The role involves auditing inpatient medical records for accuracy in diagnosis, procedure coding, and DRG assignment to ensure appropriate reimbursement. Additionally, the position provides ongoing education and guidance to coders and clinical staff regarding regulatory compliance.
University of Utah Health
9 Remote Job Openings at University of Utah Health
Utilization Review Nurse - Medication Access
University of Utah Health
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Full Time
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5 days ago
University of Utah Health
Responsible for monitoring the medical necessity and efficiency of patient care to maintain financial integrity for both the patient and the organization. This includes conducting clinical reviews with third-party payers and collaborating with physicians to manage resource utilization and length of stay.
Insurance Receivable Specialist II
University of Utah Health
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Full Time
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13 days ago
University of Utah Health
This role is responsible for managing insurance receivables, resolving claim denials, and ensuring contract compliance for reimbursements. It involves coordinating with clinical staff and other departments to resolve billing issues and acting as a patient advocate.
Provider Enrollment Specialist
University of Utah Health
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Full Time
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13 days ago
University of Utah Health
The specialist is responsible for coordinating provider enrollment applications for Medicare, Medicaid, and other insurance payers. They maintain physician records and ensure regulatory and hospital contract compliance through accurate documentation and system updates.
The role involves auditing procedural billing and reimbursement accuracy based on the correct application of codes and payment rules. Additionally, the position provides training to departmental personnel on correct coding and documentation processes.
The role involves auditing procedural billing and reimbursement accuracy based on the correct application of codes and payment rules. Additionally, the position provides training to departmental personnel on correct coding and documentation processes.
Manages day-to-day physician referral services by directing inbound calls to appropriate clinics and notifying physicians of patient admissions. Maintains physician databases and generates reports to facilitate patient access to the healthcare system.
Cath/EP or Radiology Clinical Coordinator
University of Utah Health
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Full Time
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25 days ago
University of Utah Health
Coordinates care for Invasive Cardiology or Radiology patients, including scheduling, patient education, and pre-procedure assessments. Manages medication histories, orders necessary labs and imaging, and handles post-procedure follow-up and triage.
Outpatient/Provider Coder III
University of Utah Health
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Full Time
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3 months ago
University of Utah Health
This role involves abstracting, coding, and interpreting outpatient clinic and provider services for billing, requiring the review and coding of complex or sub-specialty services and resolving documentation inconsistencies. The coder will also serve as a resource for staff, research suspended claims, and apply regulatory guidelines to coding and reimbursement decisions.
