Job Summary
University Medical Billing (UMB) is a fully remote
department that is viewed as the premier billing office for the
University of Utah School of Medicine, serving over 1,800 providers
and 30 different specialties across Utah and surrounding states. We
strive to be a great place to work while providing the best service
to our customers. Our leaders and employees value collaboration,
innovation, and accountability, and believe a successful candidate
will exemplify these attributes too.
We are looking for an experienced
Quality Assurance
Auditor to join our team. As the Quality Assurance
Auditor, you will conduct audits of medical coding to increase
coding accuracy and identify opportunities for improvement and
training within an organization that provides healthcare patient
services. Review audit results with medical coding management and
staff. Provide training on coding guidelines, medical terminology,
and proper documentation techniques. Serve as a resource for
information on coding standards and regulatory requirements.
Mid-level support role. Completes routine tasks under moderate
supervision.
Employment is contingent on the successful completion of a
background check and the adherence to departmental policies,
including UMB's Telecommuting Agreement which requires a
distraction-free and HIPAA compliant workplace, cameras on for all
virtual calls/meetings, and the ability to work during office hours
or assigned shift (M-F, approximately 8am to 5pm Mountain Time)
regardless of what time zone you live in. Additionally, new hires
are required to provide their own monitors (two) and reliable
internet service.
Compensation & Benefits
The starting salary for this position is $36.00 to $39.00 per hour,
depending on experience. Members of UMB are eligible for a bonus
based on department performance. All team members are eligible for
the University's comprehensive benefit package that includes 90%
employer-paid medical insurance, a generous 14.2% retirement
contribution, reduced tuition, PTO and holiday pay, and more!
Responsibilities
Essential Functions
- Reviews and audits professional coding and billing from
multiple medical and surgical departments and entities of
University Health Care. Reviews billing and revenue cycle processes
for accuracy and process improvements.
Provides education based on clinical documentation requirements
related to regulatory and reimbursement rules and regulations,
reimbursement systems (federal, state, and payer specific) and
health insurance processing.
Research coding, regulatory and billing policies, background,
and instructions as needed to ensure high quality auditing,
education, feedback, and subject matter expertise development. Has
implicit understanding of the service line audited. Analyzes data
to find billing irregularities and modify audit scope.
Identifies inaccurate coding practices; prepares reports of
findings and education on accurate coding practices, compliance
risks, and revenue cycle efficiencies.
Complete ad hoc related duties as assigned; meet performance
standards and key performance expectations of position.
This job description is not designed to contain or be interpreted
as a comprehensive inventory of all duties, responsibilities and
qualifications required of employees assigned to the job.
Minimum Qualifications
EQUIVALENCY STATEMENT: 1 year of higher education
can be substituted for 1 year of directly related work experience
(Example: bachelor's degree = 4 years of directly related work
experience).
Medical Coding Quality Auditor (Healthcare), II:
Requires at least 1 year of related experience.
Preferences
An especially qualified candidate will also possess the
following:
- Associate's degree preferred
- CPC, AAPC Certification Required
- Minimum 6 years coding with progressive coding experience in
multiple specialties
- Minimum 2 years auditing
Applicants must demonstrate the potential ability to perform the
essential functions of the job as outlined in the position
description.
Disclaimer
This job description has been designed to indicate the general
nature and level of work performed by employees within this
classification. It is not designed to contain or be interpreted as
a comprehensive inventory of all duties, responsibilities and
qualifications required of employees assigned to the job.
Special Instructions
While UMB is a remote department and this role will be performed
remotely, interested applicants should note the following:
- This role is expected to work during UMB office hours which are
Monday through Friday, 8am to 5pm Mountain Time.
- The University of Utah is committed to providing jobs to
individuals located in Utah, and sees remote roles like this as an
opportunity to provide amazing employment opportunities to those
living in remote areas of the state. As such, Utah-based applicants
may be prioritized in the screening process.
- At this time, the University of Utah is unable to employ
individuals living in California, Colorado, New York, Oregon, or
Washington.
Requisition Number: PRN46375B
Full Time or Part Time? Full Time
Work Schedule Summary: UMB Office Hours; M-F 8:00am to
5:00pm Mountain Time
Department: 00209 - Univ Medical Billing - Oper
Location: Other
Pay Rate Range: $36 to $39 per hour
Close Date: 12/02/2026
Open Until Filled:
To apply, visit https://apptrkr.com/9873818"">https://utah.peopleadmin.com/postings/210240
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