• Supervisor Coding

    Highmark Health (Salt Lake City, UT)
    …technical expertise for coding content and functions within the department. The supervisor is responsible for the analysis and assessment of data relating to ... coding . Acting as an internal consultant, the supervisor provides essential quality reports, advice and improvement recommendations to management along all… more
    Highmark Health (01/29/25)
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  • Supervisor , Payment Integrity

    Molina Healthcare (Salt Lake City, UT)
    …COB, Subrogation, Premium Enhancement (MSP), Datamining, Pre-pay Editing for correct coding and medical payment policies. Many of these activities include oversight ... and vendor inventory management/processing that are supplemental to internal processes and recovery activities. * Manages team members responsible for executing projects and activities involving inventory management and prioritization, information reporting,… more
    Molina Healthcare (02/01/25)
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  • Supervisor , Application Development…

    Cardinal Health (Salt Lake City, UT)
    …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... a cross-functional team environment through adherence to established design control processes and good engineering practices. This job family programs and configures end user applications, systems, databases and websites to achieve the organization's internal… more
    Cardinal Health (01/31/25)
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  • Health Plan Grievance and Appeals…

    University of Utah Health (Salt Lake City, UT)
    …strong critical thinking skills. + Demonstrated understanding of enrollment, medical coding , medical claims. + Ability to establish good relationships with internal ... and external stakeholders. + Strong verbal/written communication skills. **Qualifications** **Qualifications** **Required** + Bachelor's degree in a related field or equivalency. + Three years of experience in a health insurance environment, preferably in… more
    University of Utah Health (01/28/25)
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  • Programmer IV

    GovCIO (Salt Lake City, UT)
    …responds to problems by diagnosing and correcting errors in logic and coding ; implements and/or maintains assigned portions of a scientific programming project, ... the user and consultation with and approval of the supervisor or higher-level staff + This Programmer may assist...programs under close direction of higher level staff or supervisor , and may assist higher level staff by independently… more
    GovCIO (12/27/24)
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  • Programmer II

    GovCIO (Salt Lake City, UT)
    …responds to problems by diagnosing and correcting errors in logic and coding ; implements and/or maintains assigned portions of a scientific programming project, ... the user and consultation with and approval of the supervisor or higher-level staff. + This Programmer may assist...programs under close direction of higher level staff or supervisor , and may assist higher level staff by independently… more
    GovCIO (12/25/24)
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  • Intake RN, HH, Work From Home

    Sutter Health (Salt Lake City, UT)
    …problems or difficulties accepts clinical assignments as designated by the supervisor **Customer Service and Communication with Internal and External Customers:** * ... as they arise or identify when to consult the supervisor Must have knowledge of current Hospice/Home Health admission...Medi-Cal, Commercial, State and Federal regulations Familiarity with ICD-10 coding preferred but not essential Must be able to… more
    Sutter Health (11/23/24)
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  • Claim Examiner Liability

    Sedgwick (Salt Lake City, UT)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or… more
    Sedgwick (02/01/25)
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  • PS Research Assistant/Analyst

    University of Utah (Salt Lake City, UT)
    …team to establish inter-rater reliability for inclusion/exclusion of articles and coding . Enters related information into computer system. Completes all other duties ... the team and is flexible + Communicates problems, issues and frustrations to supervisor and/or OB/ WCSL Leadership **Work Environment and Level of Frequency that may… more
    University of Utah (02/01/25)
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  • Environmental Claims Specialist

    Sedgwick (Salt Lake City, UT)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… more
    Sedgwick (01/28/25)
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  • Claims Advisor, Professional Liability

    Sedgwick (Salt Lake City, UT)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors others. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Travels as required. **QUALIFICATIONS** **Education & Licensing** Masters or Juris Doctorate degree from an accredited college… more
    Sedgwick (01/25/25)
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  • Claims Adjuster - Liability - Cerritos, California…

    Sedgwick (Salt Lake City, UT)
    …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or… more
    Sedgwick (01/18/25)
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  • Population Health Coordinator

    HCA Healthcare (Salt Lake City, UT)
    …+ **Performs related work and additional duties as requested by supervisor ** **Care Gaps** + **Monitors patient compliance with preventive screening processes ... knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding , HEDIS measures, and/or medical office processes + Self-motivated and flexible… more
    HCA Healthcare (01/15/25)
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  • Principal Client Solution Architect - State…

    Mathematica (Salt Lake City, UT)
    …Medicaid, or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding ). * Ability to describe difficult technical problems and solutions to a ... need to be able to obtain work outside these contracts. Staff will work with their supervisor to get re-staffed, however if they are unable to do so it may result in… more
    Mathematica (01/04/25)
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  • Care Coordinator

    HCA Healthcare (Salt Lake City, UT)
    …activities** + **Perform related work and additional duties as requested by supervisor ** **Transitions of Care:** + **Contact patients after an emergency department ... knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding , HEDIS measures, and medical office processes (preferred) + Self-motivated and… more
    HCA Healthcare (12/18/24)
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  • Workers Compensation Claims Handling Positions…

    Sedgwick (Salt Lake City, UT)
    …of claims within designated authority. + Referring cases as appropriate to supervisor and management. + Calculating and assigning timely and appropriate reserves to ... claims. + Ensuring claim files are properly documented and claims coding is correct. + Communicating claim activity and processing with the claimant and the client.… more
    Sedgwick (11/16/24)
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  • Abstraction Partner

    Intermountain Health (Murray, UT)
    …of clinical, financial, and risk issues and escalates them to the supervisor as appropriate. + Establishes and maintains relations with key registry stakeholders ... Qualification + Demonstrated healthcare work experience (acute care, ambulatory services, coding ) + Knowledge of medical terminology and anatomy + Working knowledge… more
    Intermountain Health (02/04/25)
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  • Medical Assistant Heart Failure and Transplant

    Intermountain Health (Murray, UT)
    …Under the direction of the provider, assigns procedural and diagnostic coding to encounter forms. Conducts pre-authorizations and referrals in accordance with ... of hire/transfer. 5. Additional assignments required (eg Clinical Coach, Supervisor /Champion, performing audits, training) **Physical Requirements:** Ongoing need for… more
    Intermountain Health (01/08/25)
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