What Jobs are available for Coding in Boise?

**Become a part of our caring community and help us put health first**
The Senior Coding Educator will work closely with providers to identify documentation and coding improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology.
This role reports to the Risk Adjustment Manager and will work closely with market operations, finance, and clinical team to effectively influence a provider to adopt best practices in the risk adjustment methodology.
The successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of chronic condition documentation and coding audits, risk adjustment program implementation and provider education delivery. An ideal candidate will also have the ability to look at provider performance metrics and be able identify where the risk adjustment gaps exist and how to close them with available resources by putting together an action plan. This also requires a commitment to cultivating internal and external business relationships to achieve desired outcomes.
+ Develop a comprehensive understanding of Humana's risk adjustment programs and the resources required for successful implementation.
+ Develop and apply keen insight of our providers and our KPIs, and be able to strategically assess where improvements can be made in the most effective way with available resources.
+ Perform analysis of performance indicators and put together a formal presentation for reporting out to providers on a regularly scheduled basis.
+ Provide measurable, actionable solutions to providers that will result in improved accuracy of documentation and coding, and adoption of best practices.
+ Successfully implement identified course of action to effectively impact risk adjustment deadlines and report on progress regularly.
+ Assist providers in understanding the CMS - HCC Risk Adjustment program as a payment methodology and the importance of proper chart documentation.
+ Knowledge of EMR interoperability solutions to influence provider groups in population health management through Point of Care Alerts and Supplemental Data (i.e. preferably Epic, Athena and eCW).
+ Facilitate presentations and train physicians and other staff regarding documentation, billing and ICD10 coding, and provide feedback to physicians regarding documentation practices and compliance with state and federal regulations.
+ Cultivate effective partnerships in a matrix environment of coding educators, medical director, clinical and market operations.
+ Facilitate, track and trend for reporting to leadership and participating groups and be able to make recommendations for improvement.
**Use your skills to make an impact**
**Required Qualifications**
+ 5+ years of experience in risk adjustment coding/auditing/education and provider relations/engagement
+ Certified Professional Coder (CPC)
+ Prior experience in successfully engaging with providers to participate in performance improvement programs
+ In-depth knowledge of risk adjustment key performance indicators and CMS payment models (V24 and V28)
+ Prior experience working in a cross-functional team
+ Expert facilitation and presentation skills to include online delivery
+ Advanced Microsoft Office skills including Word, Excel, Outlook and PowerPoint
+ Advanced knowledge of billing / claims submission and other related functions
+ Demonstrated ability to manage competing priorities and to effectively manage projects simultaneously
+ Demonstrated ability to adapt quickly to change
**Preferred Qualifications**
+ Bachelor's Degree
+ Certified Risk Adjustment Coder (CRC)
+ Certified Documentation Expert Outpatient (CDEO)
+ Knowledge of EMR (Athena, Epic and eCW)
+ Experience gained in risk adjustment field in physician practice or provider group
+ Review reports and analyze data to identify areas of improvement opportunities for provider groups
**Additional Information**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**Work At Home/Internet Information:**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA
**SSN Information:**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from with instructions on how to add the information into your official application on Humana's secure website.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
+ Proven ability to support coding judgment and decisions using industry standard evidence and tools.
+ Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
+ Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.
+ Identify clinically active vs. historical conditions
+ Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
+ Utilize medical records to ensure support is documented for etiology and manifestations of disease processes.
+ Adhere to stringent timelines consistent with project deadlines and directives.
+ Conducts self- process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.
**Required Qualifications**
+ Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.
+ CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required.
**Preferred Qualifications**
+ AA/AS or equivalent experience
+ Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 1-2 years for CPC.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$18.50 - $42.35
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 11/10/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 
As our **Surgical Coder III** you will be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., to extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance). Every day you will accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for coding and reporting, reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner, and Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns. To thrive in this role, you must be able to accurately abstract information from the medial records into the abstract system, according to established guidelines.
**Here's what you will experience working as our Surgical Coder III:**
+ Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD's/NCD's for medical necessity.
+ Reconciling offshore completed claims with feedback
+ Analyzing trends of escalated claims and recommending solutions to decrease future escalations
+ Maintain CFA RETURN spreadsheet with education to the global team
+ Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)
+ Validate offshore coder escalation of missing medical records and maintaining the MMR file
+ Understand site-specific SOPs and nuances and communicate changes to the team
+ Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards
+ Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines.
+ Assigns codes for diagnoses, treatments and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
**Required Skills:**
+ High School Diploma or GED required CCS-P, CPC
+ Three (3) years of coding experience in general surgery, orthopedics, neurosurgery and GI
+ Professional coding experience
+ Experience with Athena
+ Must be able to demonstrate proficiency in professional services (95% accuracy).
+ Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (ie: Documentation Guidelines '95 & '97)
For this US-based position, the base pay range is $20.13 - $31.13 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package. ( RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( learn more, visit: R1RCM.com
Visit us on Facebook ( is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: .

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**What We're Looking For:**
The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate. This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings.
* ***Seeking Profee coders with diverse E/M coding experience. Highly preferred to have experience in TP, Incident To and Split Shared visits. Surgical knowledge a plus. Must be familiar with Primary Care and a specialist. ***
**What You Will Do:**
+ Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS).
+ Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines.
+ Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
+ Demonstrate strong written and verbal communication skills
+ Identify documentation improvement opportunities and coding issues
+ Use VPN access to ensure productive and flexible task completion
+ Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency.
+ Track continuing education credits, maintaining a high standard of professional expertise.
+ Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement.
+ Adhere to the American Health Information Management Association's code of ethics, upholding professional standards and integrity.
***Seeking Profee coders with diverse E/M coding experience. Highly preferred to have experience in TP, Incident To and Split Shared visits. Surgical knowledge a plus. Must be familiar with Primary Care and a specialist. ***
**What You Need to Succeed:**
+ 1+ year of coding experience.
+ AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills.
+ Experience in computerized encoding and abstracting software.
+ Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually
**What We Offer:**
+ Full Benefits including a 401k Savings Plan
+ Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development
+ Compensation for AAPC/AHIMA dues
+ Company-provided equipment including computer, monitor, mouse, etc
+ Comprehensive training led by a credentialed professional coding manager
+ Exceptional service-style management and mentorship (we're in this together!)
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices.
We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job. **Pay range is between $20-28 an hour.**
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$0- 28 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!
***Seeking an experienced Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience. The ideal candidate will have demonstrated expertise in the following specialties: Interventional Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes Technical proficiency with Epic, 3M 360, and Computer-Assisted Coding (CAC) systems is required. This role demands a detail-oriented professional with a strong understanding of outpatient coding guidelines and the ability to ensure accurate and compliant coding practices across multiple specialties.***
**What You Will Do:**
+ Review medical records and assign accurate codes for diagnoses and procedures.
+ Assign and sequence codes accurately based on medical record documentation.
+ Assign the appropriate discharge disposition.
+ Abstract and enter the coded data for hospital statistical and reporting requirements.
+ Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.
+ Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards.
+ Be responsible for tracking continuing education credits to maintain professional credentials.
+ Attend Datavant Health sponsored education meetings/in-services.
+ Demonstrate initiative and judgment in the performance of job responsibilities.
+ Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
+ Function in a professional, efficient, and positive manner.
+ Adhere to the American Health Information Management Association's code of ethics.
+ Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn.
+ Handle a high complexity of work function and decision-making.
+ Possess strong organizational and teamwork skills.
+ Comply with all HIM Division Policies.
***Seeking an experienced Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience. The ideal candidate will have demonstrated expertise in the following specialties: Interventional Radiology Cardiology Injection and Infusion services Orthopedics Post-operative pain blocks Medical necessity documentation Claim edits and revenue codes Technical proficiency with Epic, 3M 360, and Computer-Assisted Coding (CAC) systems is required. This role demands a detail-oriented professional with a strong understanding of outpatient coding guidelines and the ability to ensure accurate and compliant coding practices across multiple specialties.***
**What You Need to Succeed:**
+ AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
+ 2+ years of coding experience in a hospital and/or coding consulting role.
+ Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions)
+ Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling)
+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills.
+ Experience in computerized encoding and abstracting software.
+ Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually
+ Experience in computerized encoding and abstracting software
**What We Offer:**
+ Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
+ Benefits for PRN employees: 401k savings plan w/match
+ Free CEUs every year
+ Stipend provided to assist with education and professional dues (AHIMA/AAPC)
+ Equipment: monitor, laptop, mouse, headset, and keyboard
+ Comprehensive training led by a credentialed professional coding manager
+ Exceptional service-style management and mentorship (we're in this together!)
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is: $20 - $5 an Hour.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
20- 35 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
+ Proven ability to support coding judgment and decisions using industry standard evidence and tools.
+ Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
+ Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity.
+ Identify clinically active vs. historical conditions.
+ Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
+ Utilize medical records to ensure support is documented for etiology and manifestations of disease processes.
+ Adhere to stringent timelines consistent with project deadlines and directives.
+ Conducts self- process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.
**Required Qualifications**
+ Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.
+ CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required.
+ CRC (Certified Risk Adjustment Coder)
+ Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).
+ Experience with International Classification of Disease (ICD) codes required.
+ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred.
**Education**
+ AA/AS or equivalent experience
+ Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 3 years for CPC.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$18.50 - $42.35
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 11/10/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

**Job Description:**
The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on incomplete, and ambiguous record documentation. They assist the coders in converting patient diagnoses and procedures documented by the providers in the EHR (Electronic Health Record) to ICD10/PCS and CPT codes at an advanced level of complexity.
**Essential Functions**
+ Provides advanced training to acute coders at all levels, providers, clinical staff, compliance and the CDI team.
+ Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit findings, and appeal strategies.
+ Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team.
+ Audits clinical documentation and coding for complex internal and external coding questions
+ Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care
+ Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI (Patient Safety Indicators)
+ Analyzes data and collaborates with applicable stakeholders to identify aberrant coding patterns and trends.
+ Participates in hospital quality improvement initiatives to assure accurate reimbursement
+ Participates in integrated testing of Epic, Solventum, and other software
**Skills**
+ ICD-10 CM/PCS and CPT
+ Electronic health record
+ Anatomy, physiology & pathophysiology
+ Training
+ Detail oriented
+ Coding software
+ Interpersonal skills
+ Auditing
+ Computer skills
+ Analytical skills
**Physical Requirements:**
**Qualifications**
**Required**
+ AHIMA CCS coding certification
+ Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements.
+ Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems.
+ Ability to complete and pass internal Lead coding exam.
+ Demonstrates proficiency in using coding software, electronic health records, and other health information systems.
+ Demonstrates excellent communication, interpersonal, and analytical skills
+ Demonstrated acute care facility coding experience which includes both ICD-10-CM/PCS and CPT coding with multidisciplinary service lines
**Preferred**
+ Bachelor's degree in health information management (RHIT), health informatics, or related field from an accredited institution. Education will be verified.
+ Three (3) years of experience in an HIM Coding role.
+ Demonstrated experience creating training programs and knowledge of adult learning styles.
+ Demonstrated proficiency with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools .
**Physical Requirements**
+ Ongoing need for caregiver to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require caregiver to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$33.75 - $53.16
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here ( .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.

**Become a part of our caring community and help us put health first**
The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
+ Review medical documentation for clinical indicators to ensure correct coding guidelines are met
+ Perform CPT/HCPCS code reviews for professional Evaluation and Management services: Inpatient services, office visit services, ER, Consultation services, Annual Wellness Services, and minor procedures
+ Utilize encoders and various coding resources
+ Maintain current working knowledge of ICD-10 and CPT coding principles, government regulation, protocols
+ Maintain strict patient and physician confidentiality
**Use your skills to make an impact**
**WORK STYLE:** Remote/Work at home
**WORK HOURS:** Associates will work on EST, regardless of where the associate resides. Work hours can vary slightly, but all associates start between 6AM-9AM EST. Some flexibility is available, depending on business needs.
**Required Qualifications**
+ CPC, CCS, COC, RHIA, or RHIT Certification either through AAPC or AHIMA
+ Minimum of 3 years post-certification experience auditing Professional Evaluation & Management Services - Inpatient, Office, ER, Telehealth, Home Health, and minor procedures
+ Strong attention to detail
+ Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
+ Can work independently and determine appropriate courses of action
+ Ability to handle multiple priorities
+ Capacity to maintain confidentiality
+ Excellent communication skills both written and verbal
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ 5 years post-certification experience auditing Professional Evaluation & Management Services - Inpatient, Office, ER, Telehealth, Home Health, and minor procedures
+ Experience with the Claims Life Cycle
+ Experience with coding/auditing Professional Inpatient Claims
+ Experience in Select Coder, 3M
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$59,300 - $80,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline:
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**What We're Looking For:**
The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate. This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings.
***Seeking Profee coders with diverse E/M coding experience. Highly preferred to have experience in TP, Incident To and Split Shared visits. Surgical knowledge is preferred. Must be familiar with Primary Care and a specialist.***
**What You Will Do:**
+ Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS).
+ Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines.
+ Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
+ Demonstrate strong written and verbal communication skills
+ Identify documentation improvement opportunities and coding issues
+ Use VPN access to ensure productive and flexible task completion
+ Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency.
+ Track continuing education credits, maintaining a high standard of professional expertise.
+ Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement.
+ Adhere to the American Health Information Management Association's code of ethics, upholding professional standards and integrity.
***Seeking Profee coders with diverse E/M coding experience. Highly preferred to have experience in TP, Incident To and Split Shared visits. Surgical knowledge is preferred. Must be familiar with Primary Care and a specialist.***
**What You Need to Succeed:**
+ 1+ year of coding experience.
+ AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
+ Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills.
+ Experience in computerized encoding and abstracting software.
+ Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually
**What We Offer:**
+ Full Benefits including a 401k Savings Plan
+ Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development
+ Compensation for AAPC/AHIMA dues
+ Company-provided equipment including computer, monitor, mouse, etc
+ Comprehensive training led by a credentialed professional coding manager
+ Exceptional service-style management and mentorship (we're in this together!)
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices.
We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job. **Pay range is between $20-28 an hour.**
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$0- 28 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .