Job Details

Coding Quality Specialist

At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.

Under limited supervision, the Coding Quality Specialist is responsible for ensuring coding practices and procedures are in compliance with all applicable state and federal laws, regulations, rules, and policies of governmental authorities and payers.

Demonstrates advanced competency with coding and review of medical record documentation to accurately assign codes based on state and federal regulations and company policies.

Reviews reimbursement denials from third party carriers associated with inappropriate diagnosis or procedure coding.

Responds promptly to questions from coders and utilizes various reports for the analysis and identification of patterns or trends when investigating issues.

Analyzes and reviews documentation for appropriateness and completeness to ensure documentation supports the level or type of services billed and documentation is in compliance with all guidelines and regulations.

Apply advanced coding knowledge to problem solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes.

Communicates with department management regarding complex coding issues, auditing issues, and current coding regulations.

Collaborates with department leadership to continually improve and maintain the efficiency and accuracy of the overall coding process.

Interprets federal and state regulations related to coding and integrates applicable regulations into current processes.

Performs other duties and responsibilities as assigned.

Qualifications:

Education: Associates degree or experience in lieu of degree

Experience: 4 years relevant experience

Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist Physician based), CPC (Certified Professional Coder), CPC-H (Certified Professional Coder Hospital), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), or CRC (Certified Risk Adjustment Coder).

What's in it for you At St. Luke's, caring for people in the communities we serve is our mission and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

Location: Boise

Category: Revenue Cycle / Health Information Management

Work Unit: SLHP Admin Salaries Only System Office

Position Type: Full-Time

Work Schedule: DAY

Requisition ID: 2026-109025

Work Location: 720 E Park Blvd, Boise, St Luke's Central Plaza