35 jobs found in Boise

Description & Requirements At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work. What You Can Expect: Reviews clinical documentation, coding and hospital or professional fee charge and claim information in accordance with clinical trial coverage analysis document to ensure accuracy and appropriateness Uses auditing and analysis techniques to determine if the items and services provided to patients enrolled in clinical trials are to be billed to Medicare, other third-party payers or internal Research accounts Responsible for working EPIC account work queues, charge review edits, claim...

St. Luke is looking for a knowledgeable Specialty Coder in Boise, Idaho. The role involves reviewing medical records and ensuring accuracy in diagnosis and procedure coding under limited supervision. Candidates should have at least 3 years of relevant experience and must possess recognized coding credentials. Join a supportive community that values employee well-being with competitive benefits including professional growth opportunities, wellness programs, and a commitment to diversity. St. Luke is an equal opportunity employer. #J-18808-Ljbffr

R1 RCM is looking for a Neuro Coding Associate III in Boise, Idaho. In this role, you will be coding complex neurosurgical and Neuro IR cases and managing a high-volume workflow. A vital part of this position is ensuring accurate coding for high-value surgeries while collaborating with healthcare providers. The ideal candidate has at least 4 years of active coding experience in a Neuro environment and holds a certification like CCS, COC, RHIA, RHIT, or CPC. R1 RCM offers a competitive benefits package and a supportive work environment. #J-18808-Ljbffr

Signature Performance is seeking an Outpatient Coding Auditor to ensure quality standards are met and to coach the auditing staff. The role requires advanced knowledge of ICD coding systems and significant experience in medical coding. As part of this full-time, remote-based position, you will provide audits, deliver educational feedback, and resolve documentation issues. The position offers competitive pay between $28.00 and $30.00 per hour. #J-18808-Ljbffr

St. Luke's Health System is looking for a Specialty Coder in Boise, Idaho to review medical documents and assign appropriate codes. You will need to ensure compliance with coding guidelines and maintain quality standards whilst helping to foster a supportive work environment. This role requires a high school diploma and at least three years of relevant coding experience. Certification is mandatory. We offer competitive benefits including wellness options and professional development. #J-18808-Ljbffr

Highmark Health is seeking a Medical Coder in Boise, Idaho, with responsibilities including reviewing medical information to determine appropriate ICD codes and managing medical information. The ideal candidate will have at least one year of hospital coding experience and required certifications. In this role, you'll abstract data as needed, ensuring compliance with medical coding standards. Salary ranges from $23.73 to $37.14 per hour, and a sign-on bonus is available for a 2-year commitment. #J-18808-Ljbffr

A leading health data platform company is seeking an Inpatient Auditing Specialist to perform inpatient coding audits and provide coder education. This fully remote position offers flexibility and a range of benefits, including medical, dental, and 401(k) savings plan. The ideal candidate should have over 5 years of experience in facility inpatient coding and auditing, with relevant certifications preferred. #J-18808-Ljbffr

Datavant is seeking experienced outpatient coders to join their remote team. Candidates should possess AHIMA or AAPC certifications and have a minimum of 2+ years in coding. Responsibilities include reviewing medical records, assigning accurate codes, and maintaining high accuracy rates. This role allows for flexibility in schedule and the chance to be part of a company focused on transformative healthcare. Datavant offers competitive benefits, including 401k, medical, dental, and vision plans. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Description & Requirements At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work. What You Can Expect: Under general supervision, the Outpatient Coder is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes. Reviews notations, diagnosis, or procedure information in medical record to assign or validate appropriate diagnosis and procedure codes, ensuring accuracy and appropriateness of codes. Applies basic knowledge of coding to solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes. Ensures documentation...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future...

Datavant is seeking experienced outpatient coders to join their team fully remote, allowing for a flexible schedule. Successful candidates will review medical records, assign codes, and maintain high accuracy standards. The ideal candidates must possess AHIMA or AAPC certifications and have at least 2 years of coding experience, specifically in various coding specialties. Datavant offers comprehensive training, benefits for full-time employees, and career development opportunities. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values: Clinical quality...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

This is a remote based position. Applicants can be located nationwide Back 1d Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

The Idaho Housing and Finance Association is looking for a Housing Compliance Auditor in Boise, Idaho. This role focuses on compliance monitoring for Tax Credit, HOME, and HTF properties, ensuring adherence to HUD, IRS, and other regulations. The ideal candidate holds a high school diploma with a preferred bachelor's degree and has significant experience in housing program administration. The position requires excellent organizational and communication skills, as well as the ability to travel for site visits. #J-18808-Ljbffr