South Jordan, UT · Remote
$95K/yr
... medical coding degree or just CCS or CPC is fine with strong clinical knowledge Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have ...
New
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South Jordan, UT · Remote
$95K/yr
... medical coding degree or just CCS or CPC is fine with strong clinical knowledge Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have ...
New
Orem, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Orem, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Sandy, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Sandy, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Sandy, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Quick apply
Sandy, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Vineyard, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
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Vineyard, UT · Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Support 10DLC, toll-free, short code, and international messaging workflows * Build and maintain ... medical, dental, and vision * Unlimited PTO * Equipment provided
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Support 10DLC, toll-free, short code, and international messaging workflows * Build and maintain ... medical, dental, and vision * Unlimited PTO * Equipment provided
Park City, UT · Remote
$95K - $115K/yr
Strong passion for Kodiak Cakes' brand What else do I need to know? This role is fully remote. We offer competitive compensation and benefits that include: * Medical/dental/vision ...
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Park City, UT · Remote
$95K - $115K/yr
Strong passion for Kodiak Cakes' brand What else do I need to know? This role is fully remote. We offer competitive compensation and benefits that include: * Medical/dental/vision ...
This position is remote eligible for candidates who currently reside in Utah. Click here to see why ... Write unit tests, participate in code reviews, and help maintain quality across the codebase * Own ...
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This position is remote eligible for candidates who currently reside in Utah. Click here to see why ... Write unit tests, participate in code reviews, and help maintain quality across the codebase * Own ...
This position is remote eligible for candidates who currently reside in Utah. Click here to see why ... Write unit tests, participate in code reviews, and help maintain quality across the codebase * Own ...
This position is remote eligible for candidates who currently reside in Utah. Click here to see why ... Write unit tests, participate in code reviews, and help maintain quality across the codebase * Own ...
Bluffdale, UT · Remote
$19.20 - $34.90/hr
Knowledge of medical terminology, health care coding systems such as ICD-10, CPT and HCPCS, and ... Remote The expected hiring range for a Pharmacy Services Technician is $20.50 - $30.80 an hour ...
Bluffdale, UT · Remote
$19.20 - $34.90/hr
Knowledge of medical terminology, health care coding systems such as ICD-10, CPT and HCPCS, and ... Remote The expected hiring range for a Pharmacy Services Technician is $20.50 - $30.80 an hour ...
South Jordan, UT · On-site +1
... is remote eligible for candidates who currently reside in Utah. What You'll Do * API Test ... Health Benefits - including Medical, Dental, and Vision and an HSA Match. 401(k) - we match 100% up ...
South Jordan, UT · On-site +1
... is remote eligible for candidates who currently reside in Utah. What You'll Do * API Test ... Health Benefits - including Medical, Dental, and Vision and an HSA Match. 401(k) - we match 100% up ...
South Jordan, UT · On-site +1
... the highest code quality. Beyond just maintaining tests, you will be deeply embedded in our ... is remote eligible for candidates who currently reside in Utah. What You'll Do * API Test ...
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South Jordan, UT · On-site +1
... the highest code quality. Beyond just maintaining tests, you will be deeply embedded in our ... is remote eligible for candidates who currently reside in Utah. What You'll Do * API Test ...
South Jordan, UT · On-site +1
$55K - $70K/yr
Utilizes secure digital platforms and remote communication tools to conduct quality reviews ... Ensures the consistent use of current applicable classification codes, and departmental procedures ...
South Jordan, UT · On-site +1
$55K - $70K/yr
Utilizes secure digital platforms and remote communication tools to conduct quality reviews ... Ensures the consistent use of current applicable classification codes, and departmental procedures ...
This will be a fully remote position with occasional business travel as needed. Responsibilities ... S. regulations, local and national codes, legislation and trends impacting the formwork industry.
New
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This will be a fully remote position with occasional business travel as needed. Responsibilities ... S. regulations, local and national codes, legislation and trends impacting the formwork industry.
New
South Jordan, UT · On-site +1
$55K - $70K/yr
... remote communication tools to conduct quality reviews ensuring efficiency and accuracy while ... Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible ...
South Jordan, UT · On-site +1
$55K - $70K/yr
... remote communication tools to conduct quality reviews ensuring efficiency and accuracy while ... Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible ...
Lehi, UT · On-site +1
$70K - $90K/yr
This will be a fully remote position with occasional business travel as needed. Responsibilities ... S. regulations, local and national codes, legislation and trends impacting the formwork industry.
Lehi, UT · On-site +1
$70K - $90K/yr
This will be a fully remote position with occasional business travel as needed. Responsibilities ... S. regulations, local and national codes, legislation and trends impacting the formwork industry.
Draper, UT · On-site +1
$100/hr
... using governing codes and standards, engineering formulas, skills, and experience Prepare ... and remote work options for some employees based on role responsibilities. * Wellness - Medical ...
Draper, UT · On-site +1
$100/hr
... using governing codes and standards, engineering formulas, skills, and experience Prepare ... and remote work options for some employees based on role responsibilities. * Wellness - Medical ...
Draper, UT · On-site +1
$100/hr
... governing codes and standards, engineering formulas, skills, and experience • Prepare ... and remote work options for some employees based on role responsibilities. * Wellness - Medical ...
Draper, UT · On-site +1
$100/hr
... governing codes and standards, engineering formulas, skills, and experience • Prepare ... and remote work options for some employees based on role responsibilities. * Wellness - Medical ...
Draper, UT · On-site +1
$100/hr
... using governing codes and standards, engineering formulas, skills, and experience Prepare ... and remote work options for some employees based on role responsibilities. * Wellness - Medical ...
Draper, UT · On-site +1
$100/hr
... using governing codes and standards, engineering formulas, skills, and experience Prepare ... and remote work options for some employees based on role responsibilities. * Wellness - Medical ...
$13.79 - $15.26
6% of jobs
$16.29 is the 25th percentile. Wages below this are outliers.
$15.26 - $16.72
26% of jobs
The median wage is $17.55 / hr.
$16.72 - $18.18
31% of jobs
$18.18 - $19.64
7% of jobs
$20.27 is the 75th percentile. Wages above this are outliers.
$19.64 - $21.11
11% of jobs
$21.11 - $22.57
6% of jobs
$22.57 - $24.03
5% of jobs
$24.03 - $25.50
3% of jobs
$25.50 - $26.96
2% of jobs
$26.96 - $28.42
1% of jobs
$28.42 - $29.88
1% of jobs
$13
$19
$29
$95K/yr
Full-time
Medical, Dental, Vision, Retirement
Posted 5 days ago
New
Required Skills & Experience
5-7+ years of working with ICD-9/10CM, MS-DRG, AP-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria, and coding terminology.
Expert coding knowledge (DRG & ICD-10)
Registered Nurse RN (must be inpatient) WITH coding/clinical documentation certification (2 years in clinical documentation)
OR
IF NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS or CPC is fine with strong clinical knowledge
Job Description
Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:
Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.
Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.
Maintains production goals set by the audit operations management team.
Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).
Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc.
