• Inpatient Coding Quality

    R1 RCM (Salt Lake City, UT)
    …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. ​ The ** Inpatient Coding Quality Associate ** is responsible ... is a plus. + Minimum 3 years of hands-on inpatient coding experience + At least 2...experience + At least 2 years of experience in coding quality review or auditing is preferred… more
    R1 RCM (06/13/25)
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  • Pulmonologist Intensivist Coding

    R1 RCM (Salt Lake City, UT)
    …analytics, AI, intelligent automation, and workflow orchestration. The **Pulmonologist/Intensivist** ** Coding Associate II** will be responsible for reviewing ... Reporting. **Here's what you can expect as our Pulmonologist/Intensivist Coding Associate II:** + Assigns codes for...CPC + Two (2) years of experience + Experience coding inpatient and outpatient + Two (2)… more
    R1 RCM (06/10/25)
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  • Inpatient DRG Quality Auditor

    Humana (Salt Lake City, UT)
    …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... put health first** In this role, you will conduct quality reviews of coding processes within the...and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you**… more
    Humana (06/17/25)
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  • Coding Auditor Educator

    Highmark Health (Salt Lake City, UT)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (05/09/25)
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  • Outpatient Coding Team Lead

    HCA Healthcare (Salt Lake City, UT)
    …**What you will do in this role:** + Leads, coordinates and performs HSC coding quality reviews (eg, routine, policy driven, performance driven, incentive plan ... driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG/code validation, query validation) + Provides timely… more
    HCA Healthcare (06/21/25)
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  • Medical Director-Payment Integrity

    Humana (Salt Lake City, UT)
    …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The possibility exists of doing… more
    Humana (06/06/25)
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  • Medical Director - Mid West Region

    Humana (Salt Lake City, UT)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Salt Lake City, UT)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (04/24/25)
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