Quality Assurance Auditor

Quality Assurance AuditorJob SummaryUniversity Medical Billing (UMB) is a fully remotedepartment that is viewed as the premier billing office for theUniversity of Utah School of Medicine, serving over 1,800 providersand 30 different specialties across Utah and surrounding states. Westrive to be a great place to work while providing the best serviceto our customers. Our leaders and employees value collaboration,innovation, and accountability, and believe a successful candidatewill exemplify these attributes too.We are looking for an experienced Quality AssuranceAuditor to join our team. As the Quality AssuranceAuditor, you will conduct audits of medical coding to increasecoding accuracy and identify opportunities for improvement andtraining within an organization that provides healthcare patientservices. Review audit results with medical coding management andstaff. Provide training on coding guidelines, medical terminology,and proper documentation techniques. Serve as a resource forinformation on coding standards and regulatory requirements.Mid-level support role. Completes routine tasks under moderatesupervision.Employment is contingent on the successful completion of abackground check and the adherence to departmental policies,including UMB's Telecommuting Agreement which requires adistraction-free and HIPAA compliant workplace, cameras on for allvirtual calls/meetings, and the ability to work during office hoursor assigned shift (M-F, approximately 8am to 5pm Mountain Time)regardless of what time zone you live in. Additionally, new hiresare required to provide their own monitors (two) and reliableinternet service.Compensation & BenefitsThe starting salary for this position is $36.00 to $39.00 per hour,depending on experience. Members of UMB are eligible for a bonusbased on department performance.bonusbased on department performance90%employer-paid medical insurancegenerous 14.2% retirementcontributionreduced tuitionPTO and holiday pay, and more!ResponsibilitiesEssential FunctionsReviews and audits professional coding and billing frommultiple medical and surgical departments and entities ofUniversity Health Care. Reviews billing and revenue cycle processesfor accuracy and process improvements.Provides education based on clinical documentation requirementsrelated to regulatory and reimbursement rules and regulations,reimbursement systems (federal, state, and payer specific) andhealth 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. Hasimplicit understanding of the service line audited. Analyzes datato find billing irregularities and modify audit scope.Identifies inaccurate coding practices; prepares reports offindings and education on accurate coding practices, compliancerisks, and revenue cycle efficiencies.Complete ad hoc related duties as assigned; meet performancestandards and key performance expectations of position.This job description is not designed to contain or be interpretedas a comprehensive inventory of all duties, responsibilities andqualifications required of employees assigned to the job.Minimum QualificationsEQUIVALENCY STATEMENT: 1 year of higher educationcan be substituted for 1 year of directly related work experience(Example: bachelor's degree = 4 years of directly related workexperience).Medical Coding Quality Auditor (Healthcare), II:Requires at least 1 year of related experience.PreferencesAn especially qualified candidate will also possess thefollowing:Associate's degree preferredCPC, AAPC Certification RequiredMinimum 6 years coding with progressive coding experience inmultiple specialtiesMinimum 2 years auditingApplicants must demonstrate the potential ability to perform theessential functions of the job as outlined in the positiondescription.DisclaimerThis job description has been designed to indicate the generalnature and level of work performed by employees within thisclassification. It is not designed to contain or be interpreted asa comprehensive inventory of all duties, responsibilities andqualifications required of employees assigned to the job.Special InstructionsWhile UMB is a remote department and this role will be performedremotely, interested applicants should note the following:This role is expected to work during UMB office hours which areMonday 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 anopportunity to provide amazing employment opportunities to thoseliving in remote areas of the state. As such, Utah-based applicantsmay be prioritized in the screening process.At this time, the University of Utah is unable to employindividuals living in California, Colorado, New York, Oregon, orWashington.Requisition Number: PRN46375BFull Time or Part Time? Full TimeWork Schedule Summary: UMB Office Hours; M-F 8:00am to5:00pm Mountain TimeDepartment: 00209 - Univ Medical Billing - OperLocation: OtherPay Rate Range: $36 to $39 per hourClose Date: 12/02/2026J-18808-Ljbffr