- Prime Therapeutics (Boise, ID)
- …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacy Program Specialist / CPT preferred-REMOTE **Job Description** This ... and confidentiality of protected health information. + Generate and enhance clinical outreach materials to maximize program results. + Assist and participate… more
- R1 RCM (Boise, ID)
- …AI, intelligent automation, and workflow orchestration. As our Revenue Integrity Specialist Analyst, you will provide project support, assists in managing issues ... thrive in this role, you must have CDM/RIS experience, CPT /HCPCS and revenue code knowledge, and have efficient time...summarizes data and prepares summary materials for discussion with clinical and finance teams + Runs and extracts accurate… more
- St. Luke's Health System (Boise, ID)
- …great place to work. **What You Can Expect:** The Financial Clearance Specialist ensures a seamless patient experience by verifying financial eligibility, securing ... role collaborates with patients, insurance companies, registration/billing team members, and clinical and hospital staff to ensure patients are financially cleared… more
- Molina Healthcare (Meridian, ID)
- …Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... 4 weeks Monday-Thursday and Wed - Saturday._** **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical … more
- Highmark Health (Boise, ID)
- …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Baylor Scott & White Health (Boise, ID)
- …Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology ( CPT ) and other coding references to ensure accurate coding. Coding ... into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate,… more
- Baylor Scott & White Health (Boise, ID)
- …disclosure of health information **KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and ... EXPERIENCE - 2 Years of Experience **CERTIFICATION/LICENSE/REGISTRATION** + Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional… more