Presbyterian Healthcare Services

Call Center Representative Patient Services-Work From Home Albuquerque, NM

Presbyterian Healthcare Services · Full Time · a day ago

Presbyterian Healthcare Services

🌎 United States ⭐ 0-2 yrs exp 💼 Support

Provide customer service to patients by managing appointment scheduling, referrals, and maintaining accurate patient demographics. Handle incoming and outbound inquiries across multiple channels while ensuring quality standards and patient advocacy.

insurance customer-service call-center medical excel hiring documentation

APPLY

Remote Pro Fee Auditor/Educator

Presbyterian Healthcare Services · Full Time · 3 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $57241.6 - $87422.4 per year ⭐ 2-5 yrs exp 💼 Finance

The role involves performing internal audits to ensure compliance with coding policies and external regulatory agency rules. It also includes developing educational programs and corrective action plans for clinicians and coding personnel.

insurance medical excel communication training hiring documentation compliance

APPLY

Patient Accounting Denials Specialist

Presbyterian Healthcare Services · Full Time · 3 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $16.66 - $24.19 per hour ⭐ 2-5 yrs exp 💼 Finance

Responsible for performing root cause analysis and resolution of insurance denials through follow-up, appeals, and corrected claims. The role involves documenting accounts and coordinating with insurance companies to overturn denials and process claims.

accounting insurance medical communication microsoft-office training hiring organization

APPLY

Remote OP Facility Coder - PRN

Presbyterian Healthcare Services · Full Time · 3 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $22.79 - $34.8 per hour ⭐ 2-5 yrs exp 💼 Software Development

Responsible for coding inpatient, outpatient, ED, and Home Health records using ICD-10 and CPT-4 systems to ensure accurate financial reimbursement. The role involves reviewing medical records, resolving pre-bill edits, and maintaining a 95% accuracy rate.

insurance medical leadership hiring

APPLY

Remote Profee Multispecialty Coder

Presbyterian Healthcare Services · Full Time · 3 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $24.27 - $37.07 per hour ⭐ 2-5 yrs exp 💼 Software Development

Perform multispecialty professional fee coding and internal audits to ensure compliance with enterprise policies and external regulatory rules. Develop educational tools and corrective action plans to improve coding accuracy and resolve denied claims.

insurance medical excel communication training hiring documentation compliance

APPLY

Clinical Documentation and Compliance Specialist

Presbyterian Healthcare Services · Full Time · 3 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $65520 - $100K per year ⭐ 5-10 yrs exp 💼 Legal

The specialist is responsible for reviewing physician documentation daily to ensure clinical severity and medical necessity are accurately captured. They collaborate with medical staff and the HIM coding team to improve chart quality and ensure regulatory compliance.

insurance medical communication training hiring documentation history compliance

APPLY

Remote OP Facility Coder - PRN

Presbyterian Healthcare Services · Full Time · 3 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $24.27 - $37.07 per hour ⭐ 2-5 yrs exp 💼 Software Development

Responsible for assigning accurate CPT, ICD, and MS-DRG codes for various hospital records to ensure proper financial reimbursement. The role involves resolving pre-bill edits and maintaining a 95% accuracy rate in accordance with federal regulations.

insurance medical leadership hiring

APPLY

Remote OP Facility Coder

Presbyterian Healthcare Services · Full Time · 3 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $22.79 - $34.8 per hour ⭐ 2-5 yrs exp 💼 Software Development

Responsible for assigning accurate CPT, ICD, and MS-DRG codes to inpatient, outpatient, and specialty medical records for financial reimbursement. The role involves resolving pre-bill edits and maintaining a 95% accuracy rate in accordance with federal regulations.

insurance medical leadership hiring

APPLY

Director-Contracting and Purchasing

Presbyterian Healthcare Services · Full Time · 4 days ago

Presbyterian Healthcare Services

🌎 United States ⭐ 10+ yrs exp 💼 Finance

Lead the strategic direction of purchased services and non-clinical supplies, including contract negotiations and supplier performance management. Oversee the value analysis process and optimize procurement technology and labor resources to support PHS business units.

insurance medical budgeting reporting operations leadership supply-chain compliance

APPLY

Remote Clinical Program and Population Health Strategist-Commercial

Presbyterian Healthcare Services · Full Time · 7 days ago

Presbyterian Healthcare Services

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Develop and advance population health strategies for Commercial populations, aligning clinical program designs with enterprise priorities and ROI goals. Partner across the health plan and medical group to translate insights into actionable clinical initiatives and provider-facing strategies.

insurance medical communication operations leadership hiring partnerships

APPLY

Lead - HIM

Presbyterian Healthcare Services · Full Time · 11 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $16.66 - $24.19 per hour ⭐ 2-5 yrs exp 💼 Others

The Lead - HIM organizes and prioritizes workflow within the Health Information Management department while training and supporting staff. They ensure the accuracy of record processing and maintain compliance with CMS, JCAHO, and organizational policies.

insurance customer-service medical operations training hiring compliance

APPLY

Remote PRN IP Facility PCS/ICD coder

Presbyterian Healthcare Services · Full Time · 25 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $22.79 - $34.8 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to inpatient and outpatient records for financial reimbursement and research. Resolve pre-bill edits and denials while maintaining a 95% accuracy rate and meeting productivity standards.

APPLY

Remote PRN IP Facility PCS/ICD Coder

Presbyterian Healthcare Services · Full Time · 25 days ago

Presbyterian Healthcare Services

🌎 United States 💵 $22.79 - $34.8 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to inpatient and outpatient records for financial reimbursement and research. Resolve pre-bill edits and denials while maintaining a 95% accuracy rate in accordance with federal regulations.

APPLY

PFS Government A/R Specialist

Presbyterian Healthcare Services · Full Time · a month ago

Presbyterian Healthcare Services

🌎 United States 💵 $16.66 - $24.19 per hour ⭐ 2-5 yrs exp 💼 Others

Accurately submit insurance claims for various payer types and resolve edits, rejections, and denials. Perform A/R follow-up and appeals while maintaining compliance with CMS and federal regulations.

APPLY

IP Facility Coder with CCS - Medical Records

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $23.11 - $35.29 per hour ⭐ 2-5 yrs exp 💼 Software Development

The IP Facility Coder is responsible for assigning appropriate CPT, ICD, and MS-DRG codes to inpatient, outpatient, and specialty records for financial reimbursement. They must also resolve pre-bill edits and denials while ensuring adherence to hospital and federal regulatory policies.

APPLY

Senior Strategy Manager

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $103K - $162K per year ⭐ 5-10 yrs exp 💼 Others

The role focuses on providing quantitative rigor and structured thinking to the enterprise strategy function to inform growth initiatives and partnerships. Responsibilities include synthesizing complex data into actionable insights and creating visually compelling deliverables for healthcare leadership.

APPLY

Remote PRN ProFee Multi specialty coder

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $21.7 - $33.14 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to medical records for financial reimbursement and research compliance. Resolve pre-bill edits and denials while maintaining a 95% accuracy rate and meeting productivity standards.

APPLY

Medical Economics Analyst-Payment Integrity

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $83366.4 - $127K per year ⭐ 2-5 yrs exp 💼 Healthcare

Identify and validate medical cost savings opportunities by analyzing claims data for overpayments and billing anomalies. Partner with Payment Integrity teams and vendors to develop audit strategies and translate operational activities into financial outcomes.

APPLY

IP Facility Coder

Presbyterian Healthcare Services · Full Time · 2 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The IP Facility Coder is responsible for assigning appropriate CPT, ICD, and MS-DRG codes to inpatient, outpatient, and specialty records for financial reimbursement. They must resolve pre-bill edits and denials while ensuring adherence to federal regulations and hospital policies.

APPLY

Remote IP Facility CCS Coder

Presbyterian Healthcare Services · Full Time · 3 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $21.7 - $33.14 per hour ⭐ 2-5 yrs exp 💼 Software Development

Assign appropriate CPT, ICD, and MS-DRG codes to inpatient and outpatient records for financial reimbursement and research. Maintain high accuracy and productivity standards while resolving pre-bill edits and denials.

APPLY

Senior AI Business/Process Analyst

Presbyterian Healthcare Services · Full Time · 3 months ago

Presbyterian Healthcare Services

🌎 United States 💵 $77563.2 - $118K per year ⭐ 5-10 yrs exp 💼 Software Development

The role focuses on identifying and optimizing business processes for automation using AI and RPA technologies. It involves collaborating with stakeholders to design technical specifications and managing the implementation and continuous improvement of automation projects.

APPLY

Certified Cardiothoracic Vascular Surgery Coder

Presbyterian Healthcare Services · Full Time · 3 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The coder is responsible for assigning accurate medical codes to inpatient, outpatient, and specialty records to ensure proper financial reimbursement. They must also resolve pre-bill edits and denials while maintaining up-to-date knowledge of regulatory coding guidelines.

APPLY

APC- Sleep Medicine - CDS

Presbyterian Healthcare Services · Full Time · 3 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Advanced Practice Provider will provide direct patient care in a sleep medicine clinic setting. Responsibilities include diagnosing and treating sleep disorders such as apnea, narcolepsy, and insomnia while maintaining documentation according to AASM standards.

APPLY

Nurse Practitioner / Physician Assistant - Family Medicine - Santa Fe

Presbyterian Healthcare Services · Full Time · 6 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The provider will deliver comprehensive medical care to patients with both acute and chronic illnesses while collaborating with a healthcare team. Responsibilities include making medical judgments, prescribing treatments, managing patient relationships, and participating in health management initiatives.

assistant medical pharmacist communication behavioral-health counseling literature coaching

APPLY

Interventional Cardiologist

Presbyterian Healthcare Services · Full Time · 6 months ago

Presbyterian Healthcare Services

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The Interventional Cardiologist will provide a full spectrum of interventional cardiology services in both inpatient and outpatient settings. They will also participate in a call rotation and manage the physician/patient relationship.

medical literature coaching

APPLY

MD-Gastroenterology-Clinic-Virtual-CDS

Presbyterian Healthcare Services · Full Time · 6 months ago

Presbyterian Healthcare Services

🌎 Mexico, United States ⭐ 10+ yrs exp 💼 Healthcare

The physician will deliver clinical care to patients in the GI practice and supervise the care provided by Advanced Practice Clinicians (APCs). They will also lead special clinical programs and work with the leadership team on various operational aspects.

medical risk-management leadership coaching

APPLY

Advanced Practice Clinician (NP or PA) - Family Medicine - Santa Fe

Presbyterian Healthcare Services · Full Time · 6 months ago

Presbyterian Healthcare Services

🌎 Mexico, United States ⭐ 2-5 yrs exp 💼 Healthcare

The provider will deliver comprehensive medical care to patients with both acute and chronic illnesses, while managing the provider/patient relationship. Responsibilities also include ordering diagnostic tests, prescribing treatments, and participating in health management initiatives.

assistant medical pharmacist communication behavioral-health counseling literature coaching

APPLY