Remote Medical Claims Processor Jobs in Rio Rancho, NM

UNM Medical Group, Inc. is hiring for a Medical Coding Supervisor to join our Coding Department. This opportunity is a REMOTE, full-time and day shift opening located in 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 is remote, however the selected candidate would need to be available to come into the office in Albuquerque, New Mexico if they experience network or laptop issues*

Minimum $60,672 - Midpoint $75,840*

*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:

Oversees the daily operations of a medical coding team, ensuring compliance with Federal, State,
and third-party billing regulations. Assists in the planning, organizing, staffing, and daily operations
of the coding area to ensure timely completion of medical record coding reviews, revenue cycle
initiatives, and serves as a subject matter expert on documentation and coding requirements to
ensure optimal reimbursement and compliance with regulatory compliance. Develops and analyzes
reports to monitor and enhance coding accuracy, operational efficiency, and equitable workload
distribution. Identifies, recommends, and implements opportunities for operational improvements
within medical coding processes. This position serves as a collaborative resource to other
departments, providers, leadership and revenue cycle staff on organizational projects and initiatives.

Minimum Job Requirements or a Medical Coding Supervisor:

High School diploma or GED. 3 years of medical coding experience; 1 year experience in a supervisory role. Certification in at least one of the following: CPC, CPC-P, CCS, CCS-P, RHIA, or RHIT. 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 (if applicable) will be required if selected for hire.

Duties and Responsibilities:

1. Supervises the daily operations and performance of the medical coding team; provides
onboarding, work allocation and scheduling, training, monitoring of results, and supports
employee development and engagement; enforces internal procedures and controls, and problem
resolution; evaluates performance issues and facilitates corrective action; motivates employees to
achieve peak productivity.
2. Ensures that medical coding is conducted in compliance with Federal, State, and payer
regulations, guidelines, and requirements.

3. Provides ongoing training and education to staff on new department policies, coding rule changes,
and updated payer requirements; ensures that the coding team is current on coding and billing
compliance for required coding specialties.
4. Monitors key performance indicators (KPIs), generates status reports, and analyzes data to track
individual and team performance and revenue capture effectiveness; improves accuracy,
efficiency, and equitable workload distribution among coding staff.
5. Assists in the development and implementation of coding policies and procedures, in accordance
with Federal and State regulations and UNMMG policies and procedures.
6. Conducts quality reviews and coding audits to identify and resolve coding, process, and billing
issues; collaborates with other teams to prevent and resolve denials.
7. Assists in the planning and implementation of improvement in operations.
8. Works with physicians and relevant departments to provide technical coding and billing education
and communicates medical documentation policies to foster collaboration in training, needs
assessment and action planning for operational improvement.
9. Provides feedback to providers regarding results and findings from billing/coding reviews/audits,
medical records documentation deficiencies, and/or requests clarification of documentation
components.
10. Plans, conducts and supervises billing and coding compliance reviews/audits and reports
significant findings, analyzes, explains and recommends coding edits that are needed as a result.
11. Responsible for analyses as well as resolution of coding edits that occur.
12. Ensures strict confidentiality of medical records and documentation.

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.