Icd jobs in new mexico

Remote

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Today

The Health IT Technical Analyst acts as a Subject Matter Expert (SME) in clinical data supporting Medicaid and NC HIEA in building solutions for Medicaid and meeting CMS required timelines and committed implementations across programs. Client engages in projects beyond Medicaid, this role will support new and existing projects as the clinical SME and provide input for best practice and lead and support successful requirements gather and design of projects through implementation. Duties include b

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Contract, Third Party

Depends on Experience

Clinical Informaticist

Remote

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Today

The Clinical Informaticist acts as a Subject Matter Expert (SME) in clinical data and quality measurement, providing critical support to clinical evaluators, product teams, and data validation initiatives. Duties include but are not limited to: Serve as a clinical SME for NC HealthConnex solution teams, providing insights on clinical concepts and data use cases.Data Aggregator Validation ProgramSupport clinical evaluators with interpretation and validation of clinical resources and content.Provi

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Contract, Third Party

Depends on Experience

Program Security Specialist L3

Kirtland, New Mexico

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Today

Overview Job Summary: Tutulu LLC is looking for an enthusiastic, well-qualified individual to fill the Program Security Specialist L3 position. This role offers the opportunity to work with a diverse and talented group of individuals committed to driving success. In this crucial role, you will be an integral part of our program security team, ensuring comprehensive coverage of Collateral, SCI, and SAP security programs while efficiently managing daily workloads. You will oversee and execute p

Full-time

USD 110,000.00 - 120,000.00 per year

Systems Engineer

Hybrid in Albuquerque, New Mexico

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Today

Job Number: R0246780 Systems Engineer The Opportunity: On our team, you will use Model-Based System Engineering met hodology and tools to develop digital models and deliver complex DoDAF architecture products for DoD programs, including digital engineering approaches to establish and manage operational and functional baselines in support of follow-on acquisition allocated and product baselines processes and systems development. You'll also work on architecture deliverables for Joint Capability

Full-time

USD 86,800.00 - 198,000.00 per year

Senior Program Security Specialist L3

Kirtland, New Mexico

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Today

Full-time

USD 110,000.00 - 120,000.00 per year

FULL TIME Senior IBM COBOL Developer

Remote

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Yesterday

Description & Requirements Maximus is seeking a FULL TIME Senior IBM COBOL Developer to support our Internal Revenue Service (IRS) client. This is a remote position. Candidates must possess an active Moderate-Risk Background Investigation (MBI). Essential Duties and Responsibilities: - Lead the development of software solutions that will meet or exceed business requirements which includes; designing and implementing modules to the system specifications, conducting unit testing, troubleshooting

Full-time

USD 55.29 per hour

Certified Clinical Coding Specialist

Remote

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18d ago

Hi, I am Looking for Certified Clinical Coding Specialist for my client. 80% REMOTE, resources will need to come onsite in Columbia, SC to certain trainings/meetings Required Certification - Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). 3+ years experience in healthcare Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology 3+ years

Easy Apply

Contract

Up to $65

Fraud Analyst / Healthcare Domain

Remote

•

Today

Summary: Validate whether the FWA detection approach surfaces real, actionable fraud/waste/abuse signal, and produce substantiated findings to support FWA product development. Responsibilities: Review claims flagged by detection logic and determine true positive vs. false positiveArticulate the specific billing pattern, code combination, or provider behavior driving each callCarry select flagged leads through to a documented, substantiated findingPartner with product and data science teams to tr

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Contract

$40 - $50

Clinical Informaticist

Remote

•

Today

The Clinical Informaticist acts as a Subject Matter Expert (SME) in clinical data and quality measurement, providing critical support to clinical evaluators, product teams, and data validation initiatives.The ideal candidate will have A strong understanding of clinical documentation, EHR systems, and data interoperability Experience working with clinical coding systems such as SNOMED CT, LOINC, ICD, CPT, and RxNorm Experience with quality measurement programs and tools (e.g., HEDIS, eCQMs, dQM)

Easy Apply

Contract

Depends on Experience

Health IT Technical Analyst

Remote

•

Today

The Health IT Technical Analyst acts as a Subject Matter Expert (SME) in clinical data supporting Medicaid and NC HIEA in building solutions for Medicaid and meeting CMS required timelines and committed implementations across programs. NC HIEA engages in projects beyond Medicaid, this role will support new and existing projects as the clinical SME and provide input for best practice and lead and support successful requirements gather and design of projects through implementation. The ideal candi

Easy Apply

Contract

Depends on Experience

Clinical Informaticist - 100% Remote

Remote

•

Today

The Clinical Informaticist acts as a Subject Matter Expert (SME) in clinical data and quality measurement, providing critical support to clinical evaluators, product teams, and data validation initiatives. The ideal candidate will have: A strong understanding of clinical documentation, EHR systems, and data interoperabilityExperience working with clinical coding systems such as SNOMED CT, LOINC, ICD, CPT, and RxNormExperience with quality measurement programs and tools (e.g., HEDIS, eCQMs, dQM)A

Easy Apply

Contract, Third Party

Depends on Experience

Clinical Informatics Data Analyst

Remote

•

Today

Position: Clinical Informaticist Location: Raleigh, NC Work Arrangement: Remote Interview Process: Webcam Interview Only Position Overview We are seeking a Clinical Informaticist to serve as a Subject Matter Expert (SME) in clinical data and quality measurement. In this role, you will bridge the gap between clinical and technical domains, supporting data validation, quality measurement programs, and health data interoperability. Key Skills & Qualifications < data-path-to-node="11">Primary (Req

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Contract, Third Party

Depends on Experience

RN Clinical Auditor - Behavioral Health

Remote

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25d ago

RN Clinical Auditor - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking a Registered Nurse Clinical Auditor with extensive Behavioral Healthexperience to support medical record reviews and billing compliance audits for the Indiana Health Coverage Programs (IHCP). This role evaluates quality of care, reviews medical records and program policies, identifies compliance issues, prepares audit documentation and re

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Contract

Depends on Experience

Clinical Coordinator

Remote or Hybrid in Florida City, Florida

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15d ago

Avanciers Incorporated is hiring a Clinical Coordinator for one of our clients. Role: Clinical CoordinatorLocation: Florida / Remote (as applicable)Experience: 15 years of clinical nursing experienceRequired License: Active, unrestricted Florida RN License or Compact RN LicenseJob Description:Reviews and investigates member and provider appeals involving clinical/medical necessity denials.Analyzes medical records, claims history, and clinical documentation against InterQual/MCG criteria to deter

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Contract

Depends on Experience

Healthcare Claims Processor (Fully Insured)-Fully Remote

Remote

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3d ago

Elite Technical Services is seeking a Medical Claims Processors to join their Fully Insured operational team. This specialized track is responsible for establishing the baseline adjudication and processing engine for core commercial health insurance plans. This is a fast-paced, high-volume production environment well-suited for professional processors who possess sharp medical coding knowledge and exceptional systems navigation skills. Key Responsibilities: Review, investigate, and adjudicate

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Contract

Certified Medical Coder/Auditor

Remote

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25d ago

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking aCertified Medical Coder/Medical Record Audit Specialistwith strongBehavioral Healthcoding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issues, a

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Contract

Depends on Experience

Business Analyst Health Care

Remote

•

Today

Business Analyst Health Care The consultant will support CPT/HCPCS and ICD-10 code maintenance, Medicaid policy and process activities, and the current Medicaid Management Information System (MMIS). The ideal candidate will have strong knowledge of medical coding methodologies, healthcare processes, business requirements, and documentation. The candidate will also serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and Reference Administration activities. Key Responsibili

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Contract

Depends on Experience

Lead Solutions Engineer, Strategic

Remote or Boston, Massachusetts

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Today

Lead Solutions Engineer, Strategic AcuityMD is the AI platform for MedTech trusted by over 500 MedTech companies - including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology. AcuityMD ranked No. 316

Full-time

USD 140,000.00 - 170,000.00 per year

Senior Knowledge Graph Engineer

Remote

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Today

While technology is the heart of our business, a global and diverse culture is the heart of our success. We love our people and we take pride in catering them to a culture built on transparency, diversity, integrity, learning and growth. If working in an environment that encourages you to innovate and excel, not just in professional but personal life, interests you- you would enjoy your career with Quantiphi! About Quantiphi Quantiphi is an award-winning, AI-First digital engineering and cons

Full-time

Encounters Systems Analyst II

Remote or Dayton, Ohio

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Today

Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements are achieved. Essential Functions: Perform analysis of Encounter data. Understand the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements (SLAs) are achievedSupport for Regulato

Full-time

USD 62,700.00 - 100,400.00 per year

Icd jobs in New Mexico, USA