Profee Multispecialty Coder

🔥 1 hour ago

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $24 - $37 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Presbyterian Healthcare Services

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1908

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Presbyterian Healthcare Services is an integrated, nonprofit healthcare system based in New Mexico that operates hospitals, urgent care clinics, specialty and primary care practices, virtual care (VirtualPRES), and health insurance plans. The organization provides a broad range of clinical services—including neuroscience, transplant, cancer care, surgery, behavioral health, and home health—while also running community health and charitable programs (financial assistance, community support, and partnerships with medical education). It offers individual, Medicaid, Medicare Advantage, and employer health plans, plus patient tools (MyChart/myPRES), billing support, and commitment to access and quality across the state.

📋 Description

• Build coding and documentation quality assurance (CDQA) strategies • Compliance with enterprise-wide coding policies and procedures • Perform on-site internal audits or reviews • Develop and present educational programs • Provide support via auditing and training for coding-related issues • Coordinate review and tracking of appealed claims • Research and interpret all regulatory agency regulations • Maintain accurate documentation in electronic or hard copy form • Respond to inquiries and requests regarding coding and auditing issues

🎯 Requirements

• High school diploma/GED required • Must possess at least one of the following licenses/certifications: RHIT, RHIA, CPC, CCS • A minimum of three (3) years experience in coding and/or auditing required • Audit experience preferred • Excellent written and verbal communication skills • Detail and results oriented • Ability to work independently and make independent decisions • Medical terminology, ICD-9, CPT-4 and HCPCS knowledge required • Must have proficient knowledge of Medicare, Medicaid, and other third party payer documentation, coding, and billing regulations for service lines(s) assigned • Must possess excellent organizational and planning skills, including the ability to prioritize multiple tasks and perform them both accurately and simultaneously • Must possess computer skills, especially with Microsoft Word, PowerPoint, and Excel applications • Must be able to use the internet and other resource applications for research purposes and to provide documentation that supports regulations quoted in audits.

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Short-term disability • Long-term disability • Life insurance • Optional voluntary benefits • Wellness rewards program