17 jobs found in Boise

Signature Performance seeks an Observation Medical Coder to work remotely nationwide. The role focuses on accurate E/M ICD-10-CM, ICD-10-PCS, CPT, HCPCS coding from medical records, with emphasis on documentation quality and compliant coding practice. The candidate will review diverse records, assign diagnoses and procedures, ensure proper sequencing for reimbursement, and support billing accuracy. AHIMA/AAPC credentials are preferred. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who...

Saint Alphonsus Health System in Boise, ID is seeking a full-time Risk Adjustment Coding Specialist to join our Population Health team. The role involves creating and compiling educational materials and delivering coding and documentation education to providers, the clinic care team, and coding/billing staff. The position supports medical record audits for risk adjustment and core quality measures, participates in performance improvement initiatives, and offers work-from-home flexibility after #J-18808-Ljbffr

Signature Performance is seeking an experienced Inpatient Medical Coder for a remote position available to applicants nationwide. The coder will assign ICD-10-CM diagnoses and ICD-10-PCS procedures for complex inpatient discharges, review CDI input, and ensure compliance with Official Guidelines. Strong communication, organization, and multi-project management are essential. Minimum three years in inpatient coding at an Academic Medical Center, plus active CCS/CIC/RHIA or RHIT certification, are #J-18808-Ljbffr

Loyal Source Government Services is seeking 10 full-time Outpatient Medical Records Technician (MRT) Coders to provide remote services to the VA Northeast Ohio Healthcare System in Cleveland, OH. MRT Coders must maintain high accuracy and productivity while delivering compassionate care to veterans, adhering to ICD-10-CM/PCS, CPT, HCPCS and E/M guidelines, and querying providers as needed. Shifts are Monday through Friday: 6:00 a.m.–6:00 p.m. local time, with competitive hourly pay. #J-18808-Ljbffr

Saint Alphonsus Health System in Boise, Idaho, is seeking a full-time Risk Adjustment Coding Specialist to join the Population Health team. This day-shift role offers a work-from-home option after training. You will develop educational materials and lead coding and documentation education with providers and staff. Ideal candidates have 2 years in medical practice or centralized billing, and must obtain AAPC/AHIMA credentials within 1 year. #J-18808-Ljbffr

Remote Chicago - 550 Van Buren North Carolina Nevada Virginia Texas Florida Maryland Tennessee New York-New York City Wyoming Idaho Massachusetts Michigan-Other West Virginia-Other Nebraska Maine West Virginia-Charleston Washington-Seattle Wisconsin Pennsylvania-Pittsburgh Colorado-Denver California-San Francisco Vermont Delaware-Wilmington Iowa Ohio-Other District of Columbia Georgia Missouri-St. Louis New Hampshire Indiana-Other Mississippi Pennsylvania-Philadelphia Minnesota Arkansas Utah Missouri-Kansas City Kentucky-Other Michigan-Detroit New Jersey Montana California-Los Angeles Alabama-Other New Mexico North Dakota South Carolina Rhode Island Full time JR-0015943 Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives,...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Become a part of our caring community The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

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...

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...

Stantec is seeking a part-time Environmental Compliance Specialist to deliver regulatory audit services for government and commercial clients from any US office. You will work with an interdisciplinary team to assess facilities for compliance with federal, state, and local standards, and to develop findings and corrective actions. The role requires travel 85% of time while part-time, strong written and verbal communication skills, and a background in environmental science or engineering. #J-18808-Ljbffr

A leading environmental services firm seeks a part-time Environmental Compliance Specialist to provide compliance consulting and audit services. Candidates should have a related BA or BS degree and 3-5 years of auditing experience. The role requires knowledge of environmental regulatory standards and strong communication skills. The ideal applicant must possess a valid U.S. driver's license, be eligible for background checks, and have the potential for travel up to 85% of the time. #J-18808-Ljbffr

Huron Consulting Group is seeking an Inpatient Coding Auditor to audit inpatient coders and offshore auditors, ensure DRG accuracy of 95%+ and maintain high standards of documentation and coding quality. You will use encoder software and collaborate with client teams, ensuring compliance with AHIMA/ACDIS and CMS guidelines while supporting process improvements and reporting to leadership. #J-18808-Ljbffr

Datavant, the data collaboration platform for healthcare, is seeking an HCC coder to review medical records and code diagnoses using ICD-10 CM guidelines, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. The role requires a minimum of 2 years' HCC coding, extensive ICD-10 knowledge, and AHIMA or AAPC credentials. You must be able to work remotely, manage time efficiently, and thrive in a fast-paced environment. #J-18808-Ljbffr

Job Description California Medi-Cal billing rep position for Boise, ID. Medi-Cal billing, UB and/or 1500 claim billing The Medical Biller & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate. The core responsibilities will include coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information is needed. Additional follow-up responsibilities include maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and...