• Special Investigation Unit Manager Clinical…

    CVS Health (Boise, ID)
    …care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The ... researching information and identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team… more
    CVS Health (12/25/24)
    - Save Job - Related Jobs - Block Source
  • Coding Auditor Educator

    Highmark Health (Boise, ID)
    …factors. With technical direction and assistance from management, designs and implements coder education program , continuing education programs and Medical Staff ... Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder more
    Highmark Health (02/07/25)
    - Save Job - Related Jobs - Block Source
  • Delegation Oversight Nurse (Must Reside in AZ)

    Molina Healthcare (Boise, ID)
    …and federal regulations. **Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit ... Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review...Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management… more
    Molina Healthcare (03/06/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Boise, ID)
    …Certification, Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + ... Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as...Certified Case Manager + Certified more
    Molina Healthcare (02/09/25)
    - Save Job - Related Jobs - Block Source
  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Boise, ID)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an Accredited School of… more
    Molina Healthcare (01/25/25)
    - Save Job - Related Jobs - Block Source
  • Sr Specialist, Quality Improvement (RN) Remote

    Molina Healthcare (Meridian, ID)
    …with training in coding procedures (as required by state/location only), or + Certified Professional Coder (CPC) To all current Molina employees: If you ... + Acts as a lead specialist to provide project-, program -, and / or initiative-related direction and guidance for...expertise is important to the activity. + Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (03/19/25)
    - Save Job - Related Jobs - Block Source