NewMedical Coding Quality Team Lead PacificSource Health PlansMedical Coding Quality Team LeadBoise, ID$65,296.83–$111,004.62 / yearOversee and support the Claims Refunds team with adjusting claims for refunds, sending refund letters and follow-up, sending to PRS for collection, posting refunds, balancing daily deposit and month end report. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization.
NewMedical Coding Quality Team Lead PacificSourceMedical Coding Quality Team LeadBoise, IdahoOversee and support the Claims Refunds team with adjusting claims for refunds, sending refund letters and follow-up, sending to PRS for collection, posting refunds, balancing daily deposit and month end report. Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Compensation Disclaimer .
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystBoise, IDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
CODE COMPLIANCE & COMMUNITY RELATIONS OFFICER I City of NampaCODE COMPLIANCE & COMMUNITY RELATIONS OFFICER INampa, ID$21.71–$25.01 / hourEmployees in this class are expected to establish and maintain effective working relationships with supervisors, departmental personnel, local businesses, homeowners, contractors, engineers, and the general public. Essential Functions: Receives and responds to complaints regarding zoning violations, nuisances, weeds, abandoned vehicles, and other City code violations, investigating circumstances and identifying any violations to obtain compliance in a timely and courteous manner.
NewDeputy City Clerk-Licensing & Code City of BoiseDeputy City Clerk-Licensing & CodeBoise, ID$76,065.60–$90,322.96 / yearCollaborates with businesses, industry representatives, community stakeholders, Legal and Mayor's Office staff to facilitate policy direction; develops and recommends ordinances, code amendments, fees, procedures and regulatory approaches; coordinates implementation of approved changes; and improves processes, systems and technology to simplify requirements, strengthen consistency, reduce unnecessary work, and improve services for employees and customers. Oversees daily service operations and schedules work based on organizational priorities and service needs; implements creative solutions to improve performance, efficiency, service delivery and organizational effectiveness; and represents the City Clerk's Office by building productive relationships, facilitating public and stakeholder meetings, communicating complex or sensitive information, and collaboratively resolving concerns.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)ID$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Medical Coder - In-Patient & Out-Patient - Surgical Hospital - Treasure Valley Hospital Surgical Care Affiliates LLCMedical Coder - In-Patient & Out-Patient - Surgical Hospital - Treasure Valley HospitalBoise, IDAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Here, you'll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
Medical Coder - In-Patient & Out-Patient - Surgical Hospital - Treasure Valley Hospital SCA HealthMedical Coder - In-Patient & Out-Patient - Surgical Hospital - Treasure Valley HospitalBoise, IdahoAs part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
Charge Master Analyst Sutter HealthCharge Master AnalystBoise, ID$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Customer Service Representative Quantum RecruitersCustomer Service RepresentativeBoise, IDWork efficiently in multiple systems simultaneously while effectively utilizing critical thinking and problem solving skills. Work Experience: One-year medical insurance, other healthcare related field, call center or customer service experience required.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistID$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
ABA Clinical Reviewer TriWest Healthcare AllianceABA Clinical ReviewerBoise, IDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinker with the ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. General knowledge of TRICARE or other government health care programs; Knowledge in the application of clinical criteria: InterQual, ICD-10-CM, DSM, and CPT coding; Proficient with Microsoft Office.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementBoise, IDRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
NewAccount Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IBoise, IDRemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
NewSupervisory Inpatient/Outpatient Medical Coder Loyal Source Government Services LLCSupervisory Inpatient/Outpatient Medical CoderBoise, IDLoyal Source Government Services is looking for 1 full-time Supervisory Inpatient/Outpatient Medical Records Technician (MRT) Coder to provide remote services to the VA Northeast Ohio Healthcare System located in Cleveland, OH. Supervisory MRT Coders are expected to maintain a high degree of accurate productivity and performance while working with our VA community at the VA Northeast Ohio Healthcare System in Cleveland, OH.
NewSurgical Medical Record Technician Coder Loyal Source Government Services LLCSurgical Medical Record Technician CoderBoise, IDAccurately perform the full scope of assigned coding, including ambulatory surgical cases, diagnostic studies and procedures, inpatient facility coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional services. Loyal Source Government Services is looking for 1 full-time Surgical Medical Records Technician (MRT) Coders to provide remote services to the VA Northeast Ohio Healthcare System located in Cleveland, OH.
NewOutpatient Medical Record Technician Coder Loyal Source Government Services LLCOutpatient Medical Record Technician CoderBoise, IDLoyal Source Government Services is looking for 10 full-time Outpatient Medical Records Technician (MRT) Coders to provide remote services to the VA Northeast Ohio Healthcare System located in Cleveland, OH. MRT Coders are expected to maintain a high degree of accurate productivity and performance while working with our VA community at the VA Northeast Ohio Healthcare System in Cleveland, OH.
NewInpatient Medical Record Technician Coder Loyal Source Government Services LLCInpatient Medical Record Technician CoderBoise, IDAccurately perform the full scope of assigned coding, diagnostic studies and procedures, inpatient facility coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional services. Loyal Source Government Services is looking for 3 full-time Inpatient Facility Medical Records Technician (MRT) Coders to provide remote services to the VA Northeast Ohio Healthcare System located in Cleveland, OH.
Pharmacy Care Technician - Work From Home (Idaho) CVS Health CorpPharmacy Care Technician - Work From Home (Idaho)ID$17–$25.65 / hourPharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion.
Program Manager-Risk Adjustment Blue Cross and Blue Shield AssociationProgram Manager-Risk AdjustmentMeridian, IDRemote$86,650–$129,974 / yearCollaborate with cross-functional teams, including, Provider Engagement, Risk Adjustment Coders, Data Analysts, vendors, Quality/HEDIS, Healthcare Operations, Compliance, Legal, Marketing, Corporate Communications, IT and Procurement to streamline processes, ensure compliant timely execution and to support data integrity. The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data.