- HCA Healthcare (Salt Lake City, UT)
- …general/focus education for facility leaders on (but not limited to) compliance , medical necessity , charge practices, coding requirement etc. + Tracks ... join an organization that invests in you as a Medical Necessity Compliance Coordinator? At...substitute education requirements. + Minimum 3 years of hospital coding experience preferred + Minimum 5 years healthcare experience… more
- Cardinal Health (Salt Lake City, UT)
- …detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. Particular areas of focus include: ... assigned. **_Qualifications_** + 4-8 years experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work.… more
- Molina Healthcare (UT)
- …medical determinations as necessary, and applies clinical knowledge to assess the medical necessity , level of services, and/or appropriateness of care in ... to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews.… more
- CVS Health (Salt Lake City, UT)
- …approves routine claims that cannot be auto adjudicated. - Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify ... or referral submission to determine, review, or apply appropriate guidelines, coding , member identification processes, provider selection processes, claim coding… more
- Highmark Health (Salt Lake City, UT)
- …and in writing when the information provided is not adequate to make a medical necessity determination + Maintain or exceed department call center standards + ... based on the benefits for the line of business, and in compliance with the organization's policies, procedures and regulatory requirements. Document, process and… more
- RTX Corporation (Salt Lake City, UT)
- …life cycle including bids, project management, design, requirements capture, coding , integration, verification, and certification + Provide technical leadership and ... subjects to provide direction for direct reports + Ensure compliance to development processes and standard work requirements +...Offer** Some of our competitive benefits package includes: + Medical , dental, and vision insurance + Three weeks of… more
- Intermountain Health (Salt Lake City, UT)
- …Additionally, the Manager will support coordinating efforts on clinical denials for medical necessity when needed and collaborate with external stakeholders for ... or Above) in a hospital setting. + Demonstrated skills and experience in Medical Billing, Computer Coding , Business Office, Revenue Cycle, + Insurance… more
- Intermountain Health (Provo, UT)
- …patient information, procedures performed, and any adverse reactions. + Follows protocols for medical necessity , coding , charging, consents, QC programs, and ... this role. If this applies, each facility would define and manage compliance . + Experience + 1+ years CT experience **Physical Requirements:** **Physical… more