- Highmark Health (Boise, ID)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
- Molina Healthcare (Boise, ID)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. **Job Duties**… more