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Medical coder jobs in New Mexico

- 49 jobs
  • Senior Inpatient HIM Coder

    Oracle 4.6company rating

    Medical coder job in Santa Fe, NM

    **About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. **Requirements and Qualifications:** + A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. + In-depth understanding of supporting evidence requirements for accurate coding. + Practical experience using grouper software for MS-DRG and APR-DRG assignment. + Strong communication skills to interact effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA or RHIT certification is mandatory. + Associate's or Bachelor's degree in Health Information Management (HIM) is required. **Responsibilities** **Job Responsibilities:** + Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding. + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation. + Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement. + Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development. 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: $75,000 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.
    $75k-178.1k yearly 5d ago
  • Coder - Inpatient

    Highmark Health 4.5company rating

    Medical coder job in Santa Fe, NM

    This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) + Performs other duties as assigned or required. (5%) **QUALIFICATIONS:** Minimum + High School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data entry skills + An understanding of computer applications + Ability to work with members of the health care team Preferred + Associate's degree in Health Information Management or Related Field **_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:** $23.03 **Pay Range Maximum:** $35.70 _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: J272373
    $23-35.7 hourly 2d ago
  • Senior Medical Coder

    Cytel 4.5company rating

    Medical coder job in Santa Fe, NM

    The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. **Medical Coding** + Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. + Review and validate coding performed by other coders to ensure consistency and accuracy. + Identify ambiguous or unclear terms and query clinical sites or data management for clarification. + Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. **Data Quality & Review** + Conduct ongoing coding checks during data cleaning cycles and prior to database lock. + Lead the resolution of coding discrepancies, queries, and coding-related data issues. + Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams. + Assist in the preparation of coding-related metrics, reports, and quality documentation. **Process Leadership & Subject Matter Expertise** + Serve as the primary point of contact for coding questions across studies or therapeutic areas. + Provide guidance and training to junior medical coders, data management staff, and clinical teams. + Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines. + Participate in vendor oversight activities when coding tasks are outsourced. + Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. **Cross-Functional Collaboration** + Work closely with clinical data management to ensure proper term collection and standardization. + Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. + Support biostatistics and medical writing with queries related to coded terms for analyses and study reports. **Education & Experience** + Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred. + **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments. + Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management. + Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required. **Technical & Professional Skills** + Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar). + Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines. + Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously. + Effective communication skills and experience collaborating in matrixed research environments. Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
    $62k-75k yearly est. 9d ago
  • 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
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    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. 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 8d 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 Auditor - Must have a NM Residence

    UNM Medical Group 4.0company rating

    Medical coder job in Albuquerque, NM

    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. 45d 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. 1d 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. · 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 39d ago
  • Health Information Operations Manager

    Datavant

    Medical coder job in Santa Fe, NM

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Health Information Operations Manager focuses on both front-line People management and leading as account manager at designated sites. The Health Information Operations Manager is responsible for client/customer service and serves as a knowledge expert for the HIS staff. This role may also assist leadership with planning, developing and implementing departmental or regional projects. The Health Information Operations Manager provides support to the VPO. The Health Information Manager will also assist in the new hire process, meeting with clients, and developing staff at multiple sites. **You will:** + Primary Account Manager to Customer + Mentor hourly staff and supervisor team for further professional development + Responsible for P&L management ($2M+) + Oversee the safeguarding of patient records and ensuring compliance with HIPAA standards + Own the management of patient health records + Participates in project teams and committees to advance operational Strategies and initiatives + Lead continuous improvement efforts to better business results **What you will bring to the table:** + Experience in a healthcare environment + Passion to identify process improvements and provide solutions + Demonstrated ability in leading employees and processes successfully (20+) + Coordinates with site management on complex issues + Knowledge, experience and/or training in accurate data entry, office equipment and procedures + Open to travel up to 50% of the time to multiple sites based on the needs of the region **Bonus points if:** + 2 + years in HIM related experience + Provider Care Solution experience + ROI exposure + RHIT or RHIA Credentials We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is: $72,000-$78,000 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $72k-78k yearly 2d 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 30d 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, Inc. 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
  • 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. 11d 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. 6d 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. 15d ago
  • Outpatient Coder - Coding

    Christus Health 4.6company rating

    Medical coder job in Alamogordo, NM

    Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing and reduce denials. Coder will also assist in other areas of the department as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM/Coding Director. Responsibilities: * Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. * Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM and CPT Official Guidelines for Coding and Reporting through review of coding critical documentation. * Extracts and abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system. * Works from assigned coding queue, completing and re-assigning accounts correctly. * Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner. * Meets or exceeds an accuracy rate of 95%. * Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). * Assists in implementing solutions to reduce backend errors. * Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. * Participates in both internal and external audit discussions. * Has strong written and verbal communication skills. * Able to work independently in a remote setting, with little supervision. * All other work duties as assigned by the Manager. Job Requirements: Education/Skills * High school Diploma or equivalent years of experience required. * Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred. Experience * Two (2) years of Outpatient coding in an acute care setting preferred. Licenses, Registrations, or Certifications * None required. Work Schedule: 5 Days - 8 Hours Work Type: Full Time
    $47k-57k yearly est. 2d 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. 2d 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

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