• Acute Care Inpatient

    HCA Healthcare (Caldwell, ID)
    …Possess:** + Undergraduate degree in HIM/HIT **preferred** + 2+ years of acute care hospital inpatient coding **required** + RHIA, RHIT or CCS ... over 156,000 hours volunteering in our communities. As an Inpatient Coding Specialist with Work from Home...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (11/07/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Caldwell, ID)
    …GED preferred + Undergraduate degree in HIM/HIT preferred + Minimum of 3 years acute care inpatient /outpatient coding experience preferred + Minimum ... join an organization that invests in you as an Inpatient Coding Quality Auditor? At Parallon, you...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (12/04/25)
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  • Senior Inpatient HIM Coder

    Oracle (Boise, ID)
    …improvement of AI models for medical coding . + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in ... we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play...minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a… more
    Oracle (12/10/25)
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  • Nurse Auditor 2

    Humana (Boise, ID)
    …Nurse (RN) license in the state they reside. + Minimum of 2 consecutive years acute inpatient hospital care experience in critical, intensive care ... experience does **not** refer to any other levels of care such as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral...Qualifications** + Bachelor's Degree in relevant field preferred + Inpatient coding certification (AHIMA or AAPC -… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Boise, ID)
    …of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post- acute care environments. A remote possibility ... reports to a Lead Medical Director. The Medical Director conducts post-service, inpatient care reviews for accurate billing of clinically valid diagnoses… more
    Humana (12/11/25)
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  • Care Review Clinician (RN)

    Molina Healthcare (Meridian, ID)
    …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review, prior authorization, managed care ... for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment… more
    Molina Healthcare (11/23/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Boise, ID)
    …BA or BS in Nursing, experience preferred to perform + Minimum Experience: 3 to 5 years acute care experience + 2 years Health Plan or Acute Care ... medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to...UR/CM + Preferred Experience: 5 years acute care or health plan UR/CM with 1 year ICU/ER… more
    Datavant (11/12/25)
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  • Medical Director - Medicaid (remote)

    Humana (Boise, ID)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post- acute care environments. Has discussions with ... or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of...case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred… more
    Humana (12/07/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Boise, ID)
    care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post- acute care environments. There are discussions with ... experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Boise, ID)
    …participation in care management. The clinical scenarios arise from outpatient, inpatient or post- acute care environments. The Medical Director will ... experience post residency or fellowship, which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a… more
    Humana (10/25/25)
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  • Medical Director - IP Claims Management

    Humana (Boise, ID)
    …experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type ... management, case management, discharge planning and/or home health or post- acute services such as inpatient rehabilitation. **Preferred Qualifications**… more
    Humana (12/11/25)
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