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Full Time Remote Hcc Coder Jobs in New Mexico (NOW HIRING)

Wilson & Company

Senior Electrical Designer

Albuquerque, NM · On-site +1

$80K - $105K/yr

Wilson & Company'sAlbuquerque, New Mexicooffice is currently seeking a full-time Senior Electrical ... Codes: * NFPA 70 Software: * Microsoft Office software * CADD software (i.e. Revit, AutoCAD or ...

aui

Software Engineer III

Albuquerque, NM · On-site +1

$79K - $120K/yr

The NRAO is seeking a full-time software engineer to design, develop and maintain code for their ... A remote workstation within the United States may be considered for candidates with sufficient ...

Cardinal Health

$21.40/hr

Knowledge of Medical/Pharmacy billing and coding is preferred * Important to have a strong ... Healthy lifestyle programs REMOTE DETAILS: You will work remotely, full-time. It will require a ...

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All JobsHcc Coder JobsFull Time Remote Hcc Coder JobsFull Time Remote Hcc Coder Jobs in New Mexico

Full Time Remote Hcc Coder information

What is the difference between Full Time Remote Hcc Coder vs Full Time Remote Medical Biller?

AspectFull Time Remote Hcc CoderFull Time Remote Medical Biller
CredentialsHCC Certification, Coding CertificationBilling Certification, Coding Certification
Work EnvironmentRemote, healthcare facilities, insurance companiesRemote, healthcare providers, insurance companies
Industry UsageHealthcare, insurance, risk adjustmentHealthcare, insurance, revenue cycle management
Primary FocusAccurate coding for risk adjustment and reimbursementProcessing claims, billing, and payment collection

Both roles are remote healthcare positions requiring coding certifications. The Hcc Coder focuses on risk adjustment coding for insurance and healthcare organizations, while the Medical Biller handles claims processing and revenue collection. Understanding these differences helps job seekers find the right fit based on their skills and career goals.

What cities in New Mexico are hiring for Full Time Remote Hcc Coder jobs?

Cities in New Mexico with the most Full Time Remote Hcc Coder job openings:

Full Time Remote Hcc Coder jobs near you

Medicaid Billing Specialist Remote

OPCO Skilled Management

Albuquerque, NM • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Job Type: Full-Time.

Benefits Offered:

  • Healthcare

  • Dental

  • Vision

  • PTO

  • 401K

Your Job Summary:

The Medicaide Advoctage will be responsible for reviewing the Medicaid Pending applications and Medicaid renewals for assigned facilities to ensure Medicaid eligibility to obtain timely coverage and approvals. Provides ongoing support to Regional AR staff, BOM and ABOM in the areas of billing, claims, eligibility and authorization process for all payer types, such as Medicaid, Medicare, Managed Care, etc. 

Your Qualifications

• Experience in the application/renewal process for Medicaid in LTC facilities

• Experience with TMHP and SimpleLTC portals preferred

• Proficient computer skills

• Well organized and able to multitask

• Attention to detail

• Ability to travel, which includes a valid driver’s license and automobile insurance 

Your Responsibilities

Principal Responsibilities

• Review referrals and Medicaid questionnaire from assigned facilities to determine eligibility for Medicaid.

• Review all applications and supporting documentation prior to submitting to HHSC.

• May have communication with the residents and/or family members regarding the application process and supporting documentation needed.

• Maintain tracking system for all assigned Medicaid Pending residents to approval.

• Maintain tracking system to monitor Medicaid renewals to avoid interruption in coverage.

• Email communication with the facility and Regional Business Office Consultant to obtain information needed for the application process or renewal.

• Attend biweekly calls with assigned facilities and Regional Business Office Consultant for assigned facilities to discuss statuses, approvals, denials and any information needed from the facility.

• May assist with training the Business Office staff on the Medicaid application process.

• Report any delays, barriers or denials to the Senior Medicaid Advocate.

• Report weekly to the Senior Medicaid Advocate any outstanding items needed for application/renewal completion as well as the status on any denials.

• Ensure compliance with all State laws in relation to your position.

• Adherence to the Organization’s Compliance Plan and Code of Ethics.

• May occasionally assist other departments within the Central Billing Office. • Other duties, responsibilities and activities may change or assigned at any time with or without notice.