New Mexico Staffing

divh2Customer Service Operations/h2pCustomer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function./ppJob Summary: The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

divh2Baylor Scott White Health Job Posting/h2pHere 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:/ppWe serve faithfully by doing whats right with a joyful heart./ppWe never settle by constantly striving for better./ppWe are in it together by supporting one another and those we serve./ppWe make an impact by taking initiative and delivering exceptional experience./ppOur 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:/pulliEligibility on day 1 for all benefits/liliDollar-for-dollar 401(k) match, up to 5%/liliDebt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more/liliImmediate...

divh2Medical Coding Auditor/h2pBecome a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditors work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires...

divh2Allegheny Health Network Job Posting/h2pCompany: Allegheny Health Network/ppJob Description:/ppGeneral Overview: 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./ppEssential Responsibilities:/pp Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)/pp 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%)/pp Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)/pp Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and...

divh2Inpatient Medical DRG Coder Hospital (Remote)/h2pA DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): Its a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services./ph3Responsibilities/h3ulliReview clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes./liliCommunicate with physicians to clarify diagnoses and procedures through the query process./liliUtilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines./liliMaintain a minimum accuracy rate of 98% while meeting internal productivity standards./liliAchieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per...

divh2Senior Inpatient HIM Coder/h2pWe 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./ppRequirements and Qualifications:/pulliA minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment./liliProficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records./liliIn-depth understanding of supporting evidence requirements for accurate coding./liliPractical experience using grouper software for MS-DRG and APR-DRG assignment./liliStrong communication skills to interact effectively with the...

divh2Welbehealth Pace Coding Auditor And Educator/h2pWelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance./ppEssential Job Duties:/pulliAssist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants/liliConduct pre-visit chart preparations and post-visit chart...

divh2Outpatient Coders/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ppWere looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

divh2Outpatient Coder/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Were looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

divh2Coder II Position/h2pSpecialty Scope for this coder II position to include but not limited to:/ppUpper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair/ppElbows: Cubital tunnel release, Bursectomy, Arthroplasty/ppWrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)/ppHands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytrens (Palmar fascial fibromatosis), Amputations/ppLower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy/ppPelvis: Fracture repairs/ppFemur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs/ppKnees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

divh2Inpatient Coder Opportunity/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ph3What Were Looking For/h3pWere looking for experienced and credentialed inpatient coders to become an integral part of our...