67 jobs found

Job Title Help Job Description Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered. Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided. Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment. Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures. Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Job Description Job Description Description: Join Our Team! Grand Peaks Medical is looking for a dependable, long-term Medical, Dental and Behavioral Health Certified Coder to become a valued member of our growing team! These are full-time, in-person positions based at our Idaho Falls clinic. Fluency in both English and Spanish is preferred but not required. We’re looking for individuals who are detail-oriented, efficient, and ready to thrive in a supportive and fast-paced healthcare environment. What You’ll Do: Process a wide range of medical claims Create claims, perform medical coding risk assessment Assign codes for diagnoses and procedures Ensures accurate billing and reimbursement Good understanding of ICD-10 codes, maximizing specified diagnosis codes, CPT and modifiers Understand and apply relevant laws Knowledge of OB billing preferred In depth understanding and training in areas of medical terminology, anatomy and coding guidelines Why Work With Us?...

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 Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. 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 you to help shape the future of healthcare from your own workspace! What You Will Do Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes Accurately...

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

St. Luke's Health System in Boise, Idaho is seeking a full-time leader for their Air St. Luke's communications center. The role involves overseeing the emergency dispatch command center and providing guidance to Communications Specialists. Candidates must have a Bachelor's degree or equivalent experience, along with a minimum of 4 years in relevant fields and IAMTCS certification. St. Luke's offers a robust benefits package, including physical wellness options and career development opportunities. #J-18808-Ljbffr

A leading pharmaceutical company in the United States is seeking an Associate Director of Scientific Communications. This role involves managing the scientific communications strategy and ensuring the development of high-quality medical content. The ideal candidate will have an advanced scientific degree and significant experience in medical affairs, especially within the pharmaceutical industry. A strong focus on scientific accuracy and regulatory compliance is required. Competitive salary range between $164,530 to $245,985 plus benefits. #J-18808-Ljbffr

Job Description Job Description 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...

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....

Specialty Coder 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: Under limited supervision, Specialty Coder is responsible for reviewing applicable documentation and assigning or validating appropriate procedure and diagnosis codes. Reviews notations, diagnosis, or procedure information in medical record to assign or validate appropriate diagnosis and procedure codes, ensuring accuracy and appropriateness of codes. Applies basic knowledge of coding to solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes. Ensures documentation...

Clearwater Valley Hospital and Clinics, Inc. is seeking a Full-Time Coding Specialist in Orofino, Idaho. The role involves assigning and entering codes for medical records under ICD-10, CPT, and HCPCS guidelines, as well as interpreting documentation and ensuring compliance with coding standards. Applicants must possess a high school diploma, a coding certification, and 3 years of experience in medical coding. This role requires excellent communication skills and a commitment to maintaining patient confidentiality in accordance with HIPAA regulations. #J-18808-Ljbffr

Benewah Community Hospital in Saint Maries, Idaho seeks a medical coder to accurately code noncomplex diagnoses and procedures using ICD and CPT conventions under direct supervision. You will input charges in Cerner and collaborate with management to learn DRG methodologies while meeting productivity standards. Under AHIMA coding competencies, you will review charts for IP/OBS/OP/Surgery, ensure confidentiality, and maintain regular attendance. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Audit Integrity - Medical Coding Auditor Mountain View Hospital is looking for a Medical Coding Auditor to join our team! Medical Record Auditor will be responsible for assisting/conducting audits of medical records, coding and billing information. The auditor will look at both departments inside the hospital, outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the supervisor/manager. Auditor will be provided as education as directed by the Auditing Integrity Department manager. Works collaboratively with the unit-specific educators, department manager, department supervisor, the...

Job Summary Mountain View Hospital is looking for a Medical Coding Auditor to join our team. The Medical Record Auditor will be responsible for assisting and conducting audits of medical records, coding, and billing information. The auditor will review both hospital departments, outside departments, and physician records and billing. Auditors will compile informational reports of findings and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations, or target areas need to be audited. The medical auditor will assist in preparing appeals/rebuttals for external auditing sources. Auditors should complete audits within a timely manner as coordinated with the supervisor/manager. Auditors may receive education as directed by the Auditing Integrity Department manager. Works collaboratively with unit-specific educators, department managers, department supervisors, the DON and the compliance team to support assessing, planning,...

Mountain View Hospital is seeking a Medical Coding Auditor to join our team in Idaho Falls. In this role, you will be responsible for conducting audits of medical records and ensuring accurate coding and billing. The ideal candidate should have a high school diploma, relevant certifications, and at least 3 years of coding experience. We offer a comprehensive benefits package including medical, dental, vision insurance, and a retirement plan matching. Join us to make a difference in your community. #J-18808-Ljbffr

Terry Reilly Health Services in Idaho seeks a qualified Medical Office Billing Specialist to support coding and billing for ICD/CPT/ADA systems. The role emphasizes accuracy, payer compliance, and teamwork across departments. Candidates should have 2+ years in a medical or dental office, with experience billing third-party insurances and strong computer skills. Bilingual English/Spanish is preferred; CPC credential is a plus. #J-18808-Ljbffr

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

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: Benefits may vary based upon position type and/or level. Job...

A leading health data platform company is seeking an Inpatient Auditing Specialist to perform inpatient coding audits and provide coder education. This fully remote position offers flexibility and a range of benefits, including medical, dental, and 401(k) savings plan. The ideal candidate should have over 5 years of experience in facility inpatient coding and auditing, with relevant certifications preferred. #J-18808-Ljbffr

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

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...

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...

A leading environmental services firm seeks a part-time Environmental Compliance Specialist to provide compliance consulting and audit services. Candidates should have a related BA or BS degree and 3-5 years of auditing experience. The role requires knowledge of environmental regulatory standards and strong communication skills. The ideal applicant must possess a valid U.S. driver's license, be eligible for background checks, and have the potential for travel up to 85% of the time. #J-18808-Ljbffr