- Humana (Boise, ID)
- …Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation… more
- Baylor Scott & White Health (Boise, ID)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… more
- R1 RCM (Boise, ID)
- …a background in Physician coding , billing, and reimbursement guidelines. The Auditor must understand medical terminology, coding , contractual agreements, ... **Everyday in this role, you will:** + Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for… more
- R1 RCM (Boise, ID)
- …cash flows while reducing operating costs and enhancing the patient experience. The Coding Denial Auditor will be responsible for reviewing denial coded cases ... for coding completeness...and APR-DRG methodologies is required + In-depth knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology is required… more
- R1 RCM (Boise, ID)
- …to draft appeals of denied and underpaid claims. Every day you will review medical records to ensure appropriate coding of removed or revised diagnosis and ... **Here's what you will experience working as a Clinical Coding Appeals Nurse:** + Review and interpret medical...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
- CVS Health (Boise, ID)
- … Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more