30 jobs found in Boise

Baylor Scott & White Health is seeking a Coding Auditor 1 in Boise, Idaho to perform coding quality audits using ICD-10-CM/PCS, HCPCS, CPT, and related references. This role ensures accurate coding and classification decisions across MS-DRG/APC groupings. The position requires 5 years of coding experience with at least 1 year as a coding auditor and relevant certifications. Candidates collaborate with Clinical Documentation Specialists to improve documentation quality and ensure regulatory #J-18808-Ljbffr

At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team. We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for free healthcare. GENERAL RESPONSIBILITIES The Medical Assistant Supervisor coordinates a team of medical assistants, providing instruction, training, coordination and support to ensure smooth processes. Under general supervision and in accordance with established department policies, procedures, care protocols, and provider orders, this position will work within the Patient Centered Medical Home model...

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 :...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

St. Luke's Health System in Boise, Idaho, is seeking a Specialty Coder. This role involves reviewing documentation and assigning diagnosis and procedure codes accurately, while ensuring compliance with coding guidelines. The ideal candidate will have a high school diploma, 3 years of relevant experience, and at least one coding credential. St. Luke's offers a competitive salary, retirement plans, and a robust benefits package, including wellness options and career development opportunities. #J-18808-Ljbffr

St. Luke's Health System, located in Boise, Idaho, is seeking a Specialty Coder to review documentation and assign procedure and diagnosis codes with precision. This role requires a commitment to accuracy in medical coding and adherence to billing regulations. The ideal candidate will have at least 3 years of experience and possess relevant credentials such as AAPC-CIC or CCS. St. Luke's offers a supportive environment focused on employee well-being with competitive benefits, including on-site wellness options, and a commitment to diversity and inclusion. #J-18808-Ljbffr

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims, validating DRG assignments, and ensuring adherence to official guidelines. You will report to the Manager, Payment Integrity. This role requires RHIA/RHIT/CCS/CIC certification and 5+ years of inpatient coding experience, with audit or validation background and strong DRG knowledge. CDI and SOI/ROM concepts are essential; 3M Coding software experience is a plus. #J-18808-Ljbffr

(Puyallup, WA — In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patients’ wounds heal faster, and that is our goal! We are accepting applications for potential future opportunities and do not currently have an open position. Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work...

United Wound Healing in Boise, ID is accepting applications for a coding role. This position provides options for in-office or remote work, and offers competitive hourly compensation of $25 to $33 based on experience and location. Responsibilities include meeting production goals, reviewing medical coding inquiries, and ensuring compliance with coding guidelines. The ideal candidate should have at least 2 years of coding experience and be proficient in dealing with insurance claims. Strong communication skills and a detail-oriented mindset are essential for success in this dynamic environment. #J-18808-Ljbffr

Full Circle Health is seeking a Medical Reception Supervisor for their Boise Pediatrics clinic in Boise, Idaho. This full-time role requires 2+ years of relevant experience and entails supervising the clinic reception team, hiring staff, and managing day-to-day operations. The position offers a variety of health and dental plans, life insurance, and generous PTO of 19 days per year. Candidates must have a High School Diploma/GED and previous management experience is preferred. #J-18808-Ljbffr

Job Description Job Description Job Title: Claims Specialist (Medical Claims) Location: Boise, ID (Onsite) Duration: Contract Job Description We are seeking a detail-oriented Claims Specialist to support medical claims processing operations. The ideal candidate will have experience reviewing and processing medical claims, a strong understanding of CMS-1500 and UB-04 claim forms , and the ability to communicate professionally with healthcare providers and claimants. Key Responsibilities Scan, index, and accurately log medical bills and supporting documents into the claims management system (IRIS). Review CMS-1500 (Professional Claim Forms) and UB-04 (Institutional Claim Forms) for completeness and accuracy. Verify claim information, identify missing documentation, and contact medical providers to obtain required records. Interpret Explanation of Benefits (EOBs) and supporting medical documentation to assist with claims processing....

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

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...

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...

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...

Cognizant in the United States is seeking an Inpatient Medical Coder to review and resolve denied or rejected claims, ensuring accurate coding and billing based on documentation. This remote role requires three years of inpatient coding experience, CPC/COC/CCC, CIRCC, RHIT/RHIA/CCS certifications, EPIC and 3M Encoder proficiency, and solid MS Office skills. This remote position offers flexibility and requires maintaining a minimum 98% accuracy and client productivity standards. #J-18808-Ljbffr

CenterWell is looking for a Medical Coding Auditor in Boise, Idaho. The successful candidate will extract clinical information from medical records and assign appropriate codes, ensuring compliance with coding regulations. You'll verify the accuracy of medical documentation and present audit findings. This position requires certifications like CPMA and CRC along with at least 2 years of outpatient coding experience. CenterWell offers a competitive salary range of $59,300 - $80,900 per year, along with various associate benefits including medical and dental coverage. #J-18808-Ljbffr

R1 RCM is seeking a Revenue Integrity Analyst based in Boise, Idaho. This position requires a coding background and focuses on maintaining the accuracy and compliance of the charge master. The ideal candidate will conduct audits, analyze complex billing issues, and ensure accurate charge capture. Responsibilities include preparing Excel analyses, evaluating charge requests, and collaborating with various departments. With a competitive salary range of $48,131.00 - $81,225.49 per year and eligibility for annual bonuses, this role is critical to enhancing financial performance in healthcare. #J-18808-Ljbffr

Description WE ARE HIRING! We are seeking a detail-oriented and knowledgeable Housing Compliance Auditor to conduct compliance monitoring for all Tax Credit, HOME, and HTF properties. This role ensures compliance with HUD, IRS, and other regulations and helps maintain the integrity of affordable housing programs for low-income individuals and families in Idaho. If you are mission-driven and passionate about making a difference in Idaho communities, we encourage you to apply! This position is located in Boise, Idaho. Why Work with Us? At our organization, we are dedicated to improving lives and strengthening Idaho communities. We believe that housing opportunities, self-sufficiency, and economic development are the pillars of progress. Our commitment to our team is unwavering, and we consider our employees our greatest priority. Join us and be part of a professional and mission-driven organization that makes a meaningful impact on the lives of Idahoans. In this role, you will...

Cognizant is seeking an Inpatient Medical Coding Auditor to review inpatient records and ensure ICD-10-CM/PCS coding accuracy. You will verify physician documentation, prepare reports, and mentor clients in coding and compliance. The role emphasizes adherence to regulatory guidelines, collaboration with stakeholders, and maintaining a high accuracy rate while meeting project productivity expectations. Remote work is available for qualified U.S. applicants. #J-18808-Ljbffr