documents to complete the ROI process Read and interpret medical records, forms, and authorizations Provide exemplary customer service in person, on the phone and via email, depending on location requirements Interact with customers and co-workers in a professional and friendly manner Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained Attend training sessions, as required Live by and promote Verisma company values Perform other related duties, as assigned, to ensure effective operation of the department and the Company Minimum Qualifications: HS Diploma or equivalent, some college preferred 2+ years of medical record experience 2+ years of experience completing clerical or office work Experience using general office equipment including desktop computer, scanner, Microsoft Office Suite to complete tasks Experience in a healthcare setting, preferred Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred Must be able to work independently Must be detail oriented

Job Description As a Federally Qualified Health Center, 501c3, our mission is to provide affordable, accessible, quality health care to the people of Northern New Mexico. We strive to improve the quality of life by bringing primary health care and basic health education to the people of Northern New Mexico through a system of clinics and cooperative programs. El Centro offers vital health services in a caring and supportive environment. El Centro Family Health is seeking a Part-Time 50% Medical Records Clerk dedicated to serving the needs of our community. An ideal candidate should possess the following qualities: Strong interpersonal communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Attention to detail. Willing to travel to outlying clinics as needed. Excellent communication skills. Knowledge and fluent skills of Microsoft Office Excel and Word applications, internet explorer usage, and Outlook. Responsibilities The Medical Records Clerk is responsible for scanning, pulling, and auditing patient charts, referral tracking, managing the incoming fax server; verifying insurance coverage and printing encounters for scheduled appointments for next day. Participates in the creation and management of patient records and files using eCW as the Electronic Health Record System. The Medical Records Clerk is responsible for projecting a positive first impression of the organization by communicating effectively with coworkers and the public, and greeting patients and other visitors, determining their needs, and directing them accordingly to the appropriate party with complete confidentiality. MINIMUM REQUIREMENTS: Education: High School Diploma or GED equivalent. Experience: Minimum of two (2) years' experience, with at least one (1) year in a related field. Other Requirements: 1) TST Test 2) 90 day and annual competencies PREFERRED REQUIREMENTS: EDUCATION: AA Degree or equivalent academic study. EXPERIENCE: Minimum of one year's experience in medical records working in a hospital or clinic setting. Bilingual, Spanish/English. Experience with medical terminology and health insurance claims, Medicaid, and Medicare. Benefits 401 k Retirement 7 Paid Holidays Medical, Dental, Vision Insurance 100% Employer Paid Basic Life Insurance Employee Voluntary Supplemental Benefits Employee Assistance Program Flexible Spending Account (FSA)

La Clinica de Familia (LCDF) is a FQHC with several locations in Southern New Mexico. For over 40 years, La Clinica has provided services to the residents of Southern New Mexico. Our mission statement definitely speaks to what La Clinica de Familia stands for, which is to empower and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures. Non-Exempt $14.96 Job Summary: The Medical Records Clerk is responsible for the efficient and professional maintenance of all medical records in the practice through the appropriate filing, retrieval, and daily update of these records. Core Competencies: Excellent communications skills; demonstrate courtesy and respect; bilingual English/Spanish required Must have excellent phone etiquette. Must possess excellent time management skills. High attention to detail with high degree of organization Must be a self-initiating and adaptable with ability to communicate to a variety of staff members. Must exercise excellent judgment. Must maintain a high level of confidentiality. Must be able to work well under pressure and with minimal supervision. Must be computer literate. Good organization and analytical abilities Demonstrated competency in basic computer skills; bilingual (English/Spanish) required. Job Requirements: High school graduate or equivalent; completion of a medical terminology course. One year experience in a medical office or hospital medical records department. Must be able to perform the essential functions of this position with/without reasonable accommodation. Must be able to use personal vehicle in course of employment when needed and must maintain a clean driving record. Must submit to LCDF required background check, TB screen and drug testing. Benefits: Health Insurance - PPO Dental Insurance Vision Insurance 401(K) with employer matching Life and AD&D Insurance Short Term Disability Long Term Disability Supplement Life Insurance Paid Time Off (PTO) Holidays (9) Education Reimbursement Cafeteria Plan Employee Assistance Program Travel Reimbursement 77-70-094-01 #INDEL

Responsible for the leadership and oversight of patient registration, health information management (HIM), medical records, and patient benefits coordination at LHC. This position ensures the accuracy, integrity, confidentiality, and accessibility of patient health records and registration data while ensuring compliance with HIPAA and all applicable legal and ethical standards. As Privacy Officer, this role also leads the development and implementation of the clinic's privacy program, ensuring full compliance with federal and state privacy laws. The manager supports clinical operations by organizing, analyzing, and safeguarding health information and coordinating with other healthcare professionals to ensure accurate and complete medical documentation. The role also includes supervisory responsibilities and operational analysis to continuously improve efficiency, customer service, and staff performance. ESSENTIAL FUNCTIONS 1. Organize, manage, and protect all health information data including medical histories, diagnoses, test results, procedures, and provider documentation. Manage requests for medical records in compliance with established clinic policies and federal privacy laws 2. Maintain electronic health records (EHR), ensure data accuracy, and oversee coding practices related to billing and documentation. 3. Develop, implement, and maintain the clinic's privacy program ensuring compliance with HIPAA and all applicable regulations. 4. Conduct regular audits, risk assessments, and investigations into privacy concerns. 5. Serve as a subject matter expert and trainer on privacy laws and best practices. 6. Manage all functions of the patient registration process, including insurance verification and benefits enrollment and coordination. 7. Supervise patient registration/benefits staff to ensure timely, efficient, and accurate data collection. Establish workflows to optimize patient flow and ensure a positive patient experience. 8. Analyze health data to identify trends that inform clinical, operational, and administrative decision-making including GPRA and other quality initiatives. Prepare, compile and coordinate the completion of various reports on daily, weekly, monthly or other established routine schedule. 9. Conduct routine audits to verify data quality and ensure compliance with internal procedures and external regulations. 10. Coordinate with clinical staff to ensure documentation is accurate, complete, and supports quality patient care. 11. Oversee onboarding, training, evaluation, and daily supervision of health information, registration and benefits staff. 12. Set performance expectations, provide coaching/corrective action, and support staff development to ensure high-quality service delivery. 13. Monitor and manage department budget; track expenses and adjust resources as needed. 14. Develop and update policies and procedures for assigned departments in accordance with federal, state, tribal, and internal requirements. 15. Maintain strict adherence to legal, ethical, and professional guidelines for health information security and patient confidentiality. 17. Collaborate with providers, nurses, administrative staff, and external agencies to ensure seamless access to patient information and services. Coordinate and participate in outreach activities within the community. 18. Act as liaison between departments for health information and patient registration needs. Serve as patient advocate. 19. Assist the Chief Medical Officer and Chief Nursing Officer with provider scheduling and clinic operations planning as needed. 20. Develop and deliver training to new and existing staff on systems (e.g., EHR/RPMS), privacy regulations, workflows, and organizational procedures. 21. Provide operational insight and support for department and clinic-wide initiatives. 22. Recommend and implement enhancements to workflows, technology systems, and compliance efforts. MINIMUM QUALIFICATIONS Bachelor's Degree in health information management, healthcare administration or related field from an accredited college or university plus five (5) years of experience in health information, patient access or registration services with one (1) year supervisory/managerial experience OR any combination of post-secondary education and/or experience totaling ten (10) years in health information management with one (1) year supervisory/managerial experience. Must possess current Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification OR must obtain within three (3) months of employment with LHC. KNOWLEDGE, SKILLS AND ABILITIES In-depth understanding of Health Information Management (HIM) principles, including medical recordkeeping, data accuracy, and healthcare documentation standards and reporting. Strong working knowledge of HIPAA Privacy and Security Rules, 42 CFR Part 2, and other federal, state and tribal privacy regulations. Familiarity with tribal health systems, Indian Health Service (IHS) guidelines, and healthcare operations in indigenous communities. Knowledge of electronic health record systems (e.g., RPMS, NextGen, Cerner) and health IT best practices. Understanding of medical terminology, coding practices (ICD, CPT), and billing requirements. Awareness of healthcare regulatory requirements, compliance auditing, and privacy program implementation. Knowledge of patient registration and benefits coordination processes, including insurance verification, eligibility determination, and third-party billing workflows. Understanding of budget planning, resource allocation, and staff management within a healthcare environment. Strong leadership and supervisory skills including team building, performance management, and conflict resolution. Excellent analytical and critical thinking skills to evaluate operations, audit data, and propose process improvements. High-level organizational and time management skills with the ability to manage multiple priorities in a fast-paced clinical setting. Effective written and verbal communication skills to interact with patients, staff, providers, administrators, and external entities. Skilled in data analysis and report generation for tracking performance indicators, compliance metrics, and operational efficiency. Proficient in Microsoft Office Suite (Excel, Word, Outlook) and healthcare data management systems. Competency in training and onboarding staff on procedures, privacy laws, and software systems. Ability to interpret and apply federal, state, and other applicable policies in real-world. Ability to maintain strict confidentiality and handle sensitive patient information with cultural sensitivity and professional integrity. Ability to develop and implement departmental policies and procedures in compliance with healthcare laws and standards. Ability to analyze complex data and make evidence-based decisions to support clinic operations and patient care. Ability to collaborate effectively across departments and work as a liaison between clinical, administrative, and compliance teams. Ability to lead and adapt to change, especially in response to regulatory updates, emerging technologies, and clinic growth. Ability to assess staff training needs, provide feedback, and support continuous professional development. Ability to represent the organization in a positive, respectful, and culturally appropriate manner in both internal and external settings.

Schedule: Monday - Friday 0900-1300 and other shifts as needed. Responsible for processing all Legal, third-party, and patient release of information (ROI) requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Specialist must always safeguard and protect the patient s right to privacy by ensuring that only authorized individuals have access to the patient s PHI and that all release of information is in compliance with the request, authorization, TriCore policy and HIPAA regulations. ESSENTIAL FUNCTIONS: 1. Receive and respond to requests by opening mail, email, fax, assisting walk-ins and telephone inquiries in a timely manner for patient records, retrieving, tracking, and transmitting them appropriately in accordance with TriCore policies and procedures while safeguarding patient records and ensuring compliance with HIPAA standards. a. Documents and tracks patient requests daily. b. Reviews patient requests for medical records for completeness, accuracy, and compliance with regulations and policies and procedures. c. Protects the security of medical records to ensure that confidentiality is maintained. d. Arranges for release of routine and escalated requests for medical records to patients who present in the main lobby. e. Releases patient requests for medical records in accordance with policies and procedures. 2. Assist with records management by performing the following: a. Access the online database of records stored. b. Verify documents to be retrieved from storage. c. Verify documents to be deposited for storage. 3. Assist with training associates in the HIM Technician I position. 4. Participates in project teams and committees to advance operational strategies and initiatives as needed. 5. Assist with additional work duties or responsibilities as evident or required. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified. MINIMUM EDUCATION: Meet one of the following: Associate degree in Health Information Technology High School diploma MINIMUM EXPERIENCE: Associate degree in Health Information Technology plus 2 years experience in Health Information practices to include data privacy, regulatory requirements, electronic health records, medical records, filing and retrieval. High School diploma plus 4 years of health information experience to include data privacy, regulatory requirements, electronic health records, medical records, filing and retrieval. ADDITIONAL REQUIREMENTS: RHIT Certification

To Apply for this Job Click Here Medical Records Clerk SCHEDULE: Full-Time FACILITY: Guadalupe Correctional Facility A Job Should be MORE than just a paycheck. Wexford Health Sources, Inc. is one of the nation's largest correctional health care providers. Over the past 30 years, our team of dedicated clinical professionals has helped literally millions of justice-involved patients receive life-changing medical and mental health services. The majority of our patients come from marginalized or impoverished backgrounds. In many cases, our doctors, nurses, and behavioral health professionals represent the patient's first experience with quality, compassionate health care. We heal and rehabilitate thousands of incarcerated patients every day. When you join Wexford Health, you do more than just further your career. You also become part of a team-a family-whose mission is to care for patients that cannot care for themselves. You change lives. You make a difference. If you are looking for a position that empowers you to do MORE… then look at Wexford Health. BENEFITS Wexford Health offers a competitive benefits package including: * Performance check-ins with annual merit increase * Generous paid-time off program that combines vacation and sick leave * Paid holidays * Comprehensive health insurance through BlueCross BlueShield * Dental and Vision insurance * 401(k) retirement saving plan * Company-paid short-term disability * Healthcare and dependent care spending account * Continuing education options POSITION SUMMARY The Medical Records Clerk is responsible and accountable for the maintenance of health records. In this capacity, the employee organizes and maintains a system of health files and logs concerning patient diagnosis, treatment, admissions, discharges and daily patient census changes. The employee is expected to exercise good judgment, maintain confidentiality and function independently. * Maintains a system and updates facility health status requirements for inmate physical, laboratory, PPD, etc. * Files loose documentation generated from inside and outside institutions such as laboratory reports, radiology results, completed consultation reports, progress notes, etc. * Ensures confidentiality of all medical records information. * Retrieves medical charts for all healthcare staff or clinics as requested * Releases information at the direction of the Medical Director or Health Services Administrator. * Assists in preparing periodic statistical reports and other management information system requirements. Maintain logs for appropriate medical unit onsite staff. * Answers telephone, relay messages and transfer calls as appropriate. * Understands and comply with all state, facility and company policies, procedures and protocols as related to the medical records department. * Meets timelines as related to death records, released inmates' health records and case management and departmental productivity guidelines. * Upon receiving the necessary training and/or instruction, performs other related duties as required or assigned JOB REQUIREMENTS The following requirements list the minimum to qualify. An equivalent combination of education and experience may be accepted. LICENSURE: N/A CERTIFICATION: Current CPR Certification EDUCATION: High School Diploma or GED equivalent PREFERRED EXPERIENCE: Minimum of one (1) year medical records experience EOE/M/F/D/V 24201 * , * , * To Apply for this Job Click Here