Idaho State Job Bank

  • Boise, ID, United States
Idaho State Job Bank
Idaho State Job Bank Sandpoint, ID, USA
Coder/Health Information/Full Time at Bonner General Health in Sandpoint, Idaho, United States Job Description Coder/Health Information/Full Time Full Time - Remote Flexible - US Benefits: + 403b up to 3% match + Dental insurance + Health insurance + Paid time off Department: Health Information Status: Full Time this position works onsite 3 days a week remotely 2 days a week Shifts: Days 8:00 a.m. to 4:30 p.m. Monday through Friday Our Health Information Department consists of clerks and coders. This vital department is responsible for the records management for both inpatient and outpatient departments. They assist with the management of health information data including electronic and paper medical records. Our coders code and abstract all Ancillary Inpatient, Observation, Same Day Surgery and clinic records as assigned. We are looking for a team player who has great customer service skills, self motivated, autonomous and is detailed oriented. If this is you please apply today....

Idaho State Job Bank Boise, ID, USA
Associate Director, Medical Affairs at J&J Family of Companies in Boise, Idaho, United States Job Description Associate Director, Medical Affairs - 2406161306W Description Laminar Inc., recently acquired by Johnson & Johnson is hiring for an Associate Director, Medical Affairs. This is a fully remote role. In this highly visible role, with limited supervision and general direction, the Associate Director, Medical Affairs is responsible for generating the clinical evidence strategy to support clinical claims. In this key customer-facing position, the Medical Affairs will liaise with key opinion leaders to increase awareness and adoption of the Laminar left atrial appendage closure procedure. The Medical Affairs will drive cross functional activities that support data dissemination and knowledge enhancement. Job Description + Maintaining strong knowledge of LAAC, Laminar device, and competitive landscape + Developing, managing, and engaging with key opinion leaders and...

Idaho State Job Bank Boise, ID, USA
Hospital Outpatient Coder - Optimization & Rules at R1 RCM in Boise, Idaho, United States Job Description As our Hospital Outpatient Coder - Optimization & Rules, you will help the optimization & rules team by utilizing coding resources, or applicable reference materials, to ensure accuracy in coding and create rules and enhancements to identify and address future issues. Every day you will, review payer policies, including CMS LCDs, NCDs, and Articles to assist in developing strategy for appeals. To thrive in this role, you must have good time management skills and the ability to work independently and collaboratively with our Rules & Contracts team to optimize workflow and create process efficiencies for coding related payment variances Guidelines for Coding and Reporting. Essential Responsibilities + Review outpatient hospital facility, clinic, and physician documentation, including, but not limited to medical records, UB-04s, EOBs, itemized bills, and remittance...

Idaho State Job Bank Boise, ID, USA
Remote Pro Fee Coder - Ortho Surgery at Guidehouse in Boise, Idaho, United States Job Description Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : The Ortho Surgery Pro Fee Coder must be proficient in surgical coding for Ortho surgery cases. E/M experience is also required. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may...

Idaho State Job Bank Boise, ID, USA
Outpatient Medical Coding Auditor (PPI Coding Disputes Team)-- WORK AT HOME (ANYWHERE IN THE US) at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first Where you Come In Humana is looking for an experienced medical coding auditor to 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 Outpatient Coding Auditor (Surgical Specialty, Outpatient Coding) - PPI Coding Disputes Team with Humana. The Outpatient Surgery Specialty 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 and appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or...

Idaho State Job Bank Boise, ID, USA
Remote Outpatient Surgery Specialty Coder at Guidehouse in Boise, Idaho, United States Job Description Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : The Remote Outpatient Surgery Specialty Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This is a 100% full time remote position. + Assigns ICD-10 diagnosis and CPT procedure codes and groups to either with required accuracy according to policy. + Completes the...

Idaho State Job Bank Boise, ID, USA
Certified Coding Specialist (CCS) Auditor at R1 RCM in Boise, Idaho, United States Job Description As our Inpatient Production Auditor, you will be responsible for auditing inpatient cases and reviewing inpatient medical records for validation while maintaining excellent organizational skills and strong attention to detail. Every day, you will be expected to play an intricate part in providing analytical expertise for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and flexible in a work environment. RESPONSIBILITIES + Audit inpatient cases for DRG validation + Review inpatient medical records for validation of DRG assignment + Provide detailed rationale and supporting evidence for recommendation and findings + Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice...

Idaho State Job Bank Boise, ID, USA
Inpatient Medical Coding Auditor (PPI Coding Disputes Team)-- WORK AT HOME (ANYWHERE IN THE US) at Humana in Boise, Idaho, United States Job Description 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/ PCS) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Where you Come In Humana is looking for an experienced medical coding auditor to 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) - Coding Disputes Team...

Idaho State Job Bank Boise, ID, USA
Inpatient Medical Coding Auditor at Humana in Boise, Idaho, United States Job Description Description 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. Responsibilities The Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments. This position will be a business partner with Resolution working Appeals from a clinical perspective to collaboratively complete appeal cases utilizing DRG knowledge. 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. Follows established...

Idaho State Job Bank Boise, ID, USA
Medical Billing Specialist at R1 RCM in Boise, Idaho, United States Job Description As the Reimbursement Specialist for R1's DRG Validation & Charge Capture service lines, your primary role will be to track and validate the solutions' financial benefit across multiple clients. You will be responsible for monitoring claim statuses and invoicing payments by leveraging internal applications and client HIS programs. This position does not entail making follow-up calls or writing appeals, but can include performing corrected claim rebills for select payers and clients. Your work will be reviewed for quality assurance (QA) by Billing Analysts, and you will be expected to incorporate QA feedback received into their work process immediately upon receipt. An ideal candidate is able to meet weekly productivity and monthly quality assurance standards. The Billing Representative III will report to the Billing Manager. Everyday in this role you will: + Identify accounts eligible across...