Healthcare Billing Jobs in Albuquerque

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

... medical record documentation for incorrect billing and coding. The ideal candidate ... ensure capture of all relevant billing discrepancies. Identifies the root cause ... reviews of provider codes and..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..

... will ensure appropriate and cost-effective healthcare services leading to a medically ... meeting Best Practices timeframes. Report billing hours in accordance with case ... accordance with case activity and..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..

Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..

Job Information Humana Associate Director, Site Reliability Engineering in Albuquerque New Mexico Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Albuquerque New Mexico Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..

Genex Service LLC Field Case Manager 2 US-NM-Albuquerque Job ID: 22-13429 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International Overview The Enlyte Family of Businesses Mitchell | ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Albuquerque New Mexico Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Qualifications Bachelor's degree or significant..

Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..

Job Information Humana Manager, Fraud and Waste-Remote US in Albuquerque New Mexico Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..

Job Information Humana Medicare Risk Adjustment Documentation and Coding Improvement Educator - CO/NM WAH - Travel Required in Albuquerque New Mexico Description Our search is focused on identifying an individual contributor ..

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Albuquerque New Mexico Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims ..

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..

... for diagnosis code selection Educate healthcare provider, coder and/or office staff ... long-term, self-sustaining solution for the healthcare provider's practice Assist healthcare providers to document accurately and ... job..