- Dodge Construction Network (Salt Lake City, UT)
- Data Quality Auditor Location: Remote, United States **Description** The DataQuality Auditor ensures the accuracy, completeness, and reliability of Dodge ... with industry professionals, and identifying opportunities to improve data quality and workflow consistency. TheDataQuality Auditor will collaborate closely… more
- CVS Health (Salt Lake City, UT)
- …Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to… more
- Humana (Salt Lake City, UT)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Salt Lake County (Salt Lake City, UT)
- …experience. Preference will be given to applicants with a Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), Certified Public ... and performs assigned follow up audits of department action plans. * Performs quality control reviews of other staff members' work papers. KNOWLEDGE, SKILLS AND… more
- ReSource Pro (Millville, UT)
- …you! Come Join ReSource Pro! Your Role: We are seeking a dedicated Insurance Phone Auditor to join our team. In this role, you will analyze and verify information ... or email. + Create comprehensive audit reports, ensuring accuracy and adherence to quality standards, and submit reports for review. + Consistently meet or exceed… more
- Datavant (Salt Lake City, UT)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and… more
- University of Utah Health (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA_ This ... and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured… more
- Molina Healthcare (UT)
- …with the applicable state, federal, contractual requirements, National Committee for Quality Assurance (NCQA), and Molina requirements for the health plan(s) they ... procedures, case files and evidence of ongoing monitoring to ensure quality and cost-effective provision of delegated services. * Engages delegate leadership… more
- Molina Healthcare (UT)
- …, Public Health, or Healthcare + 5 years of experience in health plan quality management + Experience with data reporting, analysis, and/or interpretation + ... **Job Description** **Job Summary** The Senior Specialist, Quality Program Management and Performance implements new and...for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more
- L3Harris (Salt Lake City, UT)
- …chain management quarterly + Assure financial goals and measures are met. Perform data analytics associated with Cost of Poor quality and determining solutions ... + Professional certification is desired (eg APICS, PMP, CMP, Quality Engineering, Six Sigma) + QMS Lead auditor... Quality Engineering, Six Sigma) + QMS Lead auditor experience + NADCAP special processes and special process… more
- L3Harris (Salt Lake City, UT)
- …Program teams + Ensure timely completion of QA deliverables to ensure zero product quality escapes + Utilize data analytics to identify trends and convey ... in the interest of national security. Job Title: Lead Quality Engineer Job ID: 30388 Location: Salt Lake City,... + AS9145/AS9102 Submittals + Professional certifications (AS9100 Lead Auditor , ASQ CQE) L3Harris Technologies is proud to be… more
- Molina Healthcare (Salt Lake City, UT)
- **Job Description** **Job Summary** Molina's Quality Improvement Overread conducts oversight and audits of the data collected and abstracted from medical records ... for HEDIS projects, HEDIS like projects and supplemental data collection. The overreader team will meet chart overread...Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and… more
- Coinbase (Salt Lake City, UT)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... * Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written and verbal communication… more
- Datavant (Salt Lake City, UT)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim… more
- Datavant (Salt Lake City, UT)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim… more
- Coinbase (Salt Lake City, UT)
- …strategic analysis, risk assessments, development of the audit plan, project management, quality review, report issuance and issue validation across IT and business ... stakeholders. Partner with leadership to develop and monitor remediation plans. * * Data Integrity & IUC/IPE Governance:* Establish and enforce rigorous standards for… more
- American Express (Sandy, UT)
- …internal controls, consumer compliance, technology, operational risk, financial accounting, data analytics, and banking operations. Our audit teams align to ... a Professional Practices group responsible for managing audit operations, quality , and standards; regulatory relations; reporting; training and professional… more
- Highmark Health (Salt Lake City, UT)
- …with customers and other stakeholders in order to maintain and to improve data quality . + Works with customers to establish, conceptualize, and align ... enterprise to provide solutions and recommendations in order to consolidate data repositories, information, GRC tools and other technology resources by centralizing… more
- Molina Healthcare (UT)
- …& Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs in accordance with prescribed program standards,… more
- Western Digital (Salt Lake City, UT)
- …enabling systems to make cities safer and more connected, to powering the data centers behind many of the world's biggest companies and hyperscale cloud providers, ... to meeting the massive and ever-growing data storage needs of the AI era, Western Digital...with global IA colleagues to ensure consistent methodologies and high- quality execution. + Participate in cross-functional initiatives and special… more