• Risk Adjustment Auditor I

    Baylor Scott & White Health (Santa Fe, NM)
    …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... + Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and… more
    Baylor Scott & White Health (01/18/25)
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  • Medical Record Retrieval Specialist

    Highmark Health (Santa Fe, NM)
    …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
    Highmark Health (12/18/24)
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  • Supervisory Physician (Family Practice/Admin)

    Indian Health Service (Gallup, NM)
    …as an expert in his/her field specialty and is fully responsible for the clinical practice of the medical staff and support staff within the program. Assigns work ... prevention, therapy, and case management of patients with diabetes or at risk for diabetes. Assumes primary responsibility for the program including budget,… more
    Indian Health Service (01/11/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …goal of optimizing practice performance in a value-based and/or risk -based environment. This position collaborates with Credentialing, Care Management, technology ... implement a course of action for resolution. Responsible for accurate documentation and maintenance of provider information within electronic medical record. Ensure… more
    LifePoint Health (01/15/25)
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  • Nursing Assistant (Sitter)

    Indian Health Service (Gallup, NM)
    …purpose of this position is to provide nursing care to potential high risk patients, perform advance and/or specialized nursing task, responding to emergencies for ... supplies, instruments, and.equipment. Shares in the responsibility of maintenance of clinical records and nursing care plans. Adheres to confidentiality policies and… more
    Indian Health Service (01/16/25)
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