Responsible for ensuring optimum reimbursement based on accurate coding and for maintaining a quality patient clinical database. Assigns accurate diagnosis and procedure codes and captures pertinent clinical data elements on all inpatient/outpatient medical records of discharged patients. Reviews E&M levels selected by physicians on a monthly basis and provides feedback in order to increase awareness and accuracy.
Requirements
MINIMUM QUALIFICATIONS:
EDUCATION: High school diploma or equivalent.
CERTIFICATION/LICENSES: CPC, CPC-H, (CPC highly desirable over the CPC-H); ICD-10 Certification. Credentials must be maintained.
SKILLS:
Computer and data entry skills, thorough understanding of ICD-9-CM, ICD-10-CM, HCPC and CPT-4 classification systems.
EXPERIENCE: One years' experience as a certified coder (actual coding and abstracting from documentation) in physician practice setting. In lieu of one full year certification, coder must be a certified CPC for a minimum of 6 months and must have minimum of 3 years of actual abstract coding experience. Coder will be given an internal coding assessment within 3 months of hire.
NATURE OF SUPERVISION:
-Responsible to: Director of Coding, Medical Group
ENVIRONMENT:
- Bloodborne pathogens - A
General office environment. Knowledge of general safety standards. Exposure to hazards from electrical/mechanical/power equipment.
PHYSICAL REQUIREMENTS: Continuous sedentary position with intense mental concentration at least 8 hours per day, using sound ergonomic principles. Data entry up to four hours a day. Light physical effort (able to lift/carry up to 10 lbs.) Occasional reaching, stretching, bending, kneeling.
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
$26.5-41 hourly 30d ago
Coding Specialist
Savista
Medical coder job in New Mexico
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
$28-33 hourly Auto-Apply 30d ago
Medical Coding Analyst I or II
UNM Medical Group, Inc. 4.0
Medical coder job in Albuquerque, NM
Job Description
UNM Medical Group, Inc. is hiring for a Medical Coding Analyst I or II to join our Coding Department located at our Cancer Center. This opportunity is a HYBRID, full-time and day shift opening located in New Mexico.
*This is a hybrid 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*
Medical Coding Analyst 1:
Minimum $44,604 - Midpoint $55,766*
*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.
Medical Coding Analyst 2:
Minimum Minimum $52,038 - Midpoint $65,043*
*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:
Responsible for coding Inpatient/Outpatient charges and specialty services using appropriate ICD and CPT classification systems for the purpose of reimbursement, research and compliance in accordance with federal regulation. Charges include all Inpatient/Outpatient visits, Day Surgeries, consultations and observation accounts. Specialty services include Interventional Radiology, GI Lab, Pathology, Cardiac Cath Lab, Vascular Lab, Orthopedics, Surgical and Anesthesia procedures. Responsible for review of documentation in medical records to assure that documentation by providers conforms to compliance and legal requirements. Provide feedback for practitioners on coding practices. Coder must meet department productivity and quality standards. Ensure adherence to policies and procedures and guidelines.
Minimum Job Requirements or a Medical Coding Analyst I:
High School diploma or GED and 6 months directly related experience or successful completion of UNMMG Medical Coding Internship Program. Certification in at least one of the following: RHIT, RHIA, RCC, CIRCC, CSS, CCA, CCS-P, COC, CIC, CPC, CPC-P or CPC-A. Verification of education and licensure (if applicable) will be required if selected for hire.
Minimum Job Requirements or a Medical Coding Analyst II:
High School diploma or GED and 2 years directly related experience. Certification in at least one of the following: RCC, CPC, CIRCC, CPC-P, CCS, CCS-P, COC, CIC, RHIA, or RHIT. Verification of education and licensure (if applicable) will be required if selected for hire.
Duties and Responsibilities
Reviews and analyzes medical records in order to assign appropriate CPT and ICD-10 codes for inpatient and outpatient consultations, procedures, anesthesia, inpatient visits, and office visits for new or established patients.
Analyzes as well as resolution of coding edits that occur.
Identifies and reviews documentation in an EMR environment to ensure that all required signatures and addendums are present in the medical record(s).
Interaction and feedback to providers, when necessary, regarding medical documentation deficiencies or to request clarification of documentation components.
Ensures strict confidentiality of medical records and documentation.
Follows established departmental policies, procedures and objectives.
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.
$77k-98k yearly est. 12d ago
Coder
Lifepoint Hospitals 4.1
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
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Santa Fe, NM
**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.
$26.7 hourly 43d ago
Clinical Documentation & Coding Specialist
Synapticure Inc.
Medical coder job in Albuquerque, NM
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
$40k-56k yearly est. Auto-Apply 34d 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 MedicalCoder 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 MedicalCoder 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
Healthcare Revenue Cycle / HIM Manager
Oracle 4.6
Medical coder job in Santa Fe, NM
As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability.
3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness.
4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills.
5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process.
6. Training and mentoring staff on revenue cycle processes and best practices.
7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency.
8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance.
9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle.
10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues.
Qualifications:
The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications:
1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection.
3. Strong knowledge of healthcare financial management and medical billing processes.
4. Exceptional analytical and problem-solving skills with a strong attention to detail.
5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software.
6. Strong leadership skills with the ability to manage and motivate a team.
7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization.
8. Strong knowledge of federal, state, and payer-specific regulations and policies.
9. Ability to work in a fast-paced environment and manage multiple priorities.
**Responsibilities**
Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC4
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
$87k-178.1k yearly 60d+ ago
Certified Medical Coder (24-086)
Artesia General Hospital 4.1
Medical coder job in Artesia, NM
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
$21-33 hourly 33d ago
AI Specialist, Identity and Access Management (IAM)
Meta 4.8
Medical coder job in Santa Fe, NM
Protecting Meta's data and workforce is an explicit top priority for the company. We are part of Security Foundations within the Cross-Meta Security team, dedicated to building and supporting the critical security components of our infrastructure.Our mission is to prevent security incidents for Meta and its users efficiently at scale.Our vision is to provide the best in class internal protection of user data and company resources by focusing on building robust and scalable identity, authentication, and access management infrastructure that addresses top risks.The TeamThe team is responsible for right-sizing access control across the company, and enforcing those access controls across all Meta services.The team is developing systems which can analyze patterns of access to company assets, make recommendations about appropriate access models, and automatically apply changes to access control at scale.The team also owns services and libraries that support authentication and authorization across Meta infrastructure. These services and libraries support roughly ~2.3B authentication events a second, and ~20B authorization checks a second. The services and libraries sit on critical paths for Messaging, GenAI, IG, WhatsApp, and most services running within Meta infrastructure.The RoleAI will change the way that we work, and how Access Management is done within Meta. This role will help bootstrap our overall ML team within the IAM space, and explore ways AI can help us right-size access throughout Meta. Areas of exploration include:* Access Recommendations: Building ML models that can intelligently recommend appropriate access levels based on role, team, project needs, and security requirements.* Access Review Assistance: Developing AI tools to help streamline and enhance the access review process, identifying anomalies and potential security risks.* Access Configuration Assistance: Creating intelligent systems to assist with configuring complex access patterns and permissions across Meta's infrastructure.
**Required Skills:**
AI Specialist, Identity and Access Management (IAM) Responsibilities:
1. Help advance the science and technology of intelligent machines
2. Work on research projects, strategies, and problems of moderate to high complexity and scope. Can identify and define both short and medium term objectives
3. Influence progress of relevant research communities by producing publications
4. Establish connections with cross-functional partners and contribute research with the goal of applying to Meta's product development
5. Lead and collaborate on research projects within a team
6. Design policies, processes, procedures, methods, tests, and/or components, from the ground up for end-to-end systems
7. Apply in-depth knowledge of how the machine learning system interacts with the other systems around it
**Minimum Qualifications:**
Minimum Qualifications:
8. Bachelor's degree in Computer Science, Computer Engineering, relevant technical field, or equivalent practical experience
9. Experience leading a team in solving modeling problems using AI/ML approaches
10. Experience in applying research to production problems
11. Experience communicating research for public audiences of peers
12. 12+ Years Experience in developing and debugging in Python, C/C++, or C#
13. Must obtain work authorization in country of employment at the time of hire, and maintain ongoing work authorization during employment
**Preferred Qualifications:**
Preferred Qualifications:
14. 4+ years of experience as technical lead for a project of 4 or more individuals
15. Experience with interdisciplinary and/or cross-functional collaboration
16. Experience bringing machine learning-based products from research to production
17. Highly experience in analytical and problem-solving skills, including a basic understanding of data analysis techniques
18. Good grasp of SOX, SOC2, NIST, PCI, ISO, and other security regulations
19. Experience in the IAM (Identity and Access Management) domain in a cloud based infrastructure environment
20. Program and project management skills
**Public Compensation:**
$219,000/year to $301,000/year + bonus + equity + benefits
**Industry:** Internet
**Equal Opportunity:**
Meta is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine learning technologies in connection with applications for employment.
Meta is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at accommodations-ext@fb.com.
$219k-301k yearly 60d+ ago
Coder
Roosevelt General Hospital 3.4
Medical coder job in Portales, NM
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
$39k-49k yearly est. Auto-Apply 12d ago
Central Characterization Program (CCP) Records Analyst I/II/III
Salado Isolation Mining Contractors
Medical coder job in Carlsbad, NM
Central Characterization Program (CCP) Records Analyst I/II/III (158) Requisition ID **158** - Posted - **BI-RE Records Program Support** - **Carlsbad, NM, US - SWB** - **Administrative** î‚™ **Be part of the nation's only repository for the disposal of nuclear waste known as Transuranic (TRU) waste.**
Salado Isolation Mining Contractors, LLC (SIMCO), managing and operating contractor of the Waste Isolation Pilot Plant (WIPP) is currently seeking a qualified individual to serve as a **_Central Characterization Progam (CCP) Records Analyst I/II/III_** and join our team located in Carlsbad, New Mexico.
**Responsibilities**
This position will report to the WIPP Records Program Manager and support implementation of federal, Department of Energy (DOE), state, and WIPP's Records Management Organization (WRMO) requirements regarding the creation, receipt, approval, processing, distribution, use, configuration control, storage, retrieval, retention, and disposition of electronic and hard copy sensitive unclassified documents and records. Will manage the incoming and outgoing communication documents and records for all WIPP departments and organizational managers in the active stage of their lifecycle. Upload documents into the Electronic Documents and Records Management System (EDRMS) and establish electronic relationships in support of configuration control. Will participate in and/or lead efforts associated with WRMO tools migrations, enhancements, or implementation of electronic records management program.
The successful candidate will have wide-ranging experience, and use professional concepts and WIPP objectives to resolve complex issues in creative and effective ways. Will develop resolutions to complex problems that require the frequent use of creativity and where analysis of situations or data requires an in-depth evaluation of variable factors. Work is accomplished without considerable direction. May exert significant latitude in determining objectives of assignment, and determine the methods and procedures needed for new assignments.
Role Expectations:
+ Self-motivated with strong attention to detail.
+ Wide range of computer skills to include implementation of requirements or enhancements for Records Management-related applications.
+ Ability to solve issues or problems based on experience, professional concepts, and organizational objectives.
+ Ability to deliver clear and concise communications to employees, managers of all levels.
+ Knowledge using Documentum and other Records Management tools.
+ Work in a configuration management environment.
+ Work in records management required to satisfy DOE regulatory, legal, and contractual requirements, RCRA and NMED requirements/activities directing program team to furnish complete historical records of project operations.
+ Advanced knowledge of document control work processes with CCP project and generator site team.
+ Support of all CCP Document Control/Records Management (DC/RM) Program activities and personnel.
**Job Duties**
+ Safety and security are a primary responsibility for all WIPP employees. Maintains required safety and security training, assures safety and security compliance, and makes safety and security an integral part of every task, including taking the necessary steps to stop work if continuing the job is unsafe or compromises security.
+ Provide guidance and recommendations to customer organizations on procedures and processes.
+ Identify and implement process improvement initiatives.
+ Resolve issues or challenges associated with managing information in sensitive and unclassified environment.
+ Foster a mutually respectful and inclusive work environment that is free from discrimination and harassment.
+ Demonstrate understanding of Records Management regulations and drivers and methods to ensure compliance to ensure compliance in the processing records in an compliant Electronic Content Management System.
+ Develop positive customer relationships and provide exceptional customer service.
+ Coordinate work activities and processes effectively with project team members.
+ Demonstrate knowledge in records management requirements to manage records pertaining to the Resource Conservation and Recovery Act and the New Mexico Environment Department.
+ Perform configuration management requirements as they relate to document control and records management.
**Minimum Requirements**
_These requirements must be met to be considered for this posting. Uploaded resumes and completed applications are the means of determination._
- Associate's degree with two (2) years of office/clerical experience, or
- High School Diploma or Equivalency with four (4) years of office/clerical experience is required.
_Must be at least 18 years of age; U.S. citizenship is required except in limited circumstances. See DOE Order 472.2 for additional information._
**Preferred Requirements**
- WIPP or DOE-related experience.
**What We Offer**
+ Medical, dental and vision insurance:
+ Coverage on date of hire
+ Surgical concierge service
+ EAP services including wellness plans, estate planning, financial counseling and more
+ Modern work arrangements to include 4-day workweeks (four 10-hour days)*
+ Relocation assistance*
+ Shuttle commuter service from the local areas
+ Paid time off (PTO) and paid holidays
+ Tuition reimbursement program
+ On-site fitness center and other wellness support including some public gym membership reductions
+ Company paid short term disability
+ Company paid life insurance (1x annual salary)
+ Pension plan that provides monthly annuity after retirement and 401(k) with .50 matching up to 6%
+ Voluntary benefits of:
+ Accident, Critical Illness, and Hospital Indemnity
+ Long-term disability program
+ Health and Flexible savings accounts
+ Life and accidental death and dismemberment insurance
_*These benefits vary by position._
Non-exempt grade level(s) 24-27. Minimum salary $53,509 per year of a larger salary range --the specific salary offered to a candidate will be influenced by a variety of factors, particularly the candidate's relevant experience and education.
**Equal Opportunity**
_Equal employment opportunity, including veterans and individuals with disabilities._
_If you are an applicant with a disability who requires a reasonable accommodation to complete any part of the application process or are limited in the ability-or unable to use-the online application system and need an alternative method for applying, you may contact ************** or email *************************** for assistance. Upon receipt of this information, we will respond to you promptly to obtain more information about your request._
_Reviews, and tests for the absence of any illegal drug as defined in 10 CFR 707.4, will be conducted by SIMCO and a background investigation by the Federal government may be required to obtain an access authorization prior to employment, and subsequent reinvestigations may be required._
_Posting Duration: This posting will be open for application submissions for a minimum of seven (7) calendar days, including the posting date. SIMCO reserves the right to extend the posting date at any time._
EOE including Disability/Protected Veterans. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
$53.5k yearly 47d ago
Record Analyst
UDR Consulting Inc. 4.5
Medical coder job in Los Alamos, NM
UDR is seeking qualified candidates for a Record Analyst opportunity in Los Alamos, NM for the Waste Isolation Pilot Plant (WIPP). The Waste Isolation Pilot Plant (WIPP) is the nation's only permanent nuclear waste repository for defense-generated transuranic (TRU) waste generated from Department of Energy (DOE) sites across the country. Waste is permanently isolated over 2,000 feet underground in deep salt beds.
Job Description:
The CCP Records Analyst (CCP RA) will be located at the Los Alamos National Lab (LANL) in Los Alamos, NM reporting to the CCP Records Manager (RM) and provide support to the Central Characterization Program (CCP) and all CCP Document Control/Records Management (DC/RM) Program Activities. This position includes processing records at the LANL, checking for legibility and completeness, scanning into a records server, entering records in the records software system, and maintaining the active files record sets.
Duties:
Working knowledge of electronic information systems (EIS) for records tracking, archival, retention, and storage. Confirmed ability to evaluate and comprehend how computer systems are used by other organizations/department at WIPP that have interface requirements with DC/RM.
Understand configuration management requirements as they relate to document control processing.
Demonstrated knowledge and efficiencies in the use of a compliant Electronic Information System (EIS) for both active (Document control) and inactive records with focus on associated automated work processes.
Proven capability to foster strong cohesive team-oriented document control and records management task within a program.
Assist CCP RM with development of CCP Records Inventory and Disposition Schedules (RIDS).
Involvement with coordination of document control work processes with CCP project and other generator site Teams.
Understand configuration management requirements as they relate to document control processing. Develop associated work processes.
Proven experience in records management required to satisfy DOE regulatory, legal, and contractual requirements, RCRA and NMED requirements/activities directing program team to furnish complete historical records of project operations.
Ensure safe work conditions are maintained by following all safety rules, by participating in periodic facility safety inspections, and immediately reporting any unsafe conditions whenever they are found.
Ensure compliance of deliverables to applicable regulations, guidance requirements, and internal program commitments for records.
Expectations of the position:
Intermediate knowledge and understanding of the DOE and NARA records management requirements.
Knowledge of Nuclear Quality Assurance (NQA-1) standards.
Proficiency with various Office 365 software programs, especially MS Word and Excel.
Excellent oral and written communication skills. Must be able to demonstrate ability to utilize interpersonal and communication skills.
Research and resolve issues to meet customer demand.
Ability to apply records management concepts and principles to practical issues and problems.
Working knowledge of computer programs for records tracking, archival, retention, and storage. Understanding of computer systems used by other organizations/departments at WIPP that have interface requirements with DC/RM.
Proficiency and experience in DC/RM, including procedural work, customer interface, document control, and records management, and project closeout activities.
Ability to analyze and interpret data.
Coordinate with program team, customer, subcontractors/partners to share knowledge and promote use of document control and records management.
Understanding and execution of SIMCO's "Zero Accident" philosophy though personal safe behavior/work practices.
Minimum Requirements
High School Diploma or equivalent with at least 2 - 4 years of experience in the Records Management field or in a leadership role. A combination of the two is preferred.
Ability to analyze and interpret data.
Ability to apply records management concepts and principles to practical issues and problems.
Working knowledge of computer programs for records tracking, archival, retention, and storage. Understanding of computer systems used by other organizations/departments at WIPP that have interface requirements with DC/RM.
Proficiency and experience in DC/RM, including procedural work, customer interface, document control and records management, and project closeout activities.
Intermediate knowledge and understanding of the DOE and NARA records management requirements.
Knowledge of Nuclear Quality Assurance (NQA-1) standards.
Proficiency with various Office 365 software programs, especially MS Word and Excel.
Excellent oral and written communication skills. Must be able to demonstrate ability to utilize interpersonal and communication skills.
Understand configuration management requirements as they relate to document control processing. Develop associated work processes.
Proven experience in records management required to satisfy DOE regulatory, legal, and contractual requirements, RCRA and NMED requirements/activities, directing program team to furnish complete historical records of project operations.
Working knowledge of electronic information systems (EIS) for records tracking, archival, retention, and storage. Confirmed ability to evaluate and comprehend how computer systems are used by other organizations/department at WIPP that have interface requirements with DC/RM.
Understand configuration management requirements as they relate to document control processing.
Demonstrated knowledge and efficiencies in the use of a compliant Electronic Information System (EIS) for both active (Document control) and inactive records with focus on associated automated work processes.
Proven capability to foster strong cohesive team-oriented document control and records management task within a program.
Preferred Requirements
Experience working on Government systems, preferably DOE Records Management is preferred.
UDR Consulting, INC is a Service-Disabled Veteran-Owned, Woman-Owned, Minority-Owned, Small Disadvantaged Business. An Equal Opportunity Employer that considers all qualified applicants for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, protected Veterans, or individuals with disabilities. UDR also supports a drug-free work environment.
UDR offers highly competitive salaries and employee benefit packages structured to best suit your needs. We offer multiple individual and family benefit options including paid time off, medical, dental, life, vision, and disability insurance, and a pre-tax 401 (k) retirement account with Company matching contributions and 100% vesting for eligible participants beginning DAY 1.
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$34k-44k yearly est. 18d ago
Ophthalmology Billing and Coding Specialist
Southwest Eyecare
Medical coder job in Albuquerque, NM
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!
$16 hourly 13d ago
Medical Records Clerk Part-Time
El Centro Family Health 4.1
Medical coder job in Espanola, 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. 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)
$29k-34k yearly est. 10d ago
Medical Records Clerk (77-70)
La Clinica de Familia 3.4
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 60d+ ago
Medical Billing- Reimbursement Services
HME Specialists LLC 4.5
Medical coder job in Albuquerque, NM
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!
$33k-44k yearly est. 9d ago
Records Management Specialist
Mele Associates 4.1
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.
Job Description
MILVETS is currently seeking a full time Information/Database Management Specialist
About the company: Since its founding in 1986, MILVETS Systems Technology, Inc. has been a reliable provider of quality services in the information and technology fields. As a Service-Disabled Veteran-Owned Small Business, certified by the Small Business Administration as a Small Disadvantaged Business, the company was founded to offer efficient, cost-effective information technology services to commercial and government clients.
Position Title: Information/Database Management Specialist
Position Summary: MILVETS is currently seeking a full time Information/Database Management Specialist who will be responsible for supporting USAF Distributed Mission Operations Center (DMOC) in Kirtland AFB, NM.
Responsibilities:
Implement and maintain smooth operation and physical design of databases.
Conduct performance tuning of indexes and databases in general.
Review database design and integration of systems, provide backup recovery and make recommendations regarding enhancements and/or improvements.
Maintain security and integrity controls.
Formulate policies, procedures, and standards relating to database management, and monitor transaction activity and utilization.
May develop stored procedures and/or triggers.
Qualifications:
6 Years w/ Bachelors; 4 Years w/ Masters
AIT II Certification
(must hold one of the following)
: CCNA-Security, CySA+ **, GICSP, GSEC, Security+ CE, CND, SSCP
Clearance:
Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information; an Active United States Department of Defense Secret clearance is required.
_______________________________________________________
MILVETS offers an excellent benefits package including Health Insurance, Dental Insurance, Life Insurance, Disability Insurance, Vision, 401(k), Paid Time Off.
Applicants for U.S. based positions with MILVETS Systems Technology, Inc. must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.
******************** E-Verify is a registered trademark of the U.S. Department of Homeland Security. This business uses E-Verify in its hiring practices to achieve a lawful workforce.
Equal Employment Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
MILVETS Systems Technology, Inc. is an Equal Employment Opportunity/Affirmative Action Employer and maintains a Drug-Free Workplace.
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