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.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)UT$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
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.
NewCoder SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC.CoderSaint George, UTThe Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization's FQHC compliance and reporting requirements (including UDS and Section 330 obligations where applicable). Summary: The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites.
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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)UT$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
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.
Coder Noncertified - Full Time UINTAH BASIN MEDICAL CENTERCoder Noncertified - Full TimeROOSEVELT, UTActs as a resource person to hospital and clinic staff for coding and may provide education regarding coding changes/issues. **Duties and Responsibilities** - Demonstrates Competency in the Following Areas: - Ensures that records are coded within three days of discharge, excluding weekends and holidays.
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.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorUT$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. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
NewCoding Analyst I SelectHealthCoding Analyst IMurray, UtahThe Coding Analyst I for SelectHealth provides general expertise in the areas of all areas of coding (professional, facility (inpatient and outpatient), drug, Durable Medical Equipment (DME), and lab code sets) for highly-regulated, government insurance programs such as Medicare, Medicaid, Affordable Care Act (ACA), Children's Health Insurance Program (CHIP), Federal Employees Health Benefit (FEHB) program, and self-funded plans with unique plan designs, reimbursement, compliance initiatives, regulatory legislation, and billing practices. Responsible for compliance with all coding regulations for all provider specialties (surgical and non-surgical) and coding methodologies (including inpatient (Non DRG and DRG), outpatient (APC and non- APC), Ambulatory Surgical Centers (ASC), drugs and biologicals, lab and genetics, home health, DME and any other type of claim we may receive.
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.
NewPayment Integrity Nurse I Cambia Health Solutions IncPayment Integrity Nurse ISalt Lake City, UTRemote$73,230.90–$99,077.10 / yearAs a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post service review of claims in prepayment, post payment or audit capacity to ensure appropriate clinical review, reimbursement of claims and accuracy of coding. Excellent computer skills and proficiency working software programs (i.e. Microsoft Word, Excel, and PowerPoint); learn new processes and systems quickly.
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.
NewCharge Master Analyst Sutter HealthCharge Master AnalystUT$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
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.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTSalt Lake City, UTRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTSalt Lake City, UTRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
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.
Revenue Integrity Analyst II Intermountain Health IncRevenue Integrity Analyst IIUT$37.87–$59.63 / hourInteract with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching. Ensures timely accuracy of revenue capture for a specific service line(s), including validation that documentation supports charges submitted, all charges/coding are aligned with procedure performed, and charges/coding are consistent with Federal, State, and payer guidelines.
NewEducation Specialist AAPCEducation SpecialistSLC, UTRemoteFull timeCollaborate with a team of internal and external experts Positively contribute to AAPC’s well-established team of coding educators in providing industry-best training and membership experience. Responsibilities: Support AAPC learners in Practicode, self-paced, and other online courses Instruct and encourage learners by accurately answering questions via email and phone.
NewNurse Specialist, Clinical Documentation Improvement University of UtahNurse Specialist, Clinical Documentation ImprovementSALT LAKE CITY, UTThis position is responsible for improving the overall quality and completeness of clinical documentation by communicating with and providing education to physicians, case managers, coders and other health team members to facilitate comprehensive medical record documentation that reflects clinical treatment, decisions, and diagnoses for patients. Carrying, Climbing, Color Determination, Crawling, Far Vision, Lifting, Listening, Manual Dexterity, Near Vision, Pulling and/or Pushing, Reaching, Sitting, Speaking, Standing, Stooping and Crouching, Tasting or Smelling, Walking.
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.
NewCoding Specialist Bristol Hospice, LLCCoding SpecialistSalt Lake City, UTBristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity.
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.
Investigator, 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.