- Insight Global (South Jordan, UT)
- …remote. This person should have an extensive background in either facility-based nursing, clinical documentation , and/or inpatient coding and has a high level of ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...& ICD-10) Registered Nurse RN (must be inpatient) WITH coding/ clinical documentation certification (2 years in … more
- Humana (Salt Lake City, UT)
- …receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure correct coding ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct… more
- Molina Healthcare (Provo, UT)
- JOB DESCRIPTION Job Summary The Non- Clinical Auditor is responsible for conducting detailed audits of member service interactions, including call recordings and ... documentation , to assess accuracy, completeness, and compliance. This role...audit results. * Meets minimum production standards related to non- clinical auditing. * May conduct staff trainings as needed.… more
- Datavant (Salt Lake City, UT)
- …adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and ... educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and… more
- Merck (Salt Lake City, UT)
- …Skills:** Accountability, Accountability, Adaptability, Audits Compliance, Business Processes, Clinical Documentation , Clinical Quality Management, ... and saving lives around the world. Our Research & Development Division QA Clinical Quality (CQ) provide independent assurance that our Company ensures the safety,… more
- CVS Health (Salt Lake City, UT)
- …Eastern and Central time zones._ **Job Summary:** The NCQA Accreditation Auditor is responsible for evaluating healthcare organizations' compliance with NCQA ... and supporting quality activities. This role involves conducting audits, preparing documentation , and collaborating with internal teams, as well as external… more
- Datavant (Salt Lake City, UT)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...assess proper coding or identify the need for additional documentation . Scrutinizes all HCPCS and CPT codes influencing APC… more
- Molina Healthcare (Layton, UT)
- …of department interventions. + Creates, manages, and/or compiles the required documentation to maintain critical quality improvement functions. + Leads quality ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** 1 year of… more