- CenterWell (Boise, ID)
- …to substantial. **Relationship Building:** + Cultivate relationships with onshore and offshore coding teams including leaders. + Serve as liaison and primary ... and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis… more
- Datavant (Boise, ID)
- …a trusted advisor, demonstrating a strong understanding of risk adjustment, HCC coding , and value-based care operations. + Liaison account management activities, ... our efforts in selling chart retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be responsible for… more
- Highmark Health (Boise, ID)
- …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with ... clinical policy intent. Develop and maintain a thorough understanding of medical coding (ICD-10, CPT, HCPCS) and ensure accurate coding principles are… more
- Cardinal Health (Boise, ID)
- …orthotics, and supplies("DMEPOS"), including detection and correction of documentation, coding , identifying potential errors and/or medical necessity of items ... Supplier and Quality Standards, and other payor requirements. + Serves as liaison with third party government contractors conducting audits as well as managing… more
- Highmark Health (Boise, ID)
- …members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding based off policy criteria ... procedures, and mentors new team members. Serves as a liaison between other departments and vendors as required. **ESSENTIAL...medical policy experience **Preferred** + 1 year of medical coding experience **SKILLS** + Critical Thinking + Oral and… more
- Idaho Division of Human Resources (Boise, ID)
- …to make recommendations for policy changes related to healthcare billing and coding , Medicaid reimbursement activities, value care, and managed care. + Collaborate ... number and level of staff supervised. + Experience providing liaison with customer/provider groups. Typically gained by at least...with one or more community groups of adults or liaison with customers and/or provider groups in a leadership… more
- Highmark Health (Boise, ID)
- …the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, ... the benefits and claims processes for the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case… more
- Cardinal Health (Boise, ID)
- …billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. **_Job Summary_** The ... Grid or other work allocation tools, preferred. + Exposure to ICD-10/HCPCS coding and basic authorization/claims terminology, preferred, **_What is expected of you… more
- Cardinal Health (Boise, ID)
- …to Cardinal Health** Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... challenges. + Participate and lead effort estimation for new functionality asks and liaison with various business partners to help drive business cases. + Interact… more