• 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, ... (10%) + Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices,… more
    Highmark Health (05/09/25)
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  • Patient Account Representative - Billing…

    Surgery Care Affiliates (Boise, ID)
    …we support and the teammates who push us forward. Behind every successful facility , procedure or innovation is a team of 15,000+ professionals working together, ... systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn't just what we… more
    Surgery Care Affiliates (03/05/25)
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  • Medical Director--Claims Management

    Humana (Boise, ID)
    …in care management. The clinical scenarios predominantly arise from outpatient , inpatient or post-acute care environments. Has discussions with external ... may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and … more
    Humana (05/08/25)
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  • Medical Director - Care Plus - Florida

    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...Director may speak with contracted external physicians, physician groups, facilities , or community groups to support regional market priorities,… 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 ... information systems. + Conduct regular system audits 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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