- Molina Healthcare (Las Cruces, NM)
- …operations that drive change. + Functions as key lead for clinical chart review /abstraction and team management. This includes qualitative analysis, reporting ... is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment… more
- Molina Healthcare (Las Cruces, NM)
- …or feedback from the HEDIS audit. Makes recommendations based off of the audit and chart review . + Assists with ad hoc projects. + Participates in scheduled ... with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of records… more
- Datavant (Santa Fe, NM)
- …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
- Molina Healthcare (Albuquerque, NM)
- …Duties** + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted ... supplemental data collection. The lead abstraction team will meet chart abstraction productivity standards, minimum over read standards, as...by providers and the annual HEDIS medical record review . + Leads meetings with… more
- Sandia National Laboratories (Albuquerque, NM)
- …You can view the Intern Pay Rate chart here (https://www.sandia.gov/app/uploads/sites/51/2024/12/Student-Rate-Sheet-2025.docx) . Qualifications We Require: You ... of onsite work and working from home) + Generous vacation, strong medical and other benefits, competitive 401k, learning opportunities, relocation assistance and… more
- Molina Healthcare (Albuquerque, NM)
- …Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk ... validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support… more
- Sandia National Laboratories (Albuquerque, NM)
- …Be Like: Intern, R&D Graduate Year Round - Storage & Transportation Tech, NM, Remote The Nuclear Energy Fuel Cycle program area is seeking a dedicated Intern Year ... offer package. You can view the Intern Pay Rate chart here (https://www.sandia.gov/app/uploads/sites/51/2024/12/Student-Rate-Sheet-2025.docx) . Qualifications We Require: You bring… more
- Molina Healthcare (Roswell, NM)
- …collection, reporting and monitoring process, including HEDIS, state-based measure reporting and medical record review . + Manages annual HEDIS data collection ... is performed for generated reports including performance measurement rates. + Manages medical record review and performance measurement reporting projects for… more
- CenterWell (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are varied and...reviews. (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address… more
- Datavant (Santa Fe, NM)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more