• Clinical Specialist I, CPT

    Abbott (Boise, ID)
    …and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist I, CPT - Bosie, ID** **PLEASE NOTE: This ... Opportunity** Our team is actively pipelining talented professionals for a forthcoming ** Clinical Specialist I, CPT ** **in** **Boise, ID.** As a member of… more
    Abbott (04/29/25)
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  • Payer Authorization Specialist

    Trinity Health (Boise, ID)
    Specialist performs insurance verification and pre-authorization on all clinical procedures, diagnostics and operative services requiring prior authorization from ... coder, medical billing, Medical Assistant, Insurance or Surgical Coordinator or other relevant clinical background required. 3. Working knowledge of CPT and ICD… more
    Trinity Health (05/28/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Meridian, ID)
    …Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of… more
    Molina Healthcare (05/16/25)
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  • Coding Auditor Educator

    Highmark Health (Boise, ID)
    …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (05/09/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Boise, ID)
    …Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology ( CPT ) and other coding references to ensure accurate coding. Coding ... into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate,… more
    Baylor Scott & White Health (05/07/25)
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