Coding Supervisor | HIM | HYBRID (ON-SITE/REMOTE) Gritman Medical CenterCoding Supervisor | HIM | HYBRID (ON-SITE/REMOTE)Moscow, IDRemotePreferred Qualifications: Prefer five (5) years experience in a supervisory role in healthcare with extensive knowledge of ICD-10-CM, CPT, HCPCS, and documentation guidelines; EPIC experience, including HB and PB billing. Keeps abreast of recent technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other future issues impacting the coding function.
Director Clinical Operations and Medical Policy Cambia Health Solutions IncDirector Clinical Operations and Medical PolicyLewiston, IDDemonstrated knowledge of the following: Health Plan and benefit design structures and application; Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Knowledge of health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities, health insurance operations, or legal research helpful; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. These activities include services pertaining to: evidence reviews of medications, formulary development, Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or medical claims system, medication pipeline monitoring, medication trend management, and consultation and guidance on medication-related issues.
Health Information Management- Coder Pullman Regional HospitalHealth Information Management- CoderPullman, WA$25.50–$39.60 / hourPosition Overview: Outpatient coding specialist performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnosis and procedures utilizing ICD-10 and CPT coding systems and assists in decreasing the average accounts received days. Maintains a thorough understanding of coding classification systems, anatomy and physiology, medical terminology, pharmacology, disease processes, surgical techniques, outpatient documentation requirements, E/M guidelines, and payer-specific coding policies.
Temporary Customer Service Professional I Cambia HealthTemporary Customer Service Professional ILewiston, IDRemote$19–$22.25 / hour6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.
Temporary Customer Service Professional I Cambia Health Solutions IncTemporary Customer Service Professional ILewiston, IDRemote$19–$22.25 / hour6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.
Clinical Inpatient Pharmacy Technician - Audit & Review Cambia Health Solutions IncClinical Inpatient Pharmacy Technician - Audit & ReviewLewiston, IDRemoteAs a member of the Post Service Claim Review team, our Clinical Inpatient Pharmacy Technicians conducts post-service audits to ensure billing accuracy, analyzes billings for consistency with medical records and reimbursement policies, and performs projects as requested by supervisors - all in service of making our members' health journeys easier. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
Manager Clinical Pharmacy Quality and Affordability Programs Cambia Health Solutions IncManager Clinical Pharmacy Quality and Affordability ProgramsLewiston, ID$146,149.85–$197,732.15 / yearDemonstrated knowledge of: Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. Collaborates with the Pharmacy Directors, VPs, and other leadership in coordinating corporate-wide activities related to the appropriate use of medications, improved quality related to medication therapy, promotion of cost-effective prescribing, and reduction in short-term and long-term overall costs to internal and external clients.
NewManager Clinical Pharmacy Services Cambia Health Solutions IncManager Clinical Pharmacy ServicesLewiston, IDDemonstrated knowledge of: Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. Collaborates with the Pharmacy Directors, VPs, and other leadership in coordinating corporate-wide activities related to the appropriate use of medications, improved quality related to medication therapy, promotion of cost-effective prescribing, and reduction in short-term and long-term overall costs to internal and external clients.
Manager Clinical Pharmacy Quality And Affordability Programs Cambia HealthManager Clinical Pharmacy Quality And Affordability ProgramsLewiston, ID$146,149.85–$197,732.15 / yearDemonstrated knowledge of: Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. As a member of the Pharmacy Service leadership team, our Manager Clinical Pharmacy Quality and Affordability Programs leads a team of clinical pharmacy professionals responsible for the strategy, development, implementation, and optimization of pharmacy quality, affordability, and medication management programs across all lines of business.
Software Development Engineer III Cambia HealthSoftware Development Engineer IIILewiston, ID$90,000–$119,000 / yearQualifications and Certifications: The Software Development Engineer III would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 5 years relevant experience in a multi-platform environment. Able to lead multi-discipline teams for work efforts including estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues, and providing status.
NewSoftware Development Engineer II - III (EDI Enrollment) Cambia Health Solutions IncSoftware Development Engineer II - III (EDI Enrollment)Lewiston, ID$81,000–$106,000 / yearWhat You Bring to Cambia: Qualifications: The Software Development Engineer II would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 3 years relevant experience in a multi-platform environment. The Software Development Engineer III would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 5 years relevant experience in a multi-platform environment.
NewFacets Developer II or III (Facets Application Services) Cambia Health Solutions IncFacets Developer II or III (Facets Application Services)Lewiston, ID$81,000–$106,000 / yearWhat You Bring to Cambia: Qualifications: The Facets Developer II would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 3 years relevant experience in a multi-platform environment. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate.
NewSoftware Development Engineer II - III (Edi Enrollment) Cambia HealthSoftware Development Engineer II - III (Edi Enrollment)Lewiston, ID$81,000–$106,000 / yearWhat You Bring to Cambia: Qualifications: The Software Development Engineer II would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 3 years relevant experience in a multi-platform environment. The Software Development Engineer III would have a Bachelor's degree in Computer Science, Mathematics, Business Administration, Engineering, or a related field and at least 5 years relevant experience in a multi-platform environment.
Clinic Patient Access Rep Gastroenterology Clinic Knight Health Holdings LLCClinic Patient Access Rep Gastroenterology ClinicLewiston, IDThis role supports efficient clinic operations by providing excellent customer service and ensuring that all financial, demographic, and authorization requirements are accurately completed before the patient's visit. The Clinic - Patient Access Representative assists in coordinating patient access services including scheduling, registration, insurance verification, and pre-certification.