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, UTRemoteFull timeThis 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.
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.
Coding Validation Coder I COTIVITI, INC.Coding Validation Coder ISOUTH JORDAN, UTResponsibilities Clinical Validation - Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement. Mental Requirements: * Ability to absorb new information quickly and train in a fast-paced environment and ability to learn, test and pass off new training concepts daily.
Certified Coder -Administrative Services East - Full Time Ogden Clinic Professional CorpCertified Coder -Administrative Services East - Full TimeSouth Ogden, UTYou must be a Certified Professional Coder with: • Strong knowledge of coding and medical terminology • Excellent problem-solving and communication skills • Impeccable attention to detail • A collaborative spirit and the ability to work independently. Ongoing Training & Support: Weekly team meetings, regular feedback, and tools like Encoder Pro ensure you have everything you need to succeed.
NewMulti-Specialty Professional Coder - Hospitalist Primary AAPCMulti-Specialty Professional Coder - Hospitalist PrimarySalt Lake City, UtahRemoteAAPC (www.aapc.com) is the world’s largest and fastest-growing training, certification, and solutions association in healthcare. Extensive coding in multiple specialties including: all primary care specialties, hospitalists, pulmonology, medical oncology, general surgery, etc.
Inpatient Facility Coder -Contractor AAPCInpatient Facility Coder -ContractorSalt Lake City, UtahRemoteWe are seeking a highly motivated and dedicated coding professional to join our team as an contract inpatient facility coder. Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach.
Multi-Specialty Professional Coder -Hospital Primary Contractor AAPCMulti-Specialty Professional Coder -Hospital 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.
PACE Risk Adjustment Coder AAPCPACE Risk Adjustment CoderSalt Lake City, UTDemonstrates confidence in decision-making and effectively balances autonomy and authority with accountability. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible.
Medical Auditor Project Lead AAPCMedical Auditor Project LeadSalt Lake City, UTRemoteFull timeEmbrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs. Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency.
Medical 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, UTRemoteFull timePerforms 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.
Medical Coding & Billing Specialist Stella Mental HealthMedical Coding & Billing SpecialistMurray, UtahThis role ensures billing processes are accurate, timely, and compliant while helping patients navigate insurance coverage, payment responsibilities, and billing inquiries with clarity and professionalism. Collaborate with Payor Relations, Credentialing, Clinic Operations, and Revenue Cycle team members to support accurate billing and continuity of care.
Coding Services Quality Analyst AAPCCoding Services Quality AnalystSalt Lake City, UTRemoteFull timeData Analysis and Reporting Compile audit results and prepare detailed reports to identify trends, gaps, and areas for improvement. Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
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.
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.
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.
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.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Salt Lake City, UTRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Manufacturing Maintenance Technician TruFru Nature's Bakery LLCManufacturing Maintenance Technician TruFruSalt Lake City, UTThis position would also be of interest to people have worked as the following: Maintenance Mechanic, Industrial Maintenance Technician, Plant Maintenance Technician, Facilities Maintenance Mechanic, Maintenance Technician, Mechanical Maintenance Technician, Electrical Maintenance Mechanic, Maintenance Engineer, Production Maintenance Technician. The primary role of the Maintenance Mechanic is to provide competent & effective Electrical and Mechanical Maintenance support to the Plant and Facility operations in a safe manner.
Senior Maintenance Technician (Night Shift) Nature's BakerySenior Maintenance Technician (Night Shift)Salt Lake, UtahThis position would also be of interest to people have worked as the following: Maintenance Mechanic, Industrial Maintenance Technician, Plant Maintenance Technician, Facilities Maintenance Mechanic, Maintenance Technician, Mechanical Maintenance Technician, Electrical Maintenance Mechanic, Maintenance Engineer, Production Maintenance Technician. The primary role of the Maintenance Mechanic is to provide competent & effective Electrical and Mechanical Maintenance support to the Plant and Facility operations in a safe manner.
Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorUT$72,765–$88,935 / yearStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)West Valley City, UTRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Implementation Specialist Enzo HealthImplementation SpecialistLehi, UtahPlan and execute data migration from legacy home health EHRs (Homecare Homebase, WellSky/Kinnser, MatrixCare, Axxess, Netsmart, and others), validating accuracy of patient records, OASIS assessments, plans of care, and billing data. You are the person who turns Enzo's promise into results inside each agency — configuring the platform, migrating data, training clinical and back-office staff, and making sure Enzo EHR and the full product suite run the way each customer needs them to.
Investigations Unit Investigator, Senior CareOregon IncInvestigations Unit Investigator, SeniorUT$90,225–$110,275 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Help identify potential areas of FWA vulnerability and risk; assist department leadership in developing and implementing corrective action plans for resolution of problematic issues and provide general guidance on how to avoid or deal with similar situations in the future.
NewInvestigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)UT$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.