• DRG Auditor - December

    Insight Global (South Jordan, UT)
    …assignment accuracy. Below are the key responsibilities for this role: Integrates medical chart coding principles, clinical guidelines, and objectivity in the ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the… more
    Insight Global (10/18/25)
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  • Senior Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Salt Lake City, UT)
    …with ad hoc projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed ... conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection.… more
    Molina Healthcare (08/21/25)
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  • Supervisor, Clinical Data Acquisition (Remote)

    Molina Healthcare (Provo, UT)
    …implementation of HEDIS activities, including the identification, collection and abstraction of medical records and other data in support of annual HEDIS project ... management and ongoing review of medical records submitted by providers. + Implements Molina Healthcare...departments (eg, Risk Adjustment) to ensure prospective and/or retrospective chart reviews and completed timely and accurately. + Effectively… more
    Molina Healthcare (10/24/25)
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