• 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) ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for… more
    Highmark Health (08/06/24)
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  • 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)
    …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Coding Audit Specialist , you will be responsible for performing ... the client. **Here's what you will experience working as a Coding Audit Specialist :** + Responsible for auditing of clinical documentation to ensure appropriate… more
    R1 RCM (06/29/24)
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  • Coder - Outpatient

    Highmark Health (Boise, ID)
    …Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Coding Associate ... and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts...and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates… more
    Highmark Health (08/14/24)
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  • Coder

    St. Luke's Health System (Boise, ID)
    …Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist ), CPC (Certified Professional Coder), COC ... procedure codes, ensuring accuracy and appropriateness of codes. + Applies knowledge of coding to solve unique or new cases resulting in the assignment and… more
    St. Luke's Health System (07/16/24)
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  • Senior Risk Adjustment Administration Professional

    Humana (Boise, ID)
    …and provider relations/engagement + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) + Prior experience in successfully engaging ... Professional will work closely with providers to identify documentation and coding improvement opportunities and give guidance around operational and clinical best… more
    Humana (08/21/24)
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  • Mainframe Systems Programmer- Automation- Must…

    Ensono (Boise, ID)
    Mainframe Systems Programmer- Automation- Must have Rexx coding -NetView preferredRemote - United StatesJR010762 Position Summary **Mainframe Systems Programmer - ... lead self and others and/or established as Product SME and/or established as specialist . + Understand how the whole picture aligns to overall Ensono strategy. +… more
    Ensono (08/07/24)
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  • Specialist , Desktop Process Analytics…

    Lincoln Financial Group (Boise, ID)
    …at a Glance** We are excited to bring on a Desktop Process Analytics Specialist to support the Group Protection business. _Background Details_ As a Specialist ... this position + Strong Excel, building Macros preferred _Nice-to-haves_ : + Coding experience + Verint software experience + Workforce Management and/or Speech… more
    Lincoln Financial Group (08/20/24)
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  • SAP BTP Integration Suite Specialist

    Micron Technology, Inc. (Boise, ID)
    …to learn, communicate and advance faster than ever. The SAP BTP Integration Suite Specialist will serve as the primary Subject Matter Expert (SME) on data and ... and architecture, and provides support and advice on integration strategy setting. The specialist will collaborate with both SAP and non-SAP teams to build and… more
    Micron Technology, Inc. (08/10/24)
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  • Pharmacy Technician - Medication Authorization…

    St. Luke's Health System (Boise, ID)
    …place to work. We are seeking a Pharmacy Technician - Medication Authorization Specialist to join our Medication Access team. SIGNING BONUS! **What You Can Expect** ... cycle specialists, and patient access services staff including financial advocates and coding staff + Engage with third party payers, prescription benefit management… more
    St. Luke's Health System (08/20/24)
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  • Lead Project Controls Specialist

    Lumen (Boise, ID)
    …the world and shape the future. **The Role** As a Lead Project Controls Specialist , you will be responsible for leading the project controls processes with the ... from the project team. * Approve Purchase Orders and/or Subcontracts for proper coding . * Input and document changes to cost reports or forecasts. * Interface… more
    Lumen (08/15/24)
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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 (08/09/24)
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  • Provider Enrollment Specialist

    St. Luke's Health System (Boise, ID)
    …is truly a great place to work. **Overview:** The Provider Enrollment Specialist coordinates the provider payer enrollment process to ensure compliance as addressed ... experience in Provider Enrollment, Credentialing, Insurance, Insurance Customer Service, Billing or Coding . **This position is M-F and willing to hire remote IF… more
    St. Luke's Health System (06/25/24)
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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. ... + Handling other duties as assigned + Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies + Full understanding of Managed Care… more
    Sutherland Global Services (07/16/24)
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  • Vlocity CPQ / Salesforce Industries CPQ Technical…

    Deloitte (Boise, ID)
    Vlocity CPQ / Salesforce Industries CPQ Technical Lead ( Specialist Senior) Customer & Marketing is creating a new model for a new age-we're an agency and a ... years of Vlocity CPQ / Salesforce Industries Experience + Strong experience with Apex coding skills, Triggers, SOQL and LWC components and with REST APIs + Hands-on… more
    Deloitte (08/08/24)
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  • Senior Manager, Hematology ABS Team - Johnson…

    J&J Family of Companies (Boise, ID)
    …Innovative Medicine, is recruiting for a Senior Manager, Hematology Area Business Specialist (ABS) Team located within the United States. At Johnson & Johnson, ... and processes such as eligibility and benefit verification, pre-authorization, billing, coding , claims, and appeals / grievances; practice management, as well as… more
    J&J Family of Companies (07/25/24)
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