Job Description

Details



Open Date

11/04/2025



Requisition Number

PRN43493B



Job Title

Medical Coders



Working Title

Medical Appeal & Coding Specialist



Career Progression Track

S00



Track Level

S3 - Skilled



FLSA Code

Nonexempt



Patient Sensitive Job Code?

No



Standard Hours per Week

40



Full Time or Part Time?

Full Time



Shift

Day



Work Schedule Summary



UMB Office Hours; M-F 8:00am to 5:00pm

Mountain Time



VP Area

U of U Health - Academics



Department

00209 - Univ Medical Billing - Oper



Location

Other



City

Other



Type of Recruitment

External Posting



Pay Rate Range

25.00-28.00/hr



Close Date

01/04/2026



Priority Review Date (Note - Posting may close at any time)

11/17/2025



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 - attributes a successful candidate will exemplify.

Job Summary:

Analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Code records for use and planning by physicians, hospitals, research organizations, or insurance companies. Knowledgeable of medical and clinical terminology, disease processes, and pharmacology. Complete assignments according to established guidelines and schedules. May include contact with patients, families, doctors, or insurance companies. Senior-level support role. Completes assignments with little supervision. May assist less-experienced team members. Typically requires 3+ years of related experience. This is a Skilled Level position in the Support track.



The starting salary for this position is

$25-$28/hr

, 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!



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.



Responsibilities

Responsibilities:

+ Detect abnormalities and provide recommendations for resolution.



+ Review trends in work queues.



+ Provide recommendations to supervisory team.



+ Identify and summarize departmental concerns. Determine, document and present a summary and suggestion for resolution to leadership and/or departments.



+ Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers.



+ Training & Education.



+ Responsible for providing training, presentations, and education on billing procedures and workflows, one on one or in-group settings as needed.



+ Reviews specialty work queues for trends for quality coding and account review and appropriate account resolution of MAC 1 & 2 team members.



+ Monitor and resolve denials and appeals to ensure timely collection.



+ Maintain work queue expectations.



+ Evaluate and resolve coding claim rejections and denials through application of coding concepts, regulatory/policy review and adherence to internal processes and outbound communication with insurance companies.



+ Compose coding appeal letters and may collaborate with providers, QA Educators, and other key stakeholders.



+ Collaborate with leadership team.



+ Communicate effectively about denial trends affecting insurance payment.



+ Escalate payers outside of turnaround times.



+ Meet productivity and accuracy expectations of the position.



+ Other duties as assigned to support team and department objectives.



This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It's 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 Coder, III :

Requires 3+ years of related experience.



Preferences



Preferred Qualifications



+ AHIMA or AAPC Certification required



+ Minimum 3 years of coding experience or medical billing



+ Ability to independently code multi-specialties



+ Proven experience working from home effectively



Type

Benefited Staff



Special Instructions Summary



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.



Additional Information



The University is a participating employer with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at (801) 581-7447 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS' post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 if you have questions regarding the post-retirement rules.



This position may require the successful completion of a criminal background check and/or drug screen.



The University of Utah values candidates who have experience working in settings with students from all backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.



Veterans' preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.



The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.



To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action ( OEO /AA). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/



Online reports may be submitted at oeo.utah.edu



https://safety.utah.edu/safetyreport This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South.