Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, UT$18.50–$38.82 / hourResponsible 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. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
Manager, Coding Intelligence - Remote UnitedHealth Group IncManager, Coding Intelligence - RemoteDraper, UTRemote$75,000–$160,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The position owns quota delivery, oversees production and customer service operations, and ensures alignment between sales, fulfillment, and partner execution to meet revenue and service expectations.
Summer Camps Coding & Robotics Instructor Code NinjasSummer Camps Coding & Robotics InstructorSouth Jordan, Utahdiv class="job-description-container">Replies within 24 hoursBenefits:Bonus based on performance. We believe in these words so much that it’s written on the walls in our center. What are we looking for?We are looking for 2-4 coding instructors to join our team for our seasonal summer camps from June to August.Senior Software Engineer - AI Coding Agents Nice LtdSenior Software Engineer - AI Coding AgentsSandy, UTNASDAQ: NICE) software products are used by 25,000+ global businesses, including 85 of the Fortune 100 corporations, to deliver extraordinary customer experiences, fight financial crime and ensure public safety. As an AI Software Engineer, you will be part of a team building AI-powered operational platforms that integrate across monitoring systems, CI/CD pipelines, ticketing tools, and cloud infrastructure.Coding Consultant I, II, or III DOE CambiaCoding Consultant I, II, or III DOESalt Lake City, UT$69,700–$94,300 / yearCoding Review Consultant: Certification in at least 1 of the following is required at the time of hire, and throughout tenure in job: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), RHIT (Registered Health Information Technician), or RHIA (Registered Health Information Administrator). What You Will Do at Cambia: Identify trends and patterns; collate audit results and analyze findings; identify root cause analysis; and identify system issues that may contribute to claims, coding, provider contracting and revenue cycle deficiencies.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.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.OB/GYN Coding Specialist AAPCOB/GYN Coding SpecialistSalt Lake City, UtahRemoteThe ideal candidate will have extensive experience coding for Obstetrics, Gynecology, and Women’s Health, including primary care services, preventative services, psychiatric and nurse practitioner visits, surgical procedures, and global maternity packages. Key Responsibilities:Accurately assign CPT, ICD-10-CM, and HCPCS codes for OB/GYN services including:Obstetric care: prenatal, antepartum, delivery, postpartum, and global packages.HIM Hospital ER Coding Analyst Intermountain Health IncHIM Hospital ER Coding AnalystPeaks Regional Office, UT$25.02–$39.41 / hourFrequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.Coding Services Quality Analyst AAPCCoding Services Quality AnalystSalt Lake City, UtahRemoteli style="margin-bottom:11px">Data Analysis and ReportingCompile audit results and prepare detailed reports to identify trends, gaps, and areas for improvement. CollaborationWork closely with Coding Services Manager and Coding Services Director.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 Supervisor Ogden Clinic Professional CorpCoding SupervisorSouth Ogden, UTp>Under the direct supervision of the Coding Manager, the Coding Supervisor is responsible for shared supervision of Certified Coding team. Full-Time employees have access to: Medical (including a partially company funded HSA option and in-house discount plan).Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerUT$124,000–$280,000 / yearp>PwC 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 believe in these words so much that it’s written on the walls in our center. What are we looking for?We 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. Who are we?Code Ninjas is the nation’s fastest-growing kids coding franchise.Appian Low-Code Lead Architect Deseret Mutual Benefit AdministratorsAppian Low-Code Lead ArchitectSalt Lake City, UTRemoteYou'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 / yearli>Bonus: 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.Senior Systems Engineer — AI Code Metrics Daemon AtlassianSenior Systems Engineer — AI Code Metrics DaemonSalt Lake City, Utah$176,400–$230,300 / yearli>Bonus: Git internals, developer tools / dev infra, endpoint or monitoring agents (EDR, sync clients, telemetry agents), SQLite or embedded storage, or cross-platform native development. Please visit go.atlassian.com/payzones for more information on which locations are included in each of our geographic pay zones.Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Salt Lake City, UTREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.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 timep>The 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.Patient Account Associate Claims and EDI Intermountain Health IncPatient Account Associate Claims and EDIPeaks Regional Office, UT$19.29–$27.45 / hourHowever, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Washington. We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.Medical 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.Business Office Manager Surgery Partners IncBusiness Office ManagerSandy, UTp>The 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.Product Manager Waystar Holding CorpProduct ManagerLehi, UTp>Waystar'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.Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystSalt Lake City, UT$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.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.Medical Billing Claims Specialist Caddis Capital ManagementMedical Billing Claims SpecialistSalt Lake City, UTWe 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).Product Manager WaystarProduct ManagerLehi, Utahp style="text-align:left">Waystar’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. For more information, visit waystar.com or follow @Waystar on Twitter.Insurance Billing Rep Tanner ClinicInsurance Billing RepKaysville, UTSkills: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Abilities: The ability to apply general rules to specific problems to produce answers that make sense.Claims Processor, Medical Sutter HealthClaims Processor, MedicalUT$21.08–$28.45 / hourPosition Overview: Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions. Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments.Specimen Processing Coordinator HCA Healthcare IncSpecimen Processing CoordinatorBountiful, UTRequired N/a • Basic Life Support (BLS) Certification Required 7 Days Education & Experience: • High school diploma or GED Required • 2+ years working in an acute care setting, namely a hospital. Lakeview Hospital: Where Compassion Meets ExcellenceLakeview Hospital is a 125+ bed community hospital located in Bountiful, Utah, just north of Salt Lake City.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.Medical Auditor Project Lead AAPCMedical Auditor Project LeadSalt Lake City, UtahRemoteli style="margin-bottom:11px;margin-left:8px">Embrace 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.Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpAField Reimbursement Manager (Seattle, Denver or Salt Lake City)Salt Lake City, UTRemoteli>Serve 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.Patient Accounts Rep - Phones Tanner ClinicPatient Accounts Rep - PhonesKaysville, UTSkills: Skill in analyzing of data, policies, and requirements and in preparing objective, comprehensive reports using computers for both research and reporting. Ability to communicate effectively with patients, staff, and external contacts via phone, in person, and through well-written reports.Commercial Insurance Biller Avalon Health Care IncCommercial Insurance BillerSalt Lake City, UTli>Associate's degree (AA) or equivalent from two-year college or technical school; or two or more years related experience and/or training; or equivalent combination of education and experience. The ideal candidate will have a strong background in medical billing and coding for Skilled nursing facilities, as well as experience working with commercial insurance companies.Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemoteSalt Lake City, UTRemote$69,000–$91,000 / yearCurrent medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.Outpatient/Provider Coder III University of UtahOutpatient/Provider Coder IIISalt Lake City, UTp>American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS- P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other specialty certification indicated by the department. Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.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.Enterprise Technical Support Analyst Waystar Holding CorpEnterprise Technical Support AnalystLehi, UTp>Waystar'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, UTp>Waystars 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.Intake Specialist - Murray Option Care Health IncIntake Specialist - MurrayMurray, UT$16.61–$26.96 / hourJob Description: Job Responsibilities (listed in order of importance and/or time spent)Responsibilities include, but are not limited to:· Gathering necessary information that is pertinent for a complete and thorough patient intake, such as demographics, insurance information, clinical, lab and medical testing documentation· Input accurate information while building and/or updating patient records· Review all incoming faxed documents and attach to new or existing patient profile· Contact patient or provider to obtain any missing information· Verifying insurance to check for coverage and benefits pertaining to medications and services through the patients' medical benefit· Manage authorizations - submit and track requests for prior authorization· Schedule services - arrange appointments appropriately that are in line with order and care plan· Maintain records - keep patient records up to date and accurate including demographics, insurance information, registration forms, medical record requests· Communicate - Keep patients and referral sources informed about the status of their referrals· Document in the patient record all requests and conversations designed to help provide seamless coordination of care· Assist with enrollment - Help patients enroll in programs that may help with out-of-pocket costs· Collect Payment - Appropriately collect payment on patient balances, copays, and/or self-pay patients· Answer Phones - Help answer patient questions, triage calls to appropriate team member or department, and involve appropriate persons to best assist questions at hand· Train new team members· Promote training participation and help team members in following new and existing workflow processes· Deliver messages that promote continuous improvement· Comply with company "best practices"· Other duties as assignedDoes this role have supervisory responsibilities? YESNO - XBasic Education and/or Experience Requirements· High School Diploma· Minimum 3 years' experience in healthcare related customer service, medical billing and coding,benefits verification, scheduling, health care related call center, or similar responsibilitiesBasic Qualifications· Ability to communicate effectively and professional with patients, providers and team members· Active listener· Ability to make decisions, solve problems and work independently· Proven ability to identify gaps and problems, determine lasting solutions, and necessary actionrequired to move forward.·Intake Specialist, Infusion Clinics Option Care Health IncIntake Specialist, Infusion ClinicsMurray, UT$16.61–$26.96 / hourp>Job 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 Rules & Edits Analyst WaystarEnterprise Rules & Edits AnalystLehi, Utahp style="text-align:left">Waystar’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. For more information, visit waystar.com or follow @Waystar on Twitter.Pharmacy Services Technician Cambia Health Solutions IncPharmacy Services TechnicianUTRemote$20.50–$30.80 / hourli>Assist 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 Manager AAPCFaculty ManagerSlc, UtahRemotep>If 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. · Provide timely support and troubleshooting for matters affecting class delivery, faculty readiness, student experience, and operational continuity.Faculty Lead AAPCFaculty LeadSlc, UtahRemoteul>Student Support:Serve as a substitute instructor and provide class coverage as needed. Faculty 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.Healthcare Credential Exam Specialist AAPCHealthcare Credential Exam SpecialistSalt Lake City, UtahRemoteb>Required QualificationsActive 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. The 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.NewRisk Adjustment Coder Humana IncRisk Adjustment CoderUTRemote$48,300–$65,900 / yearThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.123Resume ResourcesFree Resume TemplatesFree Resume BuilderSimilar Job SearchesMedical Biller JobsMedical Coder Jobs
Senior Software Engineer - AI Coding Agents Nice LtdSenior Software Engineer - AI Coding AgentsSandy, UTNASDAQ: NICE) software products are used by 25,000+ global businesses, including 85 of the Fortune 100 corporations, to deliver extraordinary customer experiences, fight financial crime and ensure public safety. As an AI Software Engineer, you will be part of a team building AI-powered operational platforms that integrate across monitoring systems, CI/CD pipelines, ticketing tools, and cloud infrastructure.
Coding Consultant I, II, or III DOE CambiaCoding Consultant I, II, or III DOESalt Lake City, UT$69,700–$94,300 / yearCoding Review Consultant: Certification in at least 1 of the following is required at the time of hire, and throughout tenure in job: Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), RHIT (Registered Health Information Technician), or RHIA (Registered Health Information Administrator). What You Will Do at Cambia: Identify trends and patterns; collate audit results and analyze findings; identify root cause analysis; and identify system issues that may contribute to claims, coding, provider contracting and revenue cycle deficiencies.
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.
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.
OB/GYN Coding Specialist AAPCOB/GYN Coding SpecialistSalt Lake City, UtahRemoteThe ideal candidate will have extensive experience coding for Obstetrics, Gynecology, and Women’s Health, including primary care services, preventative services, psychiatric and nurse practitioner visits, surgical procedures, and global maternity packages. Key Responsibilities:Accurately assign CPT, ICD-10-CM, and HCPCS codes for OB/GYN services including:Obstetric care: prenatal, antepartum, delivery, postpartum, and global packages.
HIM Hospital ER Coding Analyst Intermountain Health IncHIM Hospital ER Coding AnalystPeaks Regional Office, UT$25.02–$39.41 / hourFrequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Coding Services Quality Analyst AAPCCoding Services Quality AnalystSalt Lake City, UtahRemoteli style="margin-bottom:11px">Data Analysis and ReportingCompile audit results and prepare detailed reports to identify trends, gaps, and areas for improvement. CollaborationWork closely with Coding Services Manager and Coding Services Director.
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 Supervisor Ogden Clinic Professional CorpCoding SupervisorSouth Ogden, UTp>Under the direct supervision of the Coding Manager, the Coding Supervisor is responsible for shared supervision of Certified Coding team. Full-Time employees have access to: Medical (including a partially company funded HSA option and in-house discount plan).
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerUT$124,000–$280,000 / yearp>PwC 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 believe in these words so much that it’s written on the walls in our center. What are we looking for?We 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. Who are we?Code Ninjas is the nation’s fastest-growing kids coding franchise.Appian Low-Code Lead Architect Deseret Mutual Benefit AdministratorsAppian Low-Code Lead ArchitectSalt Lake City, UTRemoteYou'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 / yearli>Bonus: 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.Senior Systems Engineer — AI Code Metrics Daemon AtlassianSenior Systems Engineer — AI Code Metrics DaemonSalt Lake City, Utah$176,400–$230,300 / yearli>Bonus: Git internals, developer tools / dev infra, endpoint or monitoring agents (EDR, sync clients, telemetry agents), SQLite or embedded storage, or cross-platform native development. Please visit go.atlassian.com/payzones for more information on which locations are included in each of our geographic pay zones.Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Salt Lake City, UTREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.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 timep>The 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.Patient Account Associate Claims and EDI Intermountain Health IncPatient Account Associate Claims and EDIPeaks Regional Office, UT$19.29–$27.45 / hourHowever, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Washington. We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.Medical 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.Business Office Manager Surgery Partners IncBusiness Office ManagerSandy, UTp>The 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.Product Manager Waystar Holding CorpProduct ManagerLehi, UTp>Waystar'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.Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystSalt Lake City, UT$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.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.Medical Billing Claims Specialist Caddis Capital ManagementMedical Billing Claims SpecialistSalt Lake City, UTWe 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).Product Manager WaystarProduct ManagerLehi, Utahp style="text-align:left">Waystar’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. For more information, visit waystar.com or follow @Waystar on Twitter.Insurance Billing Rep Tanner ClinicInsurance Billing RepKaysville, UTSkills: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Abilities: The ability to apply general rules to specific problems to produce answers that make sense.Claims Processor, Medical Sutter HealthClaims Processor, MedicalUT$21.08–$28.45 / hourPosition Overview: Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions. Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments.Specimen Processing Coordinator HCA Healthcare IncSpecimen Processing CoordinatorBountiful, UTRequired N/a • Basic Life Support (BLS) Certification Required 7 Days Education & Experience: • High school diploma or GED Required • 2+ years working in an acute care setting, namely a hospital. Lakeview Hospital: Where Compassion Meets ExcellenceLakeview Hospital is a 125+ bed community hospital located in Bountiful, Utah, just north of Salt Lake City.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.Medical Auditor Project Lead AAPCMedical Auditor Project LeadSalt Lake City, UtahRemoteli style="margin-bottom:11px;margin-left:8px">Embrace 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.Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpAField Reimbursement Manager (Seattle, Denver or Salt Lake City)Salt Lake City, UTRemoteli>Serve 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.Patient Accounts Rep - Phones Tanner ClinicPatient Accounts Rep - PhonesKaysville, UTSkills: Skill in analyzing of data, policies, and requirements and in preparing objective, comprehensive reports using computers for both research and reporting. Ability to communicate effectively with patients, staff, and external contacts via phone, in person, and through well-written reports.Commercial Insurance Biller Avalon Health Care IncCommercial Insurance BillerSalt Lake City, UTli>Associate's degree (AA) or equivalent from two-year college or technical school; or two or more years related experience and/or training; or equivalent combination of education and experience. The ideal candidate will have a strong background in medical billing and coding for Skilled nursing facilities, as well as experience working with commercial insurance companies.Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemoteSalt Lake City, UTRemote$69,000–$91,000 / yearCurrent medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.Outpatient/Provider Coder III University of UtahOutpatient/Provider Coder IIISalt Lake City, UTp>American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS- P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other specialty certification indicated by the department. Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.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.Enterprise Technical Support Analyst Waystar Holding CorpEnterprise Technical Support AnalystLehi, UTp>Waystar'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, UTp>Waystars 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.Intake Specialist - Murray Option Care Health IncIntake Specialist - MurrayMurray, UT$16.61–$26.96 / hourJob Description: Job Responsibilities (listed in order of importance and/or time spent)Responsibilities include, but are not limited to:· Gathering necessary information that is pertinent for a complete and thorough patient intake, such as demographics, insurance information, clinical, lab and medical testing documentation· Input accurate information while building and/or updating patient records· Review all incoming faxed documents and attach to new or existing patient profile· Contact patient or provider to obtain any missing information· Verifying insurance to check for coverage and benefits pertaining to medications and services through the patients' medical benefit· Manage authorizations - submit and track requests for prior authorization· Schedule services - arrange appointments appropriately that are in line with order and care plan· Maintain records - keep patient records up to date and accurate including demographics, insurance information, registration forms, medical record requests· Communicate - Keep patients and referral sources informed about the status of their referrals· Document in the patient record all requests and conversations designed to help provide seamless coordination of care· Assist with enrollment - Help patients enroll in programs that may help with out-of-pocket costs· Collect Payment - Appropriately collect payment on patient balances, copays, and/or self-pay patients· Answer Phones - Help answer patient questions, triage calls to appropriate team member or department, and involve appropriate persons to best assist questions at hand· Train new team members· Promote training participation and help team members in following new and existing workflow processes· Deliver messages that promote continuous improvement· Comply with company "best practices"· Other duties as assignedDoes this role have supervisory responsibilities? YESNO - XBasic Education and/or Experience Requirements· High School Diploma· Minimum 3 years' experience in healthcare related customer service, medical billing and coding,benefits verification, scheduling, health care related call center, or similar responsibilitiesBasic Qualifications· Ability to communicate effectively and professional with patients, providers and team members· Active listener· Ability to make decisions, solve problems and work independently· Proven ability to identify gaps and problems, determine lasting solutions, and necessary actionrequired to move forward.·Intake Specialist, Infusion Clinics Option Care Health IncIntake Specialist, Infusion ClinicsMurray, UT$16.61–$26.96 / hourp>Job 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 Rules & Edits Analyst WaystarEnterprise Rules & Edits AnalystLehi, Utahp style="text-align:left">Waystar’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. For more information, visit waystar.com or follow @Waystar on Twitter.Pharmacy Services Technician Cambia Health Solutions IncPharmacy Services TechnicianUTRemote$20.50–$30.80 / hourli>Assist 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 Manager AAPCFaculty ManagerSlc, UtahRemotep>If 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. · Provide timely support and troubleshooting for matters affecting class delivery, faculty readiness, student experience, and operational continuity.Faculty Lead AAPCFaculty LeadSlc, UtahRemoteul>Student Support:Serve as a substitute instructor and provide class coverage as needed. Faculty 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.Healthcare Credential Exam Specialist AAPCHealthcare Credential Exam SpecialistSalt Lake City, UtahRemoteb>Required QualificationsActive 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. The 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.NewRisk Adjustment Coder Humana IncRisk Adjustment CoderUTRemote$48,300–$65,900 / yearThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.123Resume ResourcesFree Resume TemplatesFree Resume BuilderSimilar Job SearchesMedical Biller JobsMedical Coder Jobs
Appian Low-Code Lead Architect Deseret Mutual Benefit AdministratorsAppian Low-Code Lead ArchitectSalt Lake City, UTRemoteYou'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 / yearli>Bonus: 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.
Senior Systems Engineer — AI Code Metrics Daemon AtlassianSenior Systems Engineer — AI Code Metrics DaemonSalt Lake City, Utah$176,400–$230,300 / yearli>Bonus: Git internals, developer tools / dev infra, endpoint or monitoring agents (EDR, sync clients, telemetry agents), SQLite or embedded storage, or cross-platform native development. Please visit go.atlassian.com/payzones for more information on which locations are included in each of our geographic pay zones.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Salt Lake City, UTREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
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 timep>The 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.
Patient Account Associate Claims and EDI Intermountain Health IncPatient Account Associate Claims and EDIPeaks Regional Office, UT$19.29–$27.45 / hourHowever, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Washington. We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Medical 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.
Business Office Manager Surgery Partners IncBusiness Office ManagerSandy, UTp>The 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.
Product Manager Waystar Holding CorpProduct ManagerLehi, UTp>Waystar'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.
Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystSalt Lake City, UT$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.
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.
Medical Billing Claims Specialist Caddis Capital ManagementMedical Billing Claims SpecialistSalt Lake City, UTWe 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).
Product Manager WaystarProduct ManagerLehi, Utahp style="text-align:left">Waystar’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. For more information, visit waystar.com or follow @Waystar on Twitter.
Insurance Billing Rep Tanner ClinicInsurance Billing RepKaysville, UTSkills: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Abilities: The ability to apply general rules to specific problems to produce answers that make sense.
Claims Processor, Medical Sutter HealthClaims Processor, MedicalUT$21.08–$28.45 / hourPosition Overview: Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions. Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments.
Specimen Processing Coordinator HCA Healthcare IncSpecimen Processing CoordinatorBountiful, UTRequired N/a • Basic Life Support (BLS) Certification Required 7 Days Education & Experience: • High school diploma or GED Required • 2+ years working in an acute care setting, namely a hospital. Lakeview Hospital: Where Compassion Meets ExcellenceLakeview Hospital is a 125+ bed community hospital located in Bountiful, Utah, just north of Salt Lake City.
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.
Medical Auditor Project Lead AAPCMedical Auditor Project LeadSalt Lake City, UtahRemoteli style="margin-bottom:11px;margin-left:8px">Embrace 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.
Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpAField Reimbursement Manager (Seattle, Denver or Salt Lake City)Salt Lake City, UTRemoteli>Serve 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.
Patient Accounts Rep - Phones Tanner ClinicPatient Accounts Rep - PhonesKaysville, UTSkills: Skill in analyzing of data, policies, and requirements and in preparing objective, comprehensive reports using computers for both research and reporting. Ability to communicate effectively with patients, staff, and external contacts via phone, in person, and through well-written reports.
Commercial Insurance Biller Avalon Health Care IncCommercial Insurance BillerSalt Lake City, UTli>Associate's degree (AA) or equivalent from two-year college or technical school; or two or more years related experience and/or training; or equivalent combination of education and experience. The ideal candidate will have a strong background in medical billing and coding for Skilled nursing facilities, as well as experience working with commercial insurance companies.
Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemoteSalt Lake City, UTRemote$69,000–$91,000 / yearCurrent medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Outpatient/Provider Coder III University of UtahOutpatient/Provider Coder IIISalt Lake City, UTp>American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification such as: Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder-Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS- P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or other specialty certification indicated by the department. Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.
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.
Enterprise Technical Support Analyst Waystar Holding CorpEnterprise Technical Support AnalystLehi, UTp>Waystar'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, UTp>Waystars 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.
Intake Specialist - Murray Option Care Health IncIntake Specialist - MurrayMurray, UT$16.61–$26.96 / hourJob Description: Job Responsibilities (listed in order of importance and/or time spent)Responsibilities include, but are not limited to:· Gathering necessary information that is pertinent for a complete and thorough patient intake, such as demographics, insurance information, clinical, lab and medical testing documentation· Input accurate information while building and/or updating patient records· Review all incoming faxed documents and attach to new or existing patient profile· Contact patient or provider to obtain any missing information· Verifying insurance to check for coverage and benefits pertaining to medications and services through the patients' medical benefit· Manage authorizations - submit and track requests for prior authorization· Schedule services - arrange appointments appropriately that are in line with order and care plan· Maintain records - keep patient records up to date and accurate including demographics, insurance information, registration forms, medical record requests· Communicate - Keep patients and referral sources informed about the status of their referrals· Document in the patient record all requests and conversations designed to help provide seamless coordination of care· Assist with enrollment - Help patients enroll in programs that may help with out-of-pocket costs· Collect Payment - Appropriately collect payment on patient balances, copays, and/or self-pay patients· Answer Phones - Help answer patient questions, triage calls to appropriate team member or department, and involve appropriate persons to best assist questions at hand· Train new team members· Promote training participation and help team members in following new and existing workflow processes· Deliver messages that promote continuous improvement· Comply with company "best practices"· Other duties as assignedDoes this role have supervisory responsibilities? YESNO - XBasic Education and/or Experience Requirements· High School Diploma· Minimum 3 years' experience in healthcare related customer service, medical billing and coding,benefits verification, scheduling, health care related call center, or similar responsibilitiesBasic Qualifications· Ability to communicate effectively and professional with patients, providers and team members· Active listener· Ability to make decisions, solve problems and work independently· Proven ability to identify gaps and problems, determine lasting solutions, and necessary actionrequired to move forward.·
Intake Specialist, Infusion Clinics Option Care Health IncIntake Specialist, Infusion ClinicsMurray, UT$16.61–$26.96 / hourp>Job 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 Rules & Edits Analyst WaystarEnterprise Rules & Edits AnalystLehi, Utahp style="text-align:left">Waystar’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. For more information, visit waystar.com or follow @Waystar on Twitter.
Pharmacy Services Technician Cambia Health Solutions IncPharmacy Services TechnicianUTRemote$20.50–$30.80 / hourli>Assist 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 Manager AAPCFaculty ManagerSlc, UtahRemotep>If 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. · Provide timely support and troubleshooting for matters affecting class delivery, faculty readiness, student experience, and operational continuity.
Faculty Lead AAPCFaculty LeadSlc, UtahRemoteul>Student Support:Serve as a substitute instructor and provide class coverage as needed. Faculty 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.
Healthcare Credential Exam Specialist AAPCHealthcare Credential Exam SpecialistSalt Lake City, UtahRemoteb>Required QualificationsActive 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. The 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.
NewRisk Adjustment Coder Humana IncRisk Adjustment CoderUTRemote$48,300–$65,900 / yearThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.