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Medical coder jobs in New Mexico

- 53 jobs
  • Coder

    Lifepoint Hospitals 4.1company rating

    Medical coder job in Las Cruces, NM

    " 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 "
    $51k-63k yearly est. 60d+ ago
  • Medical Coder

    Clearskyhealth

    Medical coder job in Albuquerque, NM

    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
    $40k-56k yearly est. Auto-Apply 60d+ ago
  • Medical Coding Analyst Auditor - Educator

    UNM Medical Group 4.0company rating

    Medical coder job in Albuquerque, NM

    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 - $2,000** 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.
    $54k-70k yearly est. 60d+ ago
  • Coding Specialist Health Information Management-Part Time

    Christus Health 4.6company rating

    Medical coder job in Santa Fe, NM

    Assigns accurate diagnosis and procedure codes and captures pertinent clinical data elements on all inpatient/outpatient medical records of discharged patients. Responsible for ensuring optimum reimbursement based on accurate coding and for maintaining a quality patient clinical database.
    $47k-57k yearly est. 14h ago
  • Code Enforcement Specialist (Planning - Housing Code Enforcement)

    City of Albuquerque, Nm 4.2company rating

    Medical coder job in Albuquerque, NM

    Perform residential and commercial property inspections, vacant lot surveys, and weed and litter inspections, to ensure compliance of the City's zoning codes, ordinances, regulations, and land-use requirements; conduct field investigations to identify corrective action steps required to achieve zoning compliance; communicate with property owners, developers and/or contractors; issue notifications regarding code violations, and provide methods to achieve compliance; may attend court related matters, and work independently with a variety of professionals within the construction industry, to enforce code requirements and resolve non-compliance issues; review, analyze and interpret construction and site plans, business applications and registrations; draft recommendations for condemnation of unsafe or hazardous dwellings; and perform a variety of administrative tasks to support upper level management. s are intended to present a general list of tasks/duties performed by employees within this job classification. Job Descriptions are not intended to reflect all duties performed within the job. Minimum Education, Experience And Additional Requirements Education and experience directly related to the minimum requirements below may be interchangeable on a year for year basis. Associate's degree from an accredited college or university; and Five (5) years of experience in any combination of the following areas: * property or code enforcement * building construction * construction management * zoning enforcement to include inspections involving investigating and interpreting code and ordinance violations * housing inspection, management and maintenance One (1) year experience in Government preferred. ADDITIONAL REQUIREMENTS: Possession of a valid New Mexico Driver's License, or the ability to obtain by date of hire. Possession of a City Operator's Permit (COP) within six (6) months from date of hire. Possess and maintain an appropriate valid housing code certificate issued by the International Code Council (ICC), or possess and maintain certification acceptable to the State of New Mexico as a Building Inspector within ninety (90) days from date of hire as a Code Enforcement Specialist. Preferred Knowledge * Principles and practices of planning * Operations, services and activities of the Comprehensive City Zoning Codes, Building Codes, Ordinances and Land-Use Requirements. * Applicable building and code enforcement regulations, including mechanical, electrical or sanitary codes * Uniform Owner-Residential Relations Act, NMSA 47-8 * General methods and techniques of field inspection and investigative work, report writing and documentation of code violations * Advanced mathematical principles and practices used to calculate distance, geometric areas and height * Principles and procedures of record keeping, report preparation, and business letter writing * Modern office procedures, methods and equipment, including computers (desktop, laptop, tablet, etc.), smartphones and similar communication devices * Use and application of basic engineering and architectural scales and related measuring and drafting tools Preferred Skills & Abilities * Conduct field inspections and investigations, and enforce zoning codes, building codes and ordinances; recommend corrective action necessary to resolve noted violations * Perform residential and commercial property inspections, to include vacant lot surveys, weed and litter inspections. * Accurately read and interpret blueprints; examine residential and commercial plans to determine applicable compliance with zoning standards * Review, analyze and interpret construction and site plans, business applications and registrations. * Recommend that substandard dwellings be condemned because the structure cannot be repaired * Issue written notifications regarding code violations, and provide methods to achieve compliance. * Work independently in the absence of supervision * Work flexible hours including evenings and weekends to attend meetings and conduct inspections * Maintain accurate logs and records regarding inspections, code violations, enforcement actions and compliance efforts * Respond to requests and inquiries from the general public * Communicate clearly and concisely with a variety of professionals within the construction industry, to enforce code requirements and resolve non-compliance issues. * Perform the essential functions of the job with or without reasonable accommodation * Establish and maintain cooperative working relationships with those contacted in the course of work
    $40k-49k yearly est. 8d ago
  • Senior Certified Professional Coder, Special Investigations Unit (Aetna SIU)

    CVS Health 4.6company rating

    Medical coder job in Santa Fe, NM

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. **Activities include:** + Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. + Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. + Provide detailed written summary of medical record review findings. + Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. + Review and discuss cases with Medical Directors to validate decisions. + Independently research and accurately apply state or CMS guidelines related to the audit. + Assist with investigative research related to coding questions, state and federal policies. + Identify potential billing errors, abuse, and fraud. + Identify opportunities for savings related to potential cases which may warrant a prepayment review. + Maintain appropriate records, files, documentation, etc. + Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics. + Mentor New Coders, providing training, coding, and record review guidance. + Collaboration with investigators, data analytics and plan leadership on SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10. + CMS 1500 and UB04 data elements + Experience with researching coding and policies. + Experience with Microsoft products; including Excel and Word + Prior experience auditing others' work and providing feedback. + Experience mentoring others. + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 3+ years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Licensed Professional Counselor (LPC) + Excellent communication skills + Excellent analytical skills + Strong attention to detail and ability to review and interpret data. **Education** + AAPC Certified Professional Coder Certification (CPC) + GED or High School diploma **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $47k-112.2k yearly 9d ago
  • Him Coder (Otpt) (Albuquerque)

    Fdihb

    Medical coder job in Albuquerque, NM

    **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER'S LICENSE** **RESUMES AND REFERENCES ARE REQUIRED** ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES Retrieves information from the RPMS in identifying the patients; and reviews medical records to insure FDIHB providers assign the correct diagnosis and procedural codes. Assigns and categorized codes using the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, Procedural Coding System (ICD-10-PCS), Current Procedure Terminology (CPT), Health Common Procedure Coding System (HCPCS) Code, coding guidelines and other policies set by FDIHB, Centers for Medicare and Medicaid Services (CMS) or other regulatory organizations as related. Uses the 3M Grouper System to assist in classifying diagnoses and verifying the accuracy of coding assignments. Abstracts all necessary information by auditing and analyzing patient care component forms (PCC), Electronic Health record for the appropriate Evaluation and Management (E&M) levels, CPT and the HCPCS codes that accurately describe each medical/surgical procedures/supplies on each patient visit. Performs quantitative analysis to ensure the presence of all component parts of the record such as patient name, health record number, dates of service and time, signatures where required on paper forms and/or E.H.R. and the presence of all reports, which are indicated by the nature of the visit. Evaluates the records for internal consistency, completeness and accuracy for sufficient data to justify the diagnoses and procedures assigned. Identifies inconsistencies or discrepancies among medical documentation and discuss with appropriate staff members and physicians without infringing on decisions concerning a medical provider or physician's clinical judgment. Performs quality data entry of protected patient health information into the RPMS and 3M Grouper systems, which requires extensive interaction with the RPMS-PCC system using mnemonics for entering and editing data. Performs audits and medical reviews by running error listings and/or other data reports to ensure documentation and accountability of all data. Reviews and completes zero reports where PCC plus System is in place, RPMS Audit list reporting to capture all data missed and/or errors hanging in the system in a timely manner. Ensures the validity, completion and disposition of all clinical records briefs reflecting encoded and other patient related information. Maintains confidentiality of health information in accordance with the Privacy Act of 1974 and Health Information Portability Accountability Act (HIPAA) of 1996, Alcohol and Drug Abuse Patient Records, Freedom of Information Act and other mandatory federal regulations. Ā· Works with clinical staff in coordinating the workflow such as PCC+ system and ensuring up-to-date codes are maintained in the RPMS, and by surveying potential risk areas and identifying inconsistencies or discrepancies within the medical records and discusses with the appropriate medical, nursing, and/or healthcare providers for corrective action without infringing on decisions concerning a physician's clinical judgment. Monitors specific areas as indicated for areas of improvement by recognizing potential risks subjected to compliance issues such as coding and data entry. Incumbent documents findings, prepares reports to present to immediate supervisor. Performs quality assurance/performance functions for the department to ensure qualities of services are provided. Prepares reports, presents to staff and Quality Assurance Committee as needed. Completes all RCM Queries within 24 hours upon received. Uses coding guidelines and resources that include the Encoder (3M), ICD-10 CM, ICD 10-PCS, CPT, HCPCS, and other coding classification systems, RPMS user's guide, PDR, the Privacy Act, HIPPA regulations, medical dictionaries, FDIHB policies and procedures, CMS, the Revenue Cycle Management Compliance Plan, Health Records guidelines, written and oral policies and procedures. Conducts quality control and improvement reviews by; tracking and identifying inadequate documentation for coding; communication program software and hardware problems; and by maintaining a deficiency and productivity logs. Works with clinical providers on clinical documentation improvement and coordinates with providers to correct deficiencies identified for processing of coding visits. Maintains the integrity of patient information, including but not limited to, protecting from any unauthorized disclosures, breaches, or altering/destroying of patient information. Complies with FDIHB policies governing user access of accounts to complete daily work duties; and ensures confidentiality in accordance with the Privacy Act of 1974, Alcohol and Drug Abuse Patient Records, Freedom of Information Act, HIPAA and other pertinent federal regulations. Reports any security breaches or potential breaches to the immediate supervisor. Keeps abreast of the latest and new concepts and techniques in coding, regulations and related resources pertaining to diagnostic and procedure codes. Continues pursuit and development of job-related individual interests and specialty areas for both personal growth and program and services enhancement. Performs other duties as assigned. MANDATORY MINIMUM QUALIFICATIONS Experience: Two (2) years of outpatient coding experience in a healthcare setting. If no outpatient coding experience, must have a Registered Health Information Technician (RHIT) Certification. Or Completion Certificate from a University/College or Technical school related to Medical Billing and Coding course. Must have certification within one (1) year. Education: High School Diploma or Equivalency (HSE). Coding Certification by the American Health Information Management Association (AHIMA) or, the American Academy of Professional Coders (AAPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-based (CCS-P) or Coding Certification by the American Academy of Professional Coders (AAPC), Certified Professional Coder (CPC), Certified Professional Coder - Apprentice (CPC-A), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC). Please email degree or transcripts to ************************* NAVAJO/INDIAN PREFERENCE: FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered.
    $41k-61k yearly est. Easy Apply 29d ago
  • Medical Records Clerk

    Wexford Health Sources Inc. 4.6company rating

    Medical coder job in Santa Fe, NM

    To Apply for this Job Click Here Medical Records Clerk/ Unit Clerk SCHEDULE: Full-Time FACILITY: The Penitentiary 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 who 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 maintaining health records. In this capacity, the employee organizes and maintains a system of health files and logs that track patient diagnoses, treatments, 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 the appropriate medical unit's onsite staff. * Answers telephone, relays messages, and transfers calls as appropriate. * Understands and complies 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 24100 * , * , * To Apply for this Job Click Here
    $27k-35k yearly est. 9d ago
  • Medical Records Clerk (77-70)

    La Clinica de Familia 3.4company rating

    Medical coder job in Las Cruces, NM

    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
    $29k-34k yearly est. Auto-Apply 20d ago
  • Medical Records Specialist Home Health - Full-time

    Enhabit Home Health & Hospice

    Medical coder job in Las Cruces, NM

    Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO - Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record. Qualifications Education and experience, essential Must possess a high school diploma or equivalent. Must have demonstrated experience in the use of a computer, including typing and clerical skills. Must have basic demonstrated technology skills, including operation of a mobile device. Education and experience, preferred Six months experience in medical records in a health care office is highly preferred. Requirements* Must possess a valid state driver license Must maintain automobile liability insurance as required by law Must maintain dependable transportation in good working condition Must be able to safely drive an automobile in all types of weather conditions * For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
    $27k-34k yearly est. Auto-Apply 60d+ ago
  • Records Management Specialist

    Mele Associates 4.1company rating

    Medical coder job in Albuquerque, NM

    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.
    $28k-37k yearly est. 60d+ ago
  • Medical Records Clerk

    MTC Corrections 3.9company rating

    Medical coder job in Chaparral, NM

    Pay Rate: $17.75 per hour Employment Type: Full-time Work Schedule: Monday-Friday Benefits Include: Health, dental, and vision Prescription drug and life insurance 401(k) retirement account Long and short-term disability PTO and 11 paid holidays Employee assistance program Looking to make a difference every day? Join our compassionate team of health care professionals, where you'll make a meaningful impact every day! If you're dedicated to providing high-quality care and eager to grow in a supportive environment, we want to hear from you at the Otero County Prison in Chaparral, New Mexico! Position Summary: Reports to the health services administrator. Performs specialized clerical functions in the maintenance of inmate medical records in compliance) and various customer directives. Essential Functions: 1. Maintain medical records for a variety of purposes, lab work, x-rays, immunizations, cursory, etc. 2. Perform other general clerical duties including, but not limited to typing correspondence, form letters, schedules, forms and reports. 3. Proofread, copy documents, process incoming and outgoing mail, answer telephone, receive visitors and file. 4. Maintain records of services and prepare billing documents submitted to appropriate agencies for facility reimbursement of health care costs. 5. Maintain absolute security and confidentiality of all medical records; observe applicable HIPAA rules. 6. Complete daily audits of medical records to ensure accuracy and quality of documentation and review results for any pattern of deficiencies and communicate these findings to healthcare staff. 7. Process requests for medical information from outside hospitals, clinics, physicians and secures pertinent medical information from other sources relative to the treatment of patients. 8. Enter the required information of each inmate visit with a healthcare professional into the appropriate data system. 9. Coordinate notification of transfers to other health service departments, obtain medical records and review records daily for completeness and accuracy prior to transfer. 10. Regular on-site attendance is required. 11. Promote the development of positive social skills through modeling appropriate behaviors and intervening when inappropriate behaviors are observed; provide regular feedback to staff regarding social skills procedures and intervention techniques. 12. Maintain accountability of staff, inmates and property; adhere to safety practices. It is expected that the incumbent shall perform other duties as assigned within his/her scope of work as determined by management. Education and Experience Requirements: High school diploma or equivalent and one (1) year office experience including word processing or computer data entry experience. Valid driver's license in the state of New Mexico or Texas with an acceptable driving record required, unless waived by management. Post Hire Requirements: Must successfully complete annual in-service training requirements and maintain appropriate facility clearance. Management & Training Corporation (MTC) is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, disabled status, veteran status, genetic information, national origin, or any other category protected by federal law. MTC participates in E-Verify. We strive to provide reasonable accommodation for qualified individuals with disabilities, including disabled veterans, in our job application and hiring process. If you are interested in employment opportunities with Management & Training Corporation and need assistance, please contact our staffing department through ***************************** or ************.
    $17.8 hourly Auto-Apply 1d ago
  • Onsite Release of Information Specialist - Albuquerque, NM

    Verisma Systems Inc. 3.9company rating

    Medical coder job in Albuquerque, NM

    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 the 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
    $30k-42k yearly est. 1d ago
  • Medical Records Clerk

    El Centro Family Health 4.1company rating

    Medical coder job in Las Vegas, NM

    As a Federally Qualified Health Center, 501c3, our mission is to provide affordable, accessible, quality health care to the people of Northern New Mexico. Do you want to be part of an organization that is dedicated to wellness and excellence of care? El Centro Family Health is seeking a full-time 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 skill 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)
    $29k-34k yearly est. 60d+ ago
  • Health Information/Patient Access Manager

    Laguna Community Health Center

    Medical coder job in Paraje, NM

    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.
    $45k-81k yearly est. 60d+ ago
  • Medical Coding Auditor - Must have a NM Residence

    UNM Medical Group, Inc. 4.0company rating

    Medical coder job in Albuquerque, NM

    Job Description UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a REMOTE, full-time, day shift opening located in Albuquerque, 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* *This position requires extensive knowledge and experience with E/M coding. *$2,000 Sign-on Bonus* Minimum $56,173 - Midpoint $70,217* *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: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms with legal and regulatory requirements. Trains, instructs and provides technical support to medical providers, support staff and medical coding personnel on accurate documentation supports billing and coding standards. Collaborates with hospital compliance and coding staff to ensure consistent training with medical providers on professional and facility services. Reviews, develops, and/or modifies procedures, systems and protocols to achieve and maintain compatibility with UNM Medical Group billing requirements and compliance standards. Assists management with the development of the annual work plan risk assessment and evaluates external payer record requests for reconsideration, appeals and rebuttals Minimum Job Requirements of a Medical Coding Auditor: High School diploma or GED with 5 years directly related experience; at least one of the following CPC, CCs, CCS-P, COC, RHIA or RHIT, CHONC. Certification or certificate eligible for Certified Professional Medical Auditor (CPMA). 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 will be required if selected for hire. The UNM Medical Group (UNMMG) Coding Auditor position requires the candidate to either hold a Certified Professional Medical Auditor (CPMA) designation at the time of hire, or to secure such designation within 18 months of hire. UNMMG will pay for study materials and the cost of one exam, through the UNMMG Compliance Department budget. Duties 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. Provides follow up audits when necessary. Reviews billing processes to ensure accurate reimbursement and compliance with regulatory and procedural policies including unbundling and other questionable practices. Researches, analyzes and responds to internal and external inquiries regarding compliance, inappropriate coding, denials and billable services. Interacts with physicians, other patient care providers, support staff and coding personnel regarding billing and documentation policies, procedures and regulations; obtains clarification on conflicting, ambiguous or non-specific documentation. Trains, instructs and/or provides medical providers, support staff and coding personnel as appropriate regarding documentation, regulatory provisions and third party payer requirements. Reviews, develops, modifies, and/or adapts relevant client procedures, protocols and data management systems to ensure that client billing requirements are met for professional and facility services. Assists management in the formulation of the annual work plan and formulates audit protocol to capture risks in audit schedule. 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. Collaborates with hospital compliance and coding staff to ensure that provider education and training for professional and facility services is accurate and consistent. Ensures strict confidentiality of medical and financial records. .Attends 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.
    $54k-70k yearly est. 5d ago
  • Certified Professional Coder, Special Investigations Unit (Aetna SIU)

    CVS Health 4.6company rating

    Medical coder job in Santa Fe, NM

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record review to ensure billing is consistent with medical record. - Provide detailed written summary of medical record review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. - Review and discuss cases with Medical Directors to validate decisions. - Assist with investigative research related to coding questions, state and federal policies. - Identify potential billing errors, abuse, and fraud. - Identify opportunities for savings related to potential cases which may warrant a prepayment review. - Maintain appropriate records, files, documentation, etc. - Ability to travel for meetings and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical coding or documentation auditing. + Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements + Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel + Must be able to travel to provide testimony if needed. **Preferred Qualifications** + 2 years or more previous experience with Behavioral Health coding/auditing of records + Licensed Clinical Social Worker (LCSW) + Licensed Independent Social Worker (LISW) + Licensed Master Social Worker (LMSW) + Prior auditing experience + Excellent analytical skills + Strong attention to detail and ability to review and interpret data + Excellent communication skills **Education** + GED or equivalent + AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/06/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $43.9k-102.1k yearly 23d ago
  • Medical Records Clerk (77-70)

    La Clinica de Familia Inc. 3.4company rating

    Medical coder job in Las Cruces, NM

    Job Description 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 Powered by JazzHR IdNblBsfN1
    $29k-34k yearly est. 22d ago
  • Medical Records Clerk

    El Centro Family Health 4.1company rating

    Medical coder job in Las Vegas, NM

    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. Do you want to be part of an organization that is dedicated to wellness and excellence of care? El Centro Family Health is seeking a full-time 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 skill 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)
    $29k-34k yearly est. 25d ago
  • Medical Records Clerk

    Wexford Health Sources Inc. 4.6company rating

    Medical coder job in Los Lunas, NM

    To Apply for this Job Click Here Medical Records Clerk/ Unit Clerk SCHEDULE: Full-Time FACILITY: Central New Mexico 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 24091 * , * , * To Apply for this Job Click Here
    $27k-35k yearly est. 9d ago

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