- R1 RCM (Boise, ID)
- The Inpatient Coding Quality Reviewer will be responsible for reviewing inpatient coded cases for coding completeness and accuracy. This person will identify ... and relays needed coding educational topics to the Regional Manager, IP Coding Quality . This role will report to the Regional Manager of Inpatient Coding … more
- R1 RCM (Boise, ID)
- As our Coding Assoc II, you will help the coding team with reviewing clinical documentation and diagnostic results as appropriate. Every day you will, extract ... role, you must have experience with FQHC and RHC coding , accurately code conditions and procedures as documented in... productivity standards + Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding… more
- R1 RCM (Boise, ID)
- …flows while reducing operating costs and enhancing the patient experience. The Coding Assoc III will be responsible for reviewing clinical documentation and ... external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code… more
- Highmark Health (Boise, ID)
- …, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient ... assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare or… more
- Humana (Boise, ID)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Cengage Group (Boise, ID)
- …. The **Program & Curriculum Manager, Medical Billing and Coding ** will help to craft the design and direction of ... the successful candidate will help the team deliver innovative, high- quality products and provide timely support to internal and...and Credo. **Skills you will need here:** Required + Associate 's degree + At least one of the following… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Associate Director, Data and Reporting integrates data from multiple sources to produce requested ... within department(s) and leads multiple highly specialized professional associates. The Associate Director, Data and Reporting integrates data from multiple sources… more
- United Therapeutics (Boise, ID)
- …and pulmonary diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management ... safety data collection, management and reporting for postmarketing ICSRs for efficiency, quality , and compliance impacts. This role is critical in ensuring that… more
- Trinity Health (Boise, ID)
- …attended). **License/Certification:** + Registered Health Information Technician (RHIT) or related quality / Coding Certification by the American Health ... we pride ourselves on exceptional service and the highest quality of care. We are looking to hire an...Registrar **strongly** preferred. + Experience in ICD-10 Inpatient Hospital Coding required. + Experience in data collection and management… more
- Humana (Boise, ID)
- …through collaboration to address methods, patterns, standards to help engineers deliver quality , reliable software and systems for business outcomes. + Knows how to ... to listen to, understand concerns of, open the voice of and establish quality collaboration between software and system engineers and other teams to address needs… more
- Highmark Health (Boise, ID)
- …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... ensure solution alignment to enterprise goals and standards + Mentor other associate and intermediate technical engineers as needed + Perform technical analysis and… more
- Molina Healthcare (Caldwell, ID)
- …operations and contracted vendor(s) to assure a smooth workflow exists, quality assurance measures are designed and monitored, appropriate handoffs to functional ... to, and the appropriate approvals and escalations are achieved. Coordinates with both the Associate Vice President of Fraud, Waste and Abuse (FWA) and Associate … more
- Humana (Boise, ID)
- …and implements solutions (hardware and software) for improvement of the high- quality automation infrastructure. The Lead Automation Engineer works on problems of ... + Bachelor's degree + 8+ years of professional experience in software quality assurance, focusing on automation in complex, large-scale systems. Demonstrated ability… more
- Humana (Boise, ID)
- …and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The ... relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity,… more
- Humana (Boise, ID)
- …and implements solutions (hardware and software) for improvement of the high- quality automation infrastructure. This role will focus on leveraging RPA technology ... to a team of RPA developers, ensuring adherence to best practices, coding standards, and RPA governance. Enable multiple active development teams by establishing… more
- Humana (Boise, ID)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
- Humana (Boise, ID)
- …while mentoring junior engineers. The Senior Software Engineer standardizes the quality assurance procedure for software. Oversees testing and debugging and develops ... technical documentation. + Lead and mentor developers in best practices and coding standards. **Use your skills to make an impact** **Required Qualifications** +… more
- Humana (Boise, ID)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
- Humana (Boise, ID)
- …finance or similar role + Demonstrated proficiency in SQL scripting or other coding languages + Advanced expertise in dashboard creation and reporting, using Power ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Boise, ID)
- …Well versed with Azure DevOps (CICD pipeline) and/or Github + Strong coding skills, with the ability to learn new technologies **Additional Information** ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more