Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 32 💙 Why You’ll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you — personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: Processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical data base. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: - Identifies and codes principal and secondary diagnoses in appropriate sequence according to Official Coding Guidelines to provide information for billing purposes. Primarily responsible for coding Ancillary accounts. Meets department coding standards for quality and productivity of 96%. New staff are expected to meet these standards upon completion of the training. Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. - Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference. - Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. - Completes various reports such as productivity reports, statistical reports, and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits update according. - Attends educational program and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant). - Performs other duties as assigned. Education, Credentials, Licenses: - High school diploma or GED; previous coding classes required. - No coding credential is required to be hired. - Anyone hired without coding credential has two years from date of hire to obtain CCA or other equivalent apprentice credential. - CCS/COC/CIC is preferred. Specialized Knowledge: - Medical Terminology, Anatomy and Physiology, Use of personal computer Kind and Length of Experience: - No previous coding experience required. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 32 💙 Why You’ll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you — personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: This position processes medical records by coding, abstracting data, and producing information for third party billing and to provide a complete statistical database. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Job Duties Identifies and codes principal and secondary diagnoses in appropriate sequence according to Official Coding Guidelines to provide information for billing purposes. Primarily responsible for coding Ancillary accounts. Meets department coding standards for quality and productivity of 96%. New staff are expected to meet these standards upon completion of the training. Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into computer system following departmental guidelines to provide an accurate data base for statistical reference. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. Completes various reports such as productivity reports, statistical reports, and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits update according. Attends educational program and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e., Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: • High school diploma or GED; previous coding classes required. • No coding credential is required to be hired. • Anyone hired without coding credential has two years from date of hire to obtain CCA or other equivalent apprentice credential. • CCS is preferred. Specialized Knowledge: Medical Terminology, Anatomy and Physiology, Use of personal computer Kind and Length of Experience: No previous coding experience required. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Location Address: 8200 Constitution Avenue NE Albuquerque, NM 87110-7656 Type of Opportunity: Full time FTE: 1.00 Summary: Serves as an Advanced Practice Provider (APC) in the Sleep Medicine clinic. Provides direct patient care in clinic only. Job Description: At Presbyterian, it's not just what we do that matters. It's how we do it. How we do things here makes all the difference. Presbyterian Medical Group seeks a Board Certified Nurse Practitioner/ Physician Assistant to join our established practice in Albuquerque, New Mexico. We're all about well-being, starting with yours. We offer a nationally competitive salary with relocation allowance available, CME allowance and fully paid malpractice insurance. Practice Highlights - Monday - Friday Schedule: 36 hours of scheduled patient care and 4 hours of administrative time per week. - Participation in practice call in rotation with the other providers in practice - Telemedicine options and flexible schedules available - Cases include: Sleep Apnea, Narcolepsy, insomnia, restless leg and children’s sleep disorders Additional Job Description: Education: Masters Degree required. NP or PA in clinical practice. Additional training in Sleep Medicine preferred. 5+ years of practice preferred. Current New Mexico License required. Requires detailed knowledge of Sleep Medicine Requires detailed knowledge of American Academy of Sleep Medicine (AASM) clinical recommendations Requires detailed knowledge of Sleep Medicine in terms of theories and practices and to serve as the resource or educator to other practitioners in the medical field. Ability to effectively interact with customers to understand their needs and explain data Written communication Ability to work professionally and in a collegial manner with colleagues in accordance with Presbyterian policies. Maintains professional growth and development through CME activity in Sleep Medicine-specific topics for a minimum of 30 hours for every 3-year review cycle. Performs clinical duties and documentation in accordance with practice quality standards and AASM quality standards. We offer more than the standard benefits! Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more! In addition, we offer all employees a robust, day one effective benefits plan consisting of medical, dental, vision and more. Exceptional retirement plans - 403b retirement savings program with both matching programs and employer contributions. Learn more about our employee benefits Presbyterian is not just a great place to practice medicine, it's where you'll find a different way to make a difference. Our commitment to safe, high-quality care is at the heart of everything we do. Here's a glimpse of what sets us apart: - Technology and digital platforms allow our clinicians to focus on meaningful work and reduce friction in your practice. - Innovative care models improve access and free providers to focus on our patients. Clinicians spend more time connecting patients with affordable, innovative solutions that keep them healthy. - All employees have a Strongline silent alarm badge to help you be - and feel -- safer at work. - The RESET program is a multi-day immersive retreat designed for clinicians, fostering personal and professional growth. Through interactive sessions, self-reflection, and peer support, participants gain insights, tools, and practices to enhance well-being, resilience, and intentional living. About Presbyterian Healthcare Services: Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with over 14,000 employees - including 1,200 providers and 4,000 nurses. Our health plan serves more than 600,000 members statewide and offers Medicare Advantage, Medicaid and Commercial health plans. About Our Regional Delivery System Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities. Living and Working in New Mexico Beyond the professional advantages, living in New Mexico offers a unique blend of culture, outdoor adventures, and a diverse community. - Cultural richness. Immerse yourself in the cultural richness of New Mexico, from historic adobe structures to vibrant festivals celebrating our diverse heritage. - Outdoor paradise. With over 300 days of sunshine annually, indulge in outdoor activities ranging from hiking the Sandia Mountains to skiing in nearby Taos. - Community spirit. Our communities are known for their warmth and hospitality, making your transition seamless and enjoyable. - Learn more about New Mexico AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses

Role Description The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities - Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts. - Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards. - Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits. - Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process. - Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business. - Identify process improvements to enhance medical encounter review efficiency. - Compliance with all applicable laws and regulations. - Other duties as assigned. Qualifications - Bachelor's degree in a relevant field of study or commensurate work experience. - Certified professional coder (CPC). - 2+ year(s) retrospective risk adjustment coding experience. Bonus Points - Certified Risk Adjustment Coder (CRC) or similar certification. - Experience coding in a variety of different Electronic Medical Record (EMR) systems. Benefits - Medical, dental, and vision benefits. - 11 paid holidays. - Paid sick time. - Paid parental leave. - 401(k) plan participation. - Life and disability insurance. - Paid wellness time and reimbursements.