• Coding Quality Specialist

    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
    St. Luke's Health System (06/29/24)
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  • Specialist , Coding Audit,…

    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
    R1 RCM (06/29/24)
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  • Hierarchical Condition Category (HCC)…

    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
    Highmark Health (06/28/24)
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  • CDI Specialist

    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
    R1 RCM (06/27/24)
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  • Surety Claims Specialist

    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
    Sedgwick (05/10/24)
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  • Medical Billing/AR Specialist - Remote

    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
    Sutherland Global Services (05/30/24)
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  • Senior Product Owner (Sfmc)

    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
    Humana (05/24/24)
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  • Health Guide

    Prime Therapeutics (Boise, ID)
    …Questionnaire. + Seeks connection by working with the Peer Support Specialist and leveraging community services, care providers, family members, schools, etc. ... of local community resources and familiarity with health care coding (ICD, DSM). **Work Experience** Work Experience - Required:...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
    Prime Therapeutics (06/11/24)
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