• Registered Nurse Auditor

    Intermountain Health (Murray, UT)
    …To review medical records retrieved from provider offices and abstract medical information for HEDIS (Health Effectiveness Data Information Set) annual audits. ... Interprets relevant clinical criteria through review of medical records annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. **Job Essentials** + Work collaboratively with Select… more
    Intermountain Health (10/28/25)
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  • DRG Auditor - December

    Insight Global (South Jordan, UT)
    …necessity criteria, and coding terminology. Expert coding knowledge (DRG & ICD-10) Registered Nurse RN (must be inpatient) WITH coding/clinical documentation ... Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100%...(2 years in clinical documentation) OR IF NOT A NURSE : Degree in RHIM, RHIA, RHIT with medical coding… more
    Insight Global (10/18/25)
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  • Supervisor, Clinical Data Acquisition (Remote)

    Molina Healthcare (Orem, UT)
    …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational Nurse (LVN), or ... OR completion of any of the following programs: + Registered Nurse (RN) or State Licensed Vocational...be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) **PHY** **S** **I** **C** **AL DEM** **A**… more
    Molina Healthcare (10/24/25)
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