- St. Luke's Health System (Boise, ID)
- …Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC ... to work. **Must be located in Idaho or Oregon.** **_Do you enjoy complex coding cases?_** **What you can expect from this role:** + Demonstrates advanced competency… more
- Trinity Health (Boise, ID)
- …**Shift:** Day Shift **Description:** **GENERAL SUMMARY AND PURPOSE:** The Risk Adjustment Coding Specialist will be responsible for the creation and/or ... team and coding /billing staff The Risk Adjustment Coding Specialist may also conduct medical record...conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives… more
- R1 RCM (Boise, ID)
- …researching, reviewing, and interpreting payer guidelines + Performs validation reviews for coding quality , accuracy, and compliance + Provides written feedback ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Coding Audit Specialist , you will be responsible for performing… more
- Highmark Health (Boise, ID)
- …Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) ... at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports...deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment… more
- Intermountain Health (Boise, ID)
- …and provide quality and individualized service. Our Claims Solution Specialist - Coders leverage their professional coding expertise and understanding ... of the professional revenue cycle to perform coding abstraction and reviews, and final validation and resolution of complex professional claims issues requiring … more
- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **CDI Specialist ,** you will conduct clinically based concurrent and retrospective reviews ... documentation of clinical services by identifying opportunities for improving the quality of medical record documentation. Every day you will obtain appropriate… more
- Sedgwick (Boise, ID)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- Sutherland Global Services (Boise, ID)
- …and types of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed. ... hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service… more
- Humana (Boise, ID)
- …for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational Communications (MROC) team. ... translate requirements into architecture for key solutions, from design to coding , providing consultation around channels and audience targeting + Prioritize… more