Coding Validation Coder I COTIVITI, INC.Coding Validation Coder ISOUTH JORDAN, UTResponsibilities Clinical Validation - Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement. Mental Requirements: * Ability to absorb new information quickly and train in a fast-paced environment and ability to learn, test and pass off new training concepts daily.
Summer Camps Coding & Robotics Instructor Code NinjasSummer Camps Coding & Robotics InstructorSouth Jordan, UtahParents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt. In our center, kids ages 5-14 learn to code in a fun, non-intimidating way – by playing and building video games they love.
Medical Coding & Billing Specialist Stella Mental HealthMedical Coding & Billing SpecialistMurray, UtahThis role ensures billing processes are accurate, timely, and compliant while helping patients navigate insurance coverage, payment responsibilities, and billing inquiries with clarity and professionalism. Collaborate with Payor Relations, Credentialing, Clinic Operations, and Revenue Cycle team members to support accurate billing and continuity of care.
DRG Coding Auditor University of UtahDRG Coding AuditorSALT LAKE CITY, UTThis position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Reviews non-CC/MCC records to determine if the record was coded correctly or if additional codes may be reported by obtaining documentation supported by clinical indicators and treatment.
NewRemote HCC Coding Specialist for Risk Adjustment Highmark HealthRemote HCC Coding Specialist for Risk AdjustmentSalt Lake City, UTRemoteHighmark Health is seeking an experienced coding professional to support Medicare Advantage and Affordable Care Act programs through HCC coding. The role involves performing coding for various projects, assisting with audits, and engaging in educational meetings.
Medical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, AR Granger MedicalMedical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, ARTaylorsville, UTRemotePerforms a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required.
Coding Auditor University of UtahCoding AuditorSALT LAKE CITY, UTThe incumbent reviews and audits physician and institutional billing from multiple departments and entities across the organization, and assists in training departmental personnel in correct coding and documentation. The position audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules.
Coding Services Quality Analyst AAPCCoding Services Quality AnalystSalt Lake City, UTRemoteFull timeData Analysis and Reporting Compile audit results and prepare detailed reports to identify trends, gaps, and areas for improvement. Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerUT$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Coding Instructor Code NinjasCoding InstructorTooele, UtahWe are looking for a coding instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Senior Systems Engineer — AI Code Metrics Daemon AtlassianSenior Systems Engineer — AI Code Metrics DaemonSalt Lake City, Utah$180,000–$235,000 / yearBonus : Git internals, developer tools / dev infra, endpoint or monitoring agents (EDR, sync clients, telemetry agents), SQLite or embedded storage, or cross-platform native development. We're building the observability layer for AI-assisted software development, measuring how much of an engineering org's code is actually written by AI coding agents, and attributing every line back to the work that produced it.
Appian Low-Code Lead Architect Deseret Mutual Benefit AdministratorsAppian Low-Code Lead ArchitectSalt Lake City, UTRemoteFull timeYou'll partner with product owners, engineering teams, and stakeholders to define architecture principles, ensure scalability, resilience, and maintainability, and drive best practices across the organization. Mentor and coach development teams on SAIL scripting, process modeling, data modeling, and advanced integrations (REST, SOAP, JDBC, event-driven).
Senior Systems Engineer - AI Code Metrics Daemon Atlassian CorpSenior Systems Engineer - AI Code Metrics DaemonUT$176,400–$230,300 / yearBonus: Git internals, developer tools / dev infra, endpoint or monitoring agents (EDR, sync clients, telemetry agents), SQLite or embedded storage, or cross-platform native development. We're building the observability layer for AI-assisted software development, measuring how much of an engineering org's code is actually written by AI coding agents, and attributing every line back to the work that produced it.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorUT$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Business Office Manager Alta View Surgery CenterBusiness Office ManagerSandy, UTFull timeThe Business Office Manager also partners with the organization’s centralized business office (CBO), corporate revenue cycle teams, and third-party vendors to support billing operations, revenue cycle performance, and case costing initiatives. The BOM works closely with the Administrator and leadership team to coordinate scheduling, optimize patient flow, and maintain strong collaboration between clinical and administrative teams.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistUT$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Business Office Manager Surgery Partners IncBusiness Office ManagerSandy, UTThe Business Office Manager also partners with the organization's centralized business office (CBO), corporate revenue cycle teams, and third-party vendors to support billing operations, revenue cycle performance, and case costing initiatives. The BOM works closely with the Administrator and leadership team to coordinate scheduling, optimize patient flow, and maintain strong collaboration between clinical and administrative teams.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorUT$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Product Manager WaystarProduct ManagerLehi, UTWaystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Collecting direct customer feedback by organizing user tests, studying customer support incidents, administering user surveys, and visiting customers to study product interaction in their natural environment .
Product Manager Waystar Holding CorpProduct ManagerLehi, UTWaystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Collecting direct customer feedback by organizing user tests, studying customer support incidents, administering user surveys, and visiting customers to study product interaction in their natural environment.
Medical Billing Claims Specialist Caddis Capital ManagementMedical Billing Claims SpecialistSalt Lake City, UTFull timeWe are currently seeking Medical Billing/Claims Specialist who will be responsible for billing insurance claims to patient's insurance companies, following up on Accounts Receivable and coordinating collections on unpaid claims, as well as answering billing inquiries and assisting patients on their accounts as necessary. What We'd Also Like to See: While not required, some big marks in your favor would include: prior experience with medical insurance providers, any previous HME experience, an Associate's degree, and bilingual skills (Spanish/English).
NewMedical Coder - IMMEDIATE OPENING - Remote Position (UT, SC, AZ, TX, KY, WY, ID, GA, AR) - Full-Time Granger MedicalMedical Coder - IMMEDIATE OPENING - Remote Position (UT, SC, AZ, TX, KY, WY, ID, GA, AR) - Full-TimeTaylorsville, UTRemoteThis policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training. Candidates must live in one of these states: Utah, South Carolina, Arizona, Texas, Kentucky, Georgia, Arkansas, Idaho, or Wyoming.
Medical Auditor Project Lead AAPCMedical Auditor Project LeadSalt Lake City, UtahRemoteEmbrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs. Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency.
Medical Office Specialist -Float HCA Healthcare IncMedical Office Specialist -FloatBountiful, UTIn recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "Good people beget good people."- With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network.
Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpAField Reimbursement Manager (Seattle, Denver or Salt Lake City)Salt Lake City, UTRemoteServe as subject matter experts on issues of coverage, access and reimbursement by providing compliant, limited support to US health care providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD) after the HCP made an independent decision to prescribeCollaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs)and office personnel, including information regarding medical policies, prior authorization requirements, coding and billing, product access via buybill or specialty pharmacy with the goal of minimizing barriers to therapy.
Medical Billing Specialist Tava HealthMedical Billing SpecialistSalt Lake City, UtahThis role focuses on accurate claim creation, timely submissions, payer follow-up, denial resolution, and ensuring an exceptional financial experience for both patients and providers. The ideal candidate thrives in a fast-paced environment, understands behavioral health and EAP billing, and is dedicated to supporting accessible, high-quality mental health care.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystSalt Lake City, UTRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Senior Auditor Quality - OPSP COTIVITI, INC.Senior Auditor Quality - OPSPSOUTH JORDAN, UTDepending on nature and scope of audit, may review medical records and apply in-depth knowledge of clinical criteria to determine medical necessity, appropriateness of setting, potential billing/coding issues, and quality concerns. The quality auditor will be responsible for communicating with the initial auditor when there are differing decisions on the audit to ensure that the final decision is supported and as accurate as possible.
NewSenior Staff Enginer Software, FullStack Palo Alto Networks IncSenior Staff Enginer Software, FullStackUTFrontend Innovation: Develop high performance, intuitive web applications utilizing TypeScript, React, and MUI X, translating complex technical workflows into smooth, low friction user experiences. End to End Feature Delivery: Take complete ownership of complex feature lifecycles, breaking down massive work streams, managing timelines, minimizing rework, and accelerating cycle times.
Intake Specialist, Infusion Clinics Option Care Health IncIntake Specialist, Infusion ClinicsMurray, UT$16.61–$26.96 / hourJob Description Summary: This team member will play a vital role in the delivery of an efficient and well-rounded intake experience for our patients, referring providers and others involved with the delivery of care. Option Care Health consistently strives to be intentional and attentive in managing the process of receiving referrals for infusion services and ensuring that patients receive the care they need in a timely manner.
Enterprise Technical Support Analyst Waystar Holding CorpEnterprise Technical Support AnalystLehi, UTWaystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
Enterprise Rules & Edits Analyst Waystar Holding CorpEnterprise Rules & Edits AnalystLehi, UTWaystars healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. • Competitive total rewards (base salary + bonus, if applicable) • Customizable benefits package (3 medical plans with Health Saving Account company match) • We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays.
Enterprise Rules & Edits Analyst WaystarEnterprise Rules & Edits AnalystLehi, UTWaystar’s healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Intermediate–advanced Excel proficiency, including the ability to build and troubleshoot complex formulas, analyze large datasets, create pivot tables, and develop data‑driven insights.
Pharmacy Services Technician Cambia Health Solutions IncPharmacy Services TechnicianUTRemote$20.50–$30.80 / hourAssist with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of resources, substance abuse, and erroneous and fraudulent billing practices; investigate and organize workflow for claims referred to Pharmacy Services for review and allowable determination including miscellaneous J codes, providers on review, and reconsiderations. Support wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement; contribute to and support the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward quality improvement efforts.
Faculty Lead AAPCFaculty LeadSlc, UtahRemoteFaculty is responsible for delivering high-quality instruction, supporting student success, maintaining subject matter expertise, and contributing to the development and continuous improvement of academic programs. This role involves teaching, curriculum review/enhancement, adjunct faculty training/development, and student mentoring to ensure a rigorous and effective learning experience.
Healthcare Credential Exam Specialist AAPCHealthcare Credential Exam SpecialistSalt Lake City, UtahRemoteThe Healthcare Certification Exam Specialist supports AAPC’s certification exam development initiatives through the creation, review, maintenance, and validation of credentialing assessments and related exam products. Required Qualifications Active coding certification from a recognized organization (e.g., AAPC or AHIMA) required; exam development credentials from organizations such as ICE‑CCP® (I.C.E.); or equivalent experience.
NewFaculty Manager AAPCFaculty ManagerSalt Lake City, UTIf you are an experienced education leader who thrives in a fast-paced virtual environment and is passionate about supporting instructors, solving problems, and driving consistency, we want to hear from you. This is a Remote RoleThe Role: AAPC's Training department is seeking an Instructor Operations Manager to support and lead faculty within its Instructor-Led Training department.
Experienced Medical Biller CE Medical GroupExperienced Medical BillerMurray, UT$20–$25 / hourFull timeCE Medical Group is a national leader in Revenue Cycle Management , and we're expanding our in-office team in Salt Lake City, Utah . If you're passionate about healthcare, thrive in a team setting, and want to grow with a company that truly values its employees, we'd love to hear from you.
Auditor Technical Trainer - DRG COTIVITI, INC.Auditor Technical Trainer - DRGSOUTH JORDAN, UTAssess job-specific needs and develop technical training plans with clear business objectives, including working with subject matter experts, developing training materials, and developing appropriate assessments and measurements of success. The individual will work collaboratively with subject matter experts in the Commercial and Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.
Multi-Specialty Professional Coder -Medical Oncology Primary Contractor AAPCMulti-Specialty Professional Coder -Medical Oncology Primary ContractorSalt Lake City, UTRemoteExtensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. COSC, CPCD, CEDC, CGIC, CGSG, CANPC, CHONC, CIRCC, COBGC, COPC preferred.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerUTRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminSalt Lake City, UTRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Specimen Processing Coordinator HCA Healthcare IncSpecimen Processing CoordinatorSalt Lake City, UTThis is the eighth time this hospital has been recognized with this honor as one of the top performing Teaching Hospitals in the U.S. St. Mark's has expanded emergency access to the communities we serve with two free standing emergency centers, Taylorsville Emergency Center and West Valley Emergency Center . Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-4700738','save-job','unsave-job');
Patient Care Coordinator UnitedHealth Group IncPatient Care CoordinatorTaylorsville, UTPrimary Responsibilities Provide exceptional service to all customers Greet patients as they arrive and manage wait time Process walk-in patients and visitors Manages day to day operations for activities and programs within the community center space Answers phones and schedules appointments as necessary verifying correct visit type and primary care provider Answer telephone calls re-direct calls as appropriate assist callers with questions or concerns and take messages and create and manage tasks as needed Manages medical records maintains filesscans prepares for schedule Ensures all correspondence is scanned andor filed processes requests for medical records release and maintains appropriate logs etc. Work with back-office staff to ensure smooth patient flow Resolve service issues and complaints and defer to appropriate management or clinical personnel when necessary Assist co-workers and team members with duties when requested to include but not limited to floating to other areas Close out EMR messages Establish and maintain effective working relationships with patients employees and the public Performs all other related duties as assigned.
NewAuthorization Specialist Home Helpers Home CareAuthorization SpecialistSouth Salt Lake, UT$55,000–$65,000Investigate root causes, coordinate with payers and internal departments, submit required documentation or corrections, and ensure follow-up is completed within established payer and company response timeframes to maximize timely reimbursement. The Authorization Specialist will play a key role in developing the Authorization Department by creating scalable workflows, improving operational efficiencies, and supporting the long-term success of Revenue Cycle Management.
NewMulti-Specialty Professional Coder - Hospitalist Primary AAPCMulti-Specialty Professional Coder - Hospitalist PrimarySalt Lake City, UtahRemoteAAPC (www.aapc.com) is the world’s largest and fastest-growing training, certification, and solutions association in healthcare. Extensive coding in multiple specialties including: all primary care specialties, hospitalists, pulmonology, medical oncology, general surgery, etc.
Business Development Executive (MedInsight) Milliman IncBusiness Development Executive (MedInsight)Salt Lake City, UTRemote$120,635–$199,065 / yearMedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.
Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystUT$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Inpatient Facility Coder -Contractor AAPCInpatient Facility Coder -ContractorSalt Lake City, UtahRemoteWe are seeking a highly motivated and dedicated coding professional to join our team as an contract inpatient facility coder. Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach.
NewUtilization Management Coordinator University of UtahUtilization Management CoordinatorSalt Lake City, UTAssists providers and members by confirming benefits, verifying member eligibility, quoting prior authorization status and answering questions about prior authorizations. Facilitates Utilization Management processes with Medical Review Officers, UM Nurses, hospitals, physicians and other various internal and external customers.