- R1 RCM (Salt Lake City, UT)
- As our ** Coding Auditor ** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you will ... your knowledge with others. **Here's what you will experience working as a** ** Coding Auditor :** + Conduct audits of work completed by coders and auditors to… more
- R1 RCM (Salt Lake City, UT)
- …patient satisfaction and improves financial performance. R1 is currently seeking a Physician Coding Auditor with a background in Physician coding , billing, ... guidelines. The Auditor must understand medical terminology, coding , contractual agreements, and various payment methodologies. This position requires… more
- Highmark Health (Salt Lake City, UT)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Humana (Salt Lake City, UT)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
- Humana (Salt Lake City, UT)
- …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
- Humana (Salt Lake City, UT)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- R1 RCM (Salt Lake City, UT)
- …one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing ... for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and flexible in a… more
- Molina Healthcare (Layton, UT)
- …payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education** ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more
- Molina Healthcare (Provo, UT)
- …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more