$1000.00 sign-on bonus available for this position.

At Los Alamos Medical Center, we work hard to provide high quality care that’s continuously recognized for excellence. In the past year, we have earned numerous recognitions that show how we’re both a great place for care and a great place to work! We have achieved an 'A' for our Leapfrog grade, have acquired Lifepoint Health NQP accreditation, Newsweek has named us a Top Hospital in NM, and have been honored for our Lifepoint Health Diversity Program. We are proud of our work and patient care. We invite you to come be a part of this organization.

Manages daily operations, coding and RCM for multi-specialty clinics and hospitalist group.

Utilize coding and billing reference tools to accurately code and bill daily E&M and surgical claims with compliance of all billing guidelines. Abstract coding of surgical claims.

Utilize billing and coding knowledge to train clinic staff in billing guidelines and physicians in coding rules.

Daily assistance and problem solving for 7 clinics.

RCM management with weekly review of all areas of RCM with working knowledge of claims corrections. research and correction of claims errors and resubmission through EMR/Billing System.

Some physician credentialing assistance and overview.

Monthly reporting and compliance with Corporate Metrics.

Customer Service calls and assistance for all 7 clinics.

Required Skills:

Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Working knowledge of HIPAA, EMTALA, Good Faith Estimates, No Surprises Act, Stark Law, and all other Healthcare laws.

Some years of RCM experience with ability to read, interpret, and correct all claim denials.

Some years of practical coding experience, including physician billing.

Knowledge of Athena or other similar EMR/Billing Systems.

Minimum Education

High school diploma or equivalency required.

CPC certification.

CPB or equivalent other certification preferred.

Practical experience as substitute for additional certification considered.

Job: *Billing/Collections

Organization: *Los Alamos Physician Practices

Title: Phys. Practices Billing Mgr., FT

Location: New Mexico-Los Alamos

Requisition ID: 7435-2419