Sr Medical Practice Specialist

University of New Mexico • Albuquerque, NM

1d • Hybrid

About The Position

The Department of Internal Medicine is seeking a Senior Medical Practice Specialist to provide critical operational, analytical, and compliance-focused support within the Office of Quality, Safety, and Clinical Affairs (QSCO). This position plays a key role in evaluating, developing, and overseeing business processes related to clinical billing, documentation, revenue cycle integrity, and workflow optimization across multiple divisions and clinical locations.
The Specialist ensures that departmental operations comply with federal and state billing regulations, payer requirements, institutional policies, and audit expectations. The role performs advanced data analysis, identifies areas of risk or inefficiency, and implements solutions that strengthen revenue capture, documentation accuracy, operational performance, and regulatory compliance.
This position requires strong analytical skills, extensive knowledge of medical billing and reimbursement practices, and the ability to collaborate effectively with faculty, clinical leaders, compliance partners, and administrative staff to support high-quality, compliant, and efficient clinical operations.
The Department of Internal Medicine is a large, progressive department with a diverse staff working in dedicated teams to provide quality work in an organized, effective, and efficient manner through innovation, training, and education. Through our collaborative work effort, we support the faculty and enhance the missions of the department, school, Health Sciences Center, and University.
See the Position Description for additional information.

Requirements

• High school diploma or GED; at least 9 years of experience directly related to the duties and responsibilities specified.
• Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.
• Strong analytical and problem-solving skills with the ability to interpret complex data
• In-depth knowledge of billing regulations, compliance standards, and documentation requirements
• Ability to evaluate and improve workflows and operational processes
• Strong written and verbal communication skills, including training and presentation abilities
• Ability to work collaboratively across multiple units and clinical environments
• High level of accuracy, professionalism, and discretion

Nice To Haves

• Advanced knowledge of medical billing, reimbursement methodologies, and clinical documentation standards
• Experience with ICD-10 coding, CPT/HCPCS guidelines, and payer policy requirements
• Demonstrated ability to conduct internal audits and develop corrective action plans
• Proficiency with Excel, Access, and other analytical tools to manage complex financial and operational data.
• Experience developing operational workflows, policies, and quality or compliance processes
• Strong communication and training skills with clinical and administrative stakeholders
• Experience working in large, multi-specialty academic or healthcare systems

Responsibilities

• Evaluating, developing, and overseeing business processes related to clinical billing, documentation, revenue cycle integrity, and workflow optimization.
• Ensuring departmental operations comply with federal and state billing regulations, payer requirements, institutional policies, and audit expectations.
• Performing advanced data analysis, identifying areas of risk or inefficiency, and implementing solutions that strengthen revenue capture, documentation accuracy, operational performance, and regulatory compliance.
• Collaborating effectively with faculty, clinical leaders, compliance partners, and administrative staff to support high-quality, compliant, and efficient clinical operations.

Benefits

• This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance.
• UNM offers educational benefits through the tuition remission and dependent education programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED