• Coding Auditor

    R1 RCM (Boise, ID)
    As our ** Coding Auditor ** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will ... your knowledge with others. **Here's what you will experience working as a** ** Coding Auditor :** + Conduct audits of work completed by coders and auditors to… more
    R1 RCM (07/30/25)
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  • Physician Billing Coding Auditor

    R1 RCM (Boise, ID)
    …patient satisfaction and improves financial performance. R1 is currently seeking a Physician Coding Auditor with a background in Physician coding , billing, ... guidelines. The Auditor must understand medical terminology, coding , contractual agreements, and various payment methodologies. This position requires… more
    R1 RCM (07/29/25)
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  • Coding Auditor & Educator

    Trinity Health (Boise, ID)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The Coding Auditor & Educator performs medical record audits including analysis of medical ... procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services… more
    Trinity Health (05/28/25)
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  • Coding Auditor Educator

    Highmark Health (Boise, ID)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (05/09/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Boise, ID)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
    Humana (07/29/25)
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  • Inpatient DRG Quality Auditor

    Humana (Boise, ID)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (07/25/25)
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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 (07/31/25)
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  • DRGV Auditor II

    R1 RCM (Boise, ID)
    …one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding… more
    R1 RCM (07/03/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Boise, ID)
    …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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  • Auditor , Risk Adjustment (Remote)

    Molina Healthcare (Idaho Falls, ID)
    …payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education** ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more
    Molina Healthcare (07/25/25)
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