Idaho State Job Bank

  • Boise, ID, United States
Idaho State Job Bank
Idaho State Job Bank Idaho Falls, ID, USA
Reimbursement Specialist/Medical Biller - Call Center Rep - Short Term Contract (Home-Based) at IQVIA in Idaho Falls, Idaho, United States Job Description Reimbursement Specialist/Medical Biller As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma get their medicines to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians and patients. A significant part of our business is acting as the biopharma's sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world. Position Summary: AllCare Plus Pharmacy, an IQVIA company, is seeking a Reimbursement Specialist Responsible for the daily evaluation and collaboration of identifying and addressing departmental needs and priorities. Is...

Idaho State Job Bank Boise, ID, USA
Medical Coder - Neurology at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Neurology Coding Associate, you will review clinical documentation and diagnostic results to accurately assign ICD-10 CM and CPT including E/M codes for accurate and timely billing for our clients and patients. To thrive in this role, you must have an active CPC or CCS, RHIT, or RHIA coding certificate, relevant work experience in neurology and/or vascular coding. Here's what you will experience working as a Neurology Coding Associate: + Assign accurate codes (ICD-10, CPT,...

Idaho State Job Bank Boise, ID, USA
Revenue Integrity Facility Coding Auditor at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.? As our Revenue Integrity Facility Coding Auditor, you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies.? This position requires good time management skills and the ability to work independently. Here's what...

Idaho State Job Bank Boise, ID, USA
Coder - Outpatient at Highmark Health in Boise, Idaho, United States Job Description 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...

Idaho State Job Bank Boise, ID, USA
Coder II - Pro-Fee Orthopedics (E/M & Surgical) at R1 RCM in Boise, Idaho, United States Job Description Acclara has been acquired by R1 RCM. The addition of Acclara strengthens R1's value proposition as the trusted partner of choice in comprehensive revenue cycle management. R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Coding Associate II - Pro-Fee Orthopedics (E/M & Surgical), you will review clinical documentation and diagnostic results as appropriate. Every day you will extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits,...

Idaho State Job Bank Boise, ID, USA
Coder at St. Luke's Health System in Boise, Idaho, United States Job Description Overview 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. Must be located in Idaho or Oregon What You Can Expect: Under limited supervision, the Coder 2 is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes. + Reviews notations, diagnosis, or procedure information in medical record to assign appropriate diagnosis and procedure codes, ensuring accuracy and appropriateness of codes. + Applies knowledge of coding to solve unique or new cases resulting in the assignment and...

Idaho State Job Bank Boise, ID, USA
Medical Coder (Same Day Surgery and Observation) at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Medical Coder (Same Day Surgery and Observation), you will review clinical documentation and diagnostic results to accurately assign ICD-10 CM and CPT including E/M codes for accurate and timely billing for our clients and patients. To thrive in this role, you must have an active CPC, CCS, CCSP, RHIT, or RHIA coding certificate and familiarity with observation and same day surgery coding. Here's what you will experience working as a Medical Coder...

Idaho State Job Bank Boise, ID, USA
Hospitalist Medical Coder at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Hospitalist Coding Associate, you will review clinical documentation and diagnostic results to accurately assign ICD-10, HCPCS, and CPT-4 codes for accurate and timely billing for our clients and patients. To thrive in this role, you must have an active CPC, CCS, CCS-P, RHIT, or RHIA coding certificate, familiarity with E/M coding, and know how to compose queries to physicians. Here's what you will experience working as a Medical Coder: Hospitalist: + Assign accurate codes...

Idaho State Job Bank Boise, ID, USA
Senior Medical Coder at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Senior Coder , you will help ensure accurate medical coding and billing for our clients to optimize revenue cycle management. Every day you will review production and quality reports to ensure diagnostic and procedure codes were applied appropriately and provide feedback and guidance to coding teams. To thrive in this role, you must have experience running and analyzing coding reports, family practice coding experience, and carry an AHIMA or AAPC coding certificate: CPC or CSS....

Idaho State Job Bank Boise, ID, USA
Medical Coding Auditor at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines + Utilize encoders and...

Idaho State Job Bank Boise, ID, USA
Medical Coder at R1 RCM in Boise, Idaho, United States Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our FQHC Pro Fee Medical Coder you will help ensure patient and client satisfaction at by accurately coding conditions and procedures leading to improved revenue cycle management. Every day you will review clinical documentation and apply accurate codes for diagnoses, procedures, and treatments. To thrive in this role, you must have your CCS or CPC certification and experience in Pro Fee coding that includes Medical Decision Making. Here's what you will experience working as a Pro Fee...

Idaho State Job Bank Boise, ID, USA
Inpatient Medical Coding Auditor at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first Become a part 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 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,...

Idaho State Job Bank Meridian, ID, USA
Risk Adjustment Medical Coder - R2974-6334 at Blue Cross of Idaho in Meridian, Idaho, United States Job Description Blue Cross of Idaho is looking for Risk Adjustment Medical Coder who will be responsible for the medical record retrieval and over-reads for audit project activities as they relate to risk adjustment and revenue accuracy. Collaborate and support cross-functional teams needed for various risk adjustment program efforts to ensure coding, documentation, and reporting accuracy. Location: this position has preference to be based in Meridian Idaho and offers hybrid work location; potential consideration for working fully remote within a mutually acceptable location. #LI-Remote; #LI-Hybrid. Required Certifications Must hold: Certified Professional Coder (CPC) In addition to CPC, must also hold, or acquire within one year of hire: Certified Risk Adjustment Coder (CRC) Required Experience: 3/+ years' experience in health industry (healthcare and/or health insurance) to include...