Medical Appeals & Coding Specialist

Details Open Date 08/19/2026 Requisition Number PRN45959B Job Title Medical Coders Working Title Medical Appeals & 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-$28 per hour Close Date 10/15/2026 Priority Review Date (Note - Posting may close at any time) 09/09/2026 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 Medical Appeals & Coding Specialist to join our team. As the Medical Appeals & Coding Specialist, you will 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. Be 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. 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 $25-$28 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 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 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 Coder, III : Requires 3+ years of related experience. Preferences An especially qualified candidate will also possess the following: High school education or equivalent 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 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. 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 View phone number on click.appcast.io 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 View phone number on click.appcast.io or View phone number on click.appcast.io or University Human Resource Management at View phone number on click.appcast.io 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 and possess a strong commitment to improving access to higher education. 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. Consistent with state and federal law, the University of Utah 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 Title IX ( OEO ). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at: University of Utah Non‑Discrimination page. Online reports may be submitted at ** 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. As per University of Utah policy 5-108: Transfer of Benefits Eligible Staff Members, a new hire to the University of Utah who is still serving a 12 month probationary period will not be hired into another University of Utah job (a transfer) until the successful completion of the probationary period. #J-18808-Ljbffr Utah