- R1 RCM (Boise, ID)
- …and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + Active AHIMA or AAPC Coding Certification including ... Nurse ** , you will help review and interpret medical records to draft appeals of denied and underpaid...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
- Molina Healthcare (Nampa, ID)
- …Nursing License ( RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position would oversee management of training for… more