• Outpatient Coding Team

    HCA Healthcare (Caldwell, ID)
    …year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Outpatient Coding Team Lead with Work from Home you ... resources you need to succeed in our organization. We are looking for an enthusiastic Outpatient Coding Team Lead to help us reach our goals. Unlock your… more
    HCA Healthcare (03/07/25)
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  • IPA Coding Associate Director

    CenterWell (Boise, ID)
    …Certification + MS-DRG auditing or APR auditing experience + Acute in-patient and/or outpatient coding experience + Must be passionate about contributing to an ... community and help us put health first** The IPA Coding Leader manages a diverse team responsible...team members in stressful situations. + Ability to lead by influence to engage colleagues and lead more
    CenterWell (04/24/25)
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  • Director, Product Management, Provider…

    Datavant (Boise, ID)
    …a Product Director to lead the strategy and development of our Provider Coding product offerings from the ground up. This is a 0→1 opportunity for a driven, ... mindset, with experience in revenue cycle management, in particular provider coding (inpatient and outpatient ), health data, and integrations. You… more
    Datavant (03/27/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Boise, ID)
    …each and every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible ... for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts...manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor a team certified coders… more
    CVS Health (04/23/25)
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  • Medical Director - Medicaid N. Central

    Humana (Boise, ID)
    …possible participation in care management. The clinical scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
    Humana (04/24/25)
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  • Medical Director - Mid West Region

    Humana (Boise, ID)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... outpatient services and equipment, within their scope. The Medical...contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional… more
    Humana (04/24/25)
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  • Associate Director, Clinical Rules Management

    Evolent (Boise, ID)
    …critical thinker with excellent interpersonal skills + Knowledge of ICD-10-CM and CPT coding assignments for billing in an outpatient or physician office setting ... reports or help design new reports to help the team with identifying trends and design solution and prioritize...to ensure the accuracy and quality of data. + Lead the evaluation of clinical processes in collaboration with… more
    Evolent (05/03/25)
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