• Inpatient Coding Quality

    R1 RCM (Boise, ID)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. ​ The ** Inpatient Coding Quality Associate ** is responsible ... is a plus. + Minimum 3 years of hands-on inpatient coding experience + At least 2...experience + At least 2 years of experience in coding quality review or auditing is preferred… more
    R1 RCM (06/13/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Idaho Falls, ID)
    …Submit your application for the opportunity below: as Work from Home Inpatient Coding Auditorwith Parallon. **Benefits** Parallon, offers a total rewards ... benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to... of patient data, to ensure minimal variation in coding practices and to improve the quality more
    HCA Healthcare (04/17/25)
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  • Senior Inpatient Medical Coding

    Humana (Boise, ID)
    …part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related… more
    Humana (06/11/25)
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  • Pulmonologist Intensivist Coding

    R1 RCM (Boise, ID)
    …analytics, AI, intelligent automation, and workflow orchestration. The **Pulmonologist/Intensivist** ** Coding Associate II** will be responsible for reviewing ... Reporting. **Here's what you can expect as our Pulmonologist/Intensivist Coding Associate II:** + Assigns codes for...CPC + Two (2) years of experience + Experience coding inpatient and outpatient + Two (2)… more
    R1 RCM (06/10/25)
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  • Inpatient DRG Quality Auditor

    Humana (Boise, ID)
    …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... put health first** In this role, you will conduct quality reviews of coding processes within the...and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you**… more
    Humana (06/11/25)
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  • US- Coding Assoc III

    R1 RCM (Boise, ID)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The ** Inpatient Coding Quality Reviewer** will be responsible ... This role will report to the Regional Manager of Inpatient Coding Quality . **Here's what...and duties as requested. **Required Skills:** + Bachelor's or Associate 's Degree with CCS credential. + A minimum of… more
    R1 RCM (06/05/25)
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  • Impatient Coding Denial Specialist

    HCA Healthcare (Caldwell, ID)
    …from home position. **Full-time 40 Hour Work Week!** **Must have ACUTE CARE inpatient coding experience in a facility.** **Benefits** Parallon, offers a total ... part of our team. **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level...Specialist III (CARS-III) duties + Reviews all official data quality standards, coding guidelines, Company policies and… more
    HCA Healthcare (06/06/25)
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  • Coding Auditor Educator

    Highmark Health (Boise, ID)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (05/09/25)
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  • Outpatient Coding Team Lead

    HCA Healthcare (Caldwell, ID)
    …**What you will do in this role:** + Leads, coordinates and performs HSC coding quality reviews (eg, routine, policy driven, performance driven, incentive plan ... driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG/code validation, query validation) + Provides timely… more
    HCA Healthcare (06/05/25)
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  • Medical Records Technician (Coder) Auditor

    Veterans Affairs, Veterans Health Administration (Boise, ID)
    …offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign ... code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases… more
    Veterans Affairs, Veterans Health Administration (06/13/25)
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  • Medical Director-Payment Integrity

    Humana (Boise, ID)
    …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The possibility exists of doing… more
    Humana (06/06/25)
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  • Medical Director - Mid West Region

    Humana (Boise, ID)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Boise, ID)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (04/24/25)
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  • Transitional Care RN - Population Health Program…

    Trinity Health (Nampa, ID)
    …by these virtues, we pride ourselves on exceptional service and the highest quality of care Saint Alphonsus Medical Group (SAMG) is seeking a **Population Health ... Other responsibilities include supporting all Trinity Health initiatives to support quality outcome improvements. The Population Health RN supports the mission and… more
    Trinity Health (06/06/25)
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