- Public Consulting Group (Salt Lake City, UT)
- …. Assists with quality control projects, including case reviews to ensure the integrity of claim methodology and eligibility determinations. . Assists with ... procedural coding, ICD diagnosis codes, modifiers etc. + Able to interpret insurance claim rejections and denials. + Can perform data entry. + Self-motivated… more
- Humana (Salt Lake City, UT)
- …and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing ... of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data … more
- Intermountain Health (Salt Lake City, UT)
- …and expertise to work alongside and collaborates with Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review ... Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital....It ensures compliance and accurate submission of publicly reported data for all payers. It assigns ICD-10 and DRG… more