54 jobs found in Idaho

Description Under general supervision and according to established procedures, assigns codes to medical records. Codes patient medical record under ICD-10, CPT, HCPCS guidelines. Abstracts required data from documentation to support the coding. Enters ICD 10 and CPT codes in electronic medical record and finalizes accounts. Does all professional data entry. Researches information on claims that are denied, rejected, etc. or encounters other issues. Essential Job Functions: • Analyzes patient medical records and interprets documentation to identify all diagnosis and procedures. Assigns proper ICD 10, CPT and HCPCS codes. • Applies sequencing guidelines to coded data according to official coding rules. • Data entry for the professional coding. • Works with providers to clarify medical record documentation and identifies issues that may need to be clarified. • Answers questions regarding coding guidelines and assists other departments with coding and billing...

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...

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 Summary Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities. Duties and Responsibilities • Verifying authorizations are listed for needed procedures. • Verifying eligibility edits and notify admissions with errors. • Reviewing patient bills for accuracy and completeness while obtaining any missing information. • Preparing, reviewing for accuracy, and transmitting claims using billing software, including electronic and paper claim processing. • Following up on unpaid claims within standard billing cycle timeframe. • Assists with the distribution of mail. • Greet all patients, families and hospital visitors with a positive, cheerful attitude. • Answering telephones, using proper identification, responding appropriately to all hospital departments, physicians, patient families and visitors. •...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Job Title Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities. Duties and Responsibilities Verifying authorizations are listed for needed procedures. Verifying eligibility edits and notify admissions with errors. Reviewing patient bills for accuracy and completeness while obtaining any missing information. Preparing, reviewing for accuracy, and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Assists with the distribution of mail. Greet all patients, families and hospital visitors with a positive, cheerful attitude. Answering telephones, using proper identification, responding appropriately to all hospital departments, physicians, patient families and visitors. Following up with Medical Records for unresolved...

Gritman Medical Center in Moscow, ID is seeking a senior medical coder with supervisory responsibilities. The role focuses on ensuring coding accuracy, compliance with ICD-10-CM and CPT, and leading a coding team in a fast-paced Revenue Cycle environment. Required are an AHIMA-accredited degree and CCS/CPC certifications with at least five years of experience. Proficiency in EPIC and grouper software is preferred, with strong leadership and communication skills. #J-18808-Ljbffr

Job Description Job Description Exciting Career Opportunity – Medical Coder/Biller (Moscow Office) We are looking for a qualified, dependable, and well-organized individual to join our busy billing office in Moscow! If you are experienced in medical coding and billing and enjoy working in a fast-paced environment, we would love to meet you.   Responsibilities include, but are not limited to: Verifying insurance information and benefits Coding and billing medical visits Posting payments Managing insurance accounts receivable Handling denied claims and appeals Preparing daily deposits Answering billing-related phone calls   Qualifications: 1+ year of medical coding/billing experience required Strong judgment and excellent verbal and written communication skills Proficiency in Microsoft Word, Excel, and Outlook Positive, energetic team player with a commitment to outstanding customer service   We offer a competitive compensation package ,...

A healthcare facility in Moscow, Idaho is seeking a skilled Coding Technician to assign diagnostic codes and ensure optimal reimbursement through accurate coding practices. The position requires certified coding credentials and at least 2 years of relevant experience. Proficiency in medical terminology and strong organizational skills are essential, along with the ability to manage multiple tasks. Join a dynamic team dedicated to quality health information management, while maintaining productivity and compliance with industry standards. #J-18808-Ljbffr

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...

Mountain View Hospital in Idaho Falls is seeking a Medical Coding Specialist to accurately code diagnoses and treatment procedures. The specialist will utilize ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes, ensuring compliance with coding guidelines and optimizing reimbursement. Employees enjoy comprehensive benefits, including medical insurance, paid time off, and retirement plans. Join a mission-driven team dedicated to compassionate care. #J-18808-Ljbffr

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

Join to apply for the IHI - MEDICAL CODING SPECIALIST role at Mountain View Hospital 1 day ago Be among the first 25 applicants Join to apply for the IHI - MEDICAL CODING SPECIALIST role at Mountain View Hospital Get AI-powered advice on this job and more exclusive features. Description Mountain View Hospital is looking for a Medical Coding Specialist to join our team! Description Mountain View Hospital is looking for a Medical Coding Specialist to join our team! JOB SUMMARY: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-10 CM and/or HCPCS codes, creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnosis/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct CPT and diagnosis coding. Ensures that...

Albers Aerospace is seeking a Quality Compliance Specialist II to oversee regulatory and customer quality requirements and maintain our quality management system. You will lead audits, drive corrective actions, and partner with leadership to improve processes across functions. The role emphasizes training, documentation, and supplier quality programs, with a standard Monday–Friday schedule and potential evening/weekend workload based on needs. #J-18808-Ljbffr

Socket.dev is seeking a Quality Compliance Specialist II to oversee regulatory requirements, internal quality systems, and customer standards, driving corrective actions and audits. You will lead audits, develop policies, train teams, and collaborate with leadership to align processes with standards in an onsite manufacturing environment. The ideal candidate has 4-8 years in QA or regulated manufacturing, strong documentation and communication skills, and U.S. citizenship. #J-18808-Ljbffr

Serco is seeking Medical Coding Auditing Specialists to support the DHA Medical Coding Program Branch. The role involves conducting audits across DHA markets, developing annual work plans based on enterprise risk, and providing direct support in targeted coding reviews. Documentation of education is required with the application. Candidates must meet stringent coding certifications and have at least seven years of medical coding/auditing experience across multiple specialties, including #J-18808-Ljbffr

Ada County’s Trial Court Administration is seeking a detail-oriented Medical Billing and Administrative Support specialist to join the team. You will provide comprehensive billing, coding, scheduling, and records management to support nurse practitioner services within the Treatment Court programs. Responsibilities include reviewing clinical documentation for coding, processing claims, verifying eligibility, and maintaining confidential records in accordance with HIPAA. #J-18808-Ljbffr

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under...

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...