• Auditor , Risk Adjustment…

    Molina Healthcare (Layton, UT)
    …**Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited ... file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and… more
    Molina Healthcare (07/25/25)
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  • HCC Risk Adjustment Auditor…

    Datavant (Salt Lake City, UT)
    …coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been...and verbal communication skills, ability to work in a remote environment and time management skills + Working knowledge… more
    Datavant (08/01/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Salt Lake City, UT)
    …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (07/29/25)
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