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In direct coordination with the Revenue Management Department performs the following functions - Proactive daily audits of patient billing. Identifies, determines and executes actions for discrepancies. Initiates the billing processes for administration (procedures), drugs and equipment used in the care of patients. Responsible for identifying and facilitating CDM adjustments in response to Medicare, 3rd party and other payer regulations and ensuring compliant CPT4, ICD9 and HCPCS coding Monitor changes in the Federal Register relating to reimbursement of services/products provided. Maintain financial health of this service

Qualifications:

Associate's degree, Diploma in business, or three to five years' experience in a healthcare reimbursement/business office environment.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services