Charge Master Analyst Sutter HealthCharge Master AnalystSalt Lake City, UT$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
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. High school diploma or G.E.D.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).
Medical Coder HCA HealthcareMedical CoderKaysville, UTWe have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare. 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.
Medical Assistant/Technician Broadway Eye ClinicMedical Assistant/TechnicianSalt Lake City, UTFull timeDemonstrate the ability to resolve problems or conflict effectively; strong listening skills are required; sound judgment when making decisions; adept at analyzing facts, problem-solving, and making decisions. Our growing practice needs a motivated and reliable professional, you’ll be handling a lot of the important work that goes on to set our doctor and patient up for success, as well as assisting with administrative tasks as needed.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementSalt Lake City, UTRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Coding Instructor Code Ninjas - Draper, UTCoding InstructorSalt Lake City, UTPart timeWe 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.
Medical Records Clerk Chickasaw Nation IndustriesMedical Records ClerkOgden, UtahChickasaw Nation Industries, Inc. serves as a holding company with multiple subsidiaries engaged in several lines of business (Business Services, Health, Infrastructure and Engineering, Mission Optimization, Technology and Transportation) for the federal government and commercial enterprises. High school diploma or general education degree (GED) and a minimum of one to three (1-3) years relevant experience and/or training, or equivalent combination of education/experience.
Quality Assurance Risk Adjustment Auditor I/Ii Cambia HealthQuality Assurance Risk Adjustment Auditor I/IiSalt Lake City, UTIdentifies trends in provider coding/documentation and vendor risk adjustment reporting and makes those trends known to leadership as well as coding team manager and training lead to develop intervention strategies - all in service of creating a person-focused health care experience. As a member of the Risk Adjustment team, our The Risk Adjustment Auditor performs Retrospective/Prospective chart review utilizing various types of records to ensure accurate risk adjustment reporting.
Business Office Specialist Guardian Pharmacy Services ManagementBusiness Office SpecialistSalt Lake, UtahAs a supporting member to the local management team, assists in day-to-day financial support and operations of the pharmacy by providing assistance in monitoring of financial management, human resources and general administrative support as well as performing data and research assistance. As needed Assist with billing and collections function to ensure a high level of customer service is maintained and collection targets achieved by reviewing accounts and taking proactive approach to minimize AR risk.
Managed Services - Revenue Cycle Coding - Senior Manager PwCManaged Services - Revenue Cycle Coding - Senior ManagerSalt Lake City, UT$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.
Online Teaching Assistant CPB AAPCOnline Teaching Assistant CPBSalt Lake City, UTRemoteAAPC is the world’s largest training and credentialing organization for the business of healthcare, with more than 200,000 members worldwide who work in medical coding, medical billing, clinical documentation improvement, medical auditing, healthcare compliance, revenue cycle management, and practice management. Observe and evaluate assigned individual student performance in meeting course objectives and learning outcomes through assignments, Practical assignments, Quizzes or examinations; provide feedback in a timely manner on student progress.
Medical Records Clerk ALLEVIO CARE, LLCMedical Records ClerkSALT LAKE CITY, UTThis critical role supports both our clinical and administrative teams by ensuring that all patient medical records are accurately maintained and compliant with HIPAA and healthcare regulations. We specialize in streamlining core functions - like billing, compliance, patient management, and talent recruitment so providers can stay focused on what matters most: their patients.
Healthcare Credential Exam Specialist AAPCHealthcare Credential Exam SpecialistSalt Lake City, UTRemoteFull timeThe 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.
Senior Analyst, Payment Integrity Disputes Oscar HealthSenior Analyst, Payment Integrity DisputesSalt Lake City, UTRemote$64,832–$85,092 / yearYou will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah.
Coding Instructor Code NinjasCoding InstructorSalt Lake City, 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.
Utilization Management Clinical Reviewer TriWest Healthcare AllianceUtilization Management Clinical ReviewerSalt Lake City, UTRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
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.
Authorization Specialist Home Helpers Home CareAuthorization SpecialistLayton, 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.
Director of Physician Services II HCA HealthcareDirector of Physician Services IISalt Lake City, UTWith a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.
Inpatient Facility Coder -Contractor AAPCInpatient Facility Coder -ContractorSalt Lake City, UTRemoteWe 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.