- R1 RCM (Boise, ID)
- …platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The ** Inpatient Coding Quality Associate ** will ... This role will report to the Regional Manager of Inpatient Coding Quality . In this... results. **Here's what you can expect as out Coding Quality Associate :** + Audits… more
- Humana (Boise, ID)
- …part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related… more
- Humana (Boise, ID)
- …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... put health first** In this role, you will conduct quality reviews of coding processes within the...and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you**… more
- Highmark Health (Boise, ID)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- Datavant (Boise, ID)
- …how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality . + Oversee the coding phase of client projects to ... collaboration with those responsible for coder performance management. + Drive quality assurance and performance improvement activities for coding projects.… more
- Humana (Boise, ID)
- …and help us put health first** We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics team. Evaluates economic, financial, and ... or data requires an in-depth evaluation of variable factors. The Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost… more
- 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
- Intermountain Health (Boise, ID)
- …Certified Outpatient Coder (COC) or Certified Inpatient Coder (CIC) or Certified Coding Associate through AHIMA (CCA) required Preferred Associate Degree ... ICD-10 diagnosis and procedure codes with the appropriate DRG assignment for inpatient encounters, ICD-10 diagnosis and procedure codes, CPT-4 procedure codes, and… more
- Humana (Boise, ID)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Humana (Boise, ID)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more