57 jobs found in Boise, ID

Fully Remote Lake Park Building Full time R183439 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

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...

The Coding Network (TCN) is seeking an E&M coder for remote, contract-based work to process daily coding for a range of clients across the United States. You will access client EMRs remotely and submit coded cases, with weekly hours varying from 15 to 40. Applicants must have at least 3 years of E&M coding experience and hold an active CPC, RHIA, or RHIT certification. Training tests will be administered as part of the application process. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. 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 knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System...

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client in Boise, Idaho. You will review medical records and clinical documentation to accurately assign ICD-10-CM codes that support risk adjustment and HCC reporting. Ideal candidates will have strong medical record review, coding compliance, and CMS guideline knowledge, ensuring diagnoses are fully supported by evidence. Experience with Medicare Advantage and HCC coding is highly valued. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote nationwide role. You will perform quality reviews, audits, and provide education to coders while coordinating with department managers to maintain standards. Ideal candidates have 5+ years in medical coding, CPC/CPMA preferred, and expertise in ICD-10-CM/PCS, CPT, HCPCS, and reimbursement systems. Strong communication and teaching skills are essential. #J-18808-Ljbffr

The Coding Network (TCN) is looking to contract with an E&M coder to perform the daily E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. All applicants must: Have a minimum of 3 years of E&M Specific Coding Have an active coding certification (CPC, RHIA, RHIT) Live and work in the United States of America Take and pass TCN’s E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume. Our current E&M needs are in the following medical specialties: E&M ENT E&M Dermatology E&M General Surgery E&M Hospitalist E&M NICU / PICU E&M OB/GYN E&M Orthopedics E&M Pain Management E&M Podiatry E&M Trauma E&M Ophthlamology E&M Urology E&M Wound Care #J-18808-Ljbffr

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Medasource, partnering with a regional health system, is hiring an Inpatient Medical Coder for a fully remote contract opportunity.You will handle high-acuity inpatient cases across cardiology, neurology, surgery, transplants, NICU, and more, coding diagnoses and procedures with Epic EHR and 3M encoder.Requires at least three years of inpatient coding, CCS/RHIT/RHIA considered, and a strong multi-specialty background; start ASAP for a 6-month engagement.J-18808-Ljbffr

Terry Reilly Health Services in Boise, ID is seeking a Medical Assistant Supervisor to lead a team of medical assistants within the Patient Centered Medical Home model. You will train staff, coordinate workflows, and ensure timely, quality care across medical, dental, and behavioral health services. The role emphasizes strong communication, organizational skills, and cultural sensitivity to support a diverse patient population. #J-18808-Ljbffr

Signature Performance, Inc. is seeking a Medical Billing Specialist for a remote-based role; applicants nationwide may apply. You will review and submit claims, verify CPT/ICD-10, modifiers, and patient data, and resolve rejections to support timely reimbursements. Ideal candidates have 1–2 years in medical billing, knowledge of payer guidelines, and proficiency with EHR systems such as Epic, Meditech, or NextGen. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist #2983 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about ensuring proper claim details, billing compliance, and timely claim resolution to support the organization's financial goals. We need someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. In the role of Medical Billing Specialist, you will be responsible for accurately preparing and submitting medical claims to appropriate payers Tell us about your experience in Medical Billing. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? 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...

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;...

Datavant seeks an experienced outpatient coder for a fully remote, flexible role. You will review medical records, assign CPT/ICD codes, and support precertification reviews, with EPIC and 3M/Solventum experience preferred. The ideal candidate has 2+ years of hospital coding and AHIMA or AAPC credentials. Join a team that values accuracy, compliance, and professional development, while enjoying a fully remote schedule and ongoing education opportunities. #J-18808-Ljbffr

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...

**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...

Blue Cross of Idaho is hiring a Risk Adjustment Medical Coder to support chart retrieval, coding, and audits for risk adjustment and revenue accuracy. The role requires 3+ years in healthcare with knowledge of HCC coding; CPC certification is required and CRC within one year. You'll collaborate with cross-functional teams, review records, ensure CMS-compliant coding, and help develop risk adjustment tools and resources. A comprehensive benefits package and incentive bonus accompany the role. #J-18808-Ljbffr

Acute Rescue And Transport Inc is seeking a Billing Specialist to join our Boise team. This full-time role focuses on processing medical billings, maintaining accurate records, and communicating with patients and insurers to resolve and appeal claims. Ideal candidates have at least two years of clerical or medical billing experience, strong attention to detail, and proficiency with medical terminology and billing software. Training and benefits follow probation. #J-18808-Ljbffr

Datavant is seeking a qualified HCC Auditor to review medical records coded in ICD-10, ensuring accurate risk adjustment representations for reimbursement. You will audit charts, adapt to multiple client guidelines, and maintain a 95% quality standard at the diagnosis level. The role requires 2 years' HCC coding and auditing experience, AHIMA or AAPC credentials, and ability to work in a fast-paced, remote-friendly environment. Excellent communication and independent work are essential. #J-18808-Ljbffr

Cognizant is seeking an Inpatient and Outpatient Facility Coder to review and assign accurate diagnosis and procedure codes across inpatient, outpatient, ED, ambulatory surgery, and related records. You will work with physicians and auditors to ensure regulatory compliance and quality outcomes. The role requires AHIMA CCS or CPC certification, 3+ years of facility-based coding, and experience with ICD-10-CM/PCS, MS-DRG, CPT, and HCPCS. #J-18808-Ljbffr

About the role: As an Inpatient and Outpatient Facility Coder, you will make an impact by reviewing and assigning accurate diagnosis and procedure codes across inpatient, outpatient, emergency department, ancillary, and surgical records. You will be a valued member of the Cognizant team and work collaboratively with physicians, auditors, and healthcare stakeholders to ensure coding accuracy, regulatory compliance, and quality outcomes. In this role, you will: Review medical documentation and assign accurate diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, MS-DRG, CPT, and HCPCS coding systems. Interpret inpatient, outpatient, emergency department, ancillary testing, and ambulatory surgery records for coding accuracy and compliance. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the query process. Assign codes utilizing an electronic encoder application in accordance with practice policies, regulatory...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) Performs...

Pena4 Inc. is seeking an inpatient coder with CCS certification for a 100% remote, full-time role. You will handle IP PCS coding and related outpatient coding when needed, utilizing ICD-10-CM/PCS, HCPCS, CPT and other coding references. Requirements include 5+ years IP PCS coding, 3+ years OP coding preferred, CCS certification, and an immediate start. Start date is immediate and a coding assessment may be required. #J-18808-Ljbffr

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications...