15 jobs found in Caldwell, ID

Job Type Full-time Description At Functional Medicine of Idaho (FMI), we are committed to helping people thrive by providing personalized, integrative healthcare that addresses the root causes of health concerns. Our mission is to empower individuals at every stage of life, guiding them toward optimal well-being. We focus on delivering comprehensive, patient-centered care rooted in the latest research and compassionate service. At FMI, we value collaboration, innovation, and empathy, and are dedicated to offering the best functional and integrative medicine in the communities we serve. Join our team and be part of transforming healthcare while making a meaningful impact. Benefits 401(k) with Employer Match Dental Insurance Employee Assistance Program Health Insurance Life Insurance Vision Insurance Paid Time Off Employee Discounts on Wellness services, Supplements, & more! Role and Responsibilities We are seeking a highly resilient and...

Job Type Full-time Description Review medical records and provider documentation for completeness and accuracy. Assign accurate ICD-10, CPT and other applicable codes based on documentation and coding guidelines. Ensure coding compliance with federal regulations, payer policies, and industry standards . Query providers for clarification when documentation is insufficient or ambiguous. Collaborate with billing and clinical teams to resolve coding issues and reduce denials. Maintain up-to-date knowledge of coding changes, industry updates, and payer requirements. Support audits by preparing coding reports and participating in chart reviews when necessary. Protect patient confidentiality and ensure HIPAA compliance at all times. Requirements High school diploma or equivalent required; associate's or bachelor's degree preferred. Minimum of 1 year minimum of coding experience in a clinical, hospital, or specialty practice setting. Proficiency in...

Billing Specialist (Hybrid) Join Eagle Vision One, a leading provider of optometry services and vision care products in Eagle and Meridian, ID. We are expanding our team and looking for a Billing Specialist to join us in providing Legendary Service to our clients. As a Billing Specialist at Eagle Vision One, you will play a crucial role in ensuring accurate and timely billing processes, contributing to the overall success of our practice. If you are detail-oriented, organized, self driven, and passionate about eye care, we want to hear from you! Daily Responsibilities: Manage billing and invoicing processes for both medical and vision patient encounters Verify insurance coverage and process claims Resolve billing discrepancies and issues Communicate with patients regarding billing inquiries Collaborate with other teams to ensure accurate financial records Required Skills: Experience in medical billing Knowledge of insurance billing procedures Strong attention to detail and accuracy...

Southwest Idaho Ear, Nose & Throat is hiring a Senior Medical Coder with ENT-specific experience and a strong background in appeals and denial resolution . This is an established, single-specialty ENT practice offering a stable schedule, collaborative team environment, and meaningful ownership over complex coding work. This role is ideal for an experienced coder who understands ENT surgical coding, payer guidelines, and how to successfully manage appeals from start to finish. Key Responsibilities Code ENT surgeries, procedures, office visits, and consults using CPT, ICD‑10, and modifiers Review physician documentation to ensure accurate, compliant coding Manage and resolve coding-related denials, appeals, reconsiderations, and adjustments Work directly with insurance carriers to ensure timely and complete reimbursement Identify trends and root causes of denials and recommend process improvements Serve as a coding resource for...

Senior Medical Coder – ENT (Appeals Experience Required) Full-time | In person | Monday–Friday Southwest Idaho Ear, Nose & Throat is hiring a Senior Medical Coder with ENT-specific experience and a strong background in appeals and denial resolution . This is an established, single-specialty ENT practice offering a stable schedule, collaborative team environment, and meaningful ownership over complex coding work. This role is ideal for an experienced coder who understands ENT surgical coding, payer guidelines, and how to successfully manage appeals from start to finish. Key Responsibilities Code ENT surgeries, procedures, office visits, and consults using CPT, ICD‑10, and modifiers Review physician documentation to ensure accurate, compliant coding Manage and resolve coding-related denials, appeals, reconsiderations, and adjustments Work directly with insurance carriers to ensure timely and complete reimbursement Identify trends and root...

Description & Requirements 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. What You Can Expect: Reviews clinical documentation, coding and hospital or professional fee charge and claim information in accordance with clinical trial coverage analysis document to ensure accuracy and appropriateness Uses auditing and analysis techniques to determine if the items and services provided to patients enrolled in clinical trials are to be billed to Medicare, other third-party payers or internal Research accounts Responsible for working EPIC account work queues, charge review edits, claim...

Job Description Job Description Certified Medical Coder (Remote Production Role) 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 patient’s wounds heal faster and that is our goal! 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...

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...

A leading health data platform company is seeking experienced inpatient coders to work remotely with a flexible schedule. Candidates should have a minimum of 3 years of coding experience and proper certifications. Key responsibilities include assigning and auditing medical codes, ensuring high accuracy rates, and fostering communication with colleagues. This role supports a mission to improve healthcare decisions through data access. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2675 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? 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 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...

A healthcare data collaboration platform is seeking experienced inpatient coders to work remotely. Ideal candidates will have at least 3 years of inpatient coding experience and relevant certifications. Responsibilities include assigning diagnostic codes, auditing coder work, and maintaining a high accuracy rate. The role allows for flexible scheduling, making a significant impact on healthcare data management. The pay range for this position is $32–$42 per hour. #J-18808-Ljbffr

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...

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...

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...

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. 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...