Reimbursement Specialist - Healthcare jobs in New Mexico
Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Reimbursement Specialist - Healthcare jobs
Reimbursement Coordinator MDS
- Taos Healthcare
-
Taos, NM
FULL_TIME
-
Job Type: Full-timeBenefits: Benefits:401k, Dental, Health, Life & VisionJob DetailsThe MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department.Your Responsibilities
- Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies.
- Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User’s Manual.
- Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s).
- Complies with federal and state regulations regarding completion and coordination of the RAI process.
- Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding.
- Maintains current MDS status of assigned residents according to state and federal guidelines.
- Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs.
- Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members.
- Other duties, responsibilities and activities may change or assigned at any time with or without notice.Your Qualifications
- Graduate of an approved RN / LVN program and licensed in the state of practice, required.
- Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
- Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required.
- Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set.
- Knowledge of the care planning process.
- Experience with MDS 3.0, preferred.Taos Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
- 8 Days Ago
Reimbursement Coordinator MDS
- Outfield Healthcare Partners
-
Taos, NM
FULL_TIME
- Job Type: Full-timeBenefits: Benefits:401k, Dental, Health, Life & VisionJob DetailsThe MDS Coordinator will be responsible for timely and accurate completion of both the RAI process and care manageme...
- 8 Days Ago
Granite Installer
- Ray's Flooring Specialist, Inc.
-
Albuquerque, NM
FULL_TIME
- Ray’s Flooring Specialists, Inc., a local, family owned company since 1972, is accepting applications for a Regular Full-Time Granite Installer. Ray’s Flooring is looking for an experienced granite in...
- 29 Days Ago
Biologist-Environmental Compliance Specialist
- Environmental Compliance Specialist - Tetra Tech Careers
-
Albuquerque, NM
FULL_TIME
- Are you looking for a chance to build your career with a company who is Leading with Science? Are you interested in working with a group of talented women and men who drive innovation and celebrate th...
- 2 Months Ago
Autism specialist
- Centria Healthcare
-
Deming, NM
FULL_TIME
- We are looking for enthusiastic individuals to join our team as Behavior Technicians. As a Behavior Technician, you will have the opportunity to make a real difference in the lives of children with au...
- 4 Days Ago
Autism specialist
- Centria Healthcare
-
Las Cruces, NM
FULL_TIME
- We are looking for enthusiastic individuals to join our team as Behavior Technicians. As a Behavior Technician, you will have the opportunity to make a real difference in the lives of children with au...
- 1 Day Ago
Reimbursement Specialist - Healthcare jobs at Popular Companies
Reimbursement Specialist
- Randstad Life Sciences
-
Tempe, AZ
- Job Description Job Description Job Description Provides mission critical support to company brands by helping patients ...
- 6/11/2024 12:00:00 AM
Reimbursement Specialist
- Randstad Life Sciences
-
Tempe, AZ
- Job Description Job Description Job Description The Reimbursement Specialist will be responsible for providing support a...
- 6/11/2024 12:00:00 AM
Reimbursement Specialist
- Synergy Orthopedics
-
Plymouth Meeting, PA
- Job Description Job Description Objective: The Reimbursement Specialist will be expected to follow up on open claims and...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist
- Randstad Life Sciences
-
East Hanover, NJ
- Job Description Job Description Title: Reimbursement Specialist 1 Duration: 6 months Pay Rate : $27.50/hr on W2 Location...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist- Collections
- BMR Partners Inc
-
Orange, CA
- Job Type Full-time Description The Reimbursement Specialist is responsible for assisting the Reimbursement Supervisor in...
- 6/10/2024 12:00:00 AM
Reimbursement Specialist
- Prompt Care Companies Inc
-
New Providence, NJ
- Job Type Full-time Description PromptCare is seeking a highly motivated and detail-oriented Reimbursement Specialist to ...
- 6/8/2024 12:00:00 AM
Reimbursement Specialist
- Vinfen
-
Cambridge, MA
- Schedule: Mon-Fri 9am-5pm (2 days remote after training) Salary: $23.00-$25.00 / hour The Reimbursement Specialist is ch...
- 6/8/2024 12:00:00 AM
Reimbursement Specialist
- University Health System- San Antonio
-
San Antonio, TX
- POSITION SUMMARY/RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbu...
- 6/8/2024 12:00:00 AM
About New Mexico
New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$41,722 to $50,699
Most Popular Cities in New Mexico for Reimbursement Specialist - Healthcare Jobs
What does a Reimbursement Specialist - Healthcare do?
Reimbursement Specialist - Healthcare in Dayton, OH
Accurate and efficient reimbursement adds value to all health care providers; and certified professional coders can help deliver that.
January 04, 2020
Reimbursement Specialist - Healthcare in Ventura, CA
Specialised mental healthcare includes diagnosis and specialist treatment of (highly) complex psychological disorders such as psychiatrists and clinical psychologists generally provide.
February 07, 2020
Reimbursement Specialist - Healthcare in Florence, AL
Through MedCert’s 22-week program, you will find yourself equipped to serve as a Reimbursement and EHR Health Specialist as well as prepared to gain certification as a Certified Electronic Health Records Specialist (CEHRS) and a Certified Billing and Coding Specialist (CBCS) providing needed support to healthcare providers.
December 15, 2019