44 jobs found in Provo, UT

Are you meticulous and dedicated to promoting compliance within an organization? We invite you to be a part of our team as an Internal Compliance Auditor. In this rewarding role, you will be instrumental in reinforcing internal control procedures and supporting organizational integrity. Key Responsibilities: Thoroughly examine records, reports, operating practices, and documentation to ensure adherence to internal controls. Validate assets and liabilities by matching them with necessary documentation. Document audit tests and findings, contributing to detailed workpapers. Assess the effectiveness of internal control systems using tailored audit questionnaires. Revise audit programs and questionnaires to enhance internal control systems and suggest new policies when required. Compose final reports that clearly communicate audit findings and discuss these outcomes with relevant stakeholders. Ensure compliance with security legal requirements by reviewing...

A healthcare provider in Lehi, UT is seeking an Accounts Receivable Specialist to manage collection activities with third-party payers and resolve outstanding balances. Candidates should have over 2 years of AR/collections experience in the medical field and strong communication and analytical skills. The role offers a fulfilling work environment with competitive pay, excellent benefits, and opportunities for growth. Join us in making a real difference in our patients' lives. #J-18808-Ljbffr

Job Summary: The Compliance Auditor is responsible for overseeing the Bank's compliance with regulations and ensuring adherence to internal financial controls. This position involves coordinating, conducting, and assisting in audits focused on internal controls, financial reasonableness, and regulatory compliance. The Compliance Auditor plays a key role in ensuring that the Bank maintains strong compliance practices, mitigating risks and upholding financial integrity. Salary : This position offers a competitive salary of $70,000 per year . Essential Functions: Compliance Monitoring: Monitor the Bank's compliance with regulations regarding deposits, loans, and other banking operations. Audit Procedures: Implement audit procedures to ensure the Bank's adherence to all relevant regulations and internal policies. Audit Execution: Conduct and/or coordinate annual, quarterly, and monthly audit procedures, including preparing comprehensive monthly audit reports....

The Role: Accounts Receivable Specialist | Lehi, UT The Accounts Receivable Specialist performs collection and follow up activities with third party payers to resolve outstanding balances, secure accurate and timely adjudication, and achieve successful closures of aged accounts receivable. What You’ll Be Doing: Performing online account status checks and following up with payers by phone, email, etc. on outstanding claim balances of assigned accounts Clearly document in EMR system patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing.  Must note all actions taken within the notes section to ensure all prior touches have been recorded and the account tells the story. Taking appropriate action to resolve...

About Serenity Healthcare  At Serenity, we help patients find long-term success even when other treatments have failed. Our mission is to help individuals take back their lives, and we do this by creating the finest patient experience and investing in our employees through a people-centric, collaborative, and growth-oriented culture.  Note: This role involves supporting patients who may be experiencing PTSD and suicidal ideation, which could be emotionally triggering for some individuals.  Position Overview  We are seeking a Credentialing Coordinator to join our corporate office team in Lehi, UT. This is a key administrative role that ensures all newly hired and current providers are properly credentialed with accuracy and efficiency. You will work closely with physicians, providers, and internal medical office teams.  Key Responsibilities  Process credentialing applications for new and existing healthcare providers  Perform primary source...

A healthcare organization is seeking an experienced Medical Billing Manager to oversee billing operations in Lehi, UT. This role involves leading a team to ensure accurate claims processing and compliance while enhancing billing workflows. The ideal candidate will have over 3 years of leadership experience in medical billing and strong skills in denial management and performance analysis. Benefits include competitive salary, extensive insurance coverage, and paid time off. #J-18808-Ljbffr

A medical billing and management company in Murray, Utah, is seeking an experienced Revenue Cycle Manager to lead and support a team of billers. The ideal candidate will have over 7 years of medical billing experience and at least 4 years in a management role. Responsibilities include overseeing all aspects of the revenue cycle, motivating staff, and maintaining a positive team culture. This position offers a competitive salary, health benefits, and opportunities for bonuses. #J-18808-Ljbffr

Job Description The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow‑up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education opportunities. Navigates Epic EMR,...

A dental and medical practice in Murray, Utah, is seeking a candidate experienced in both dental and medical billing to manage insurance claims and accounts receivable processes. The role requires handling insurance verification, submission, and follow-ups within a fast-paced environment. Ideal candidates must possess dental office experience, knowledge of ICD-10 coding, and strong organizational skills. Benefits include a 401(k), employee discounts, flexible schedules, paid time off, and potential monthly bonuses. #J-18808-Ljbffr

A regional health network is seeking a Senior Regional Clinical Coder to ensure accurate coding that informs hospital planning and quality care. With a strong background in ICD-10-AM coding, candidates must possess at least three years of coding experience in a hospital environment. This role supports data integrity across various health services, offering flexible working arrangements to balance personal and professional life. #J-18808-Ljbffr

Job no: 930855 Work type: Full time Location: Murray and Mallee Categories: Research, Regulation and Compliance, Research and Data Analysis Riverland Mallee Coorong Local Health Network, Location Negotiable within Region - Work from Home ASO4 | Full Time Contract | Ongoing Salary: $76,561 - $80,256 p.a Eligibility: Open to Everyone Join Our Team as a Senior Regional Clinical Coder - Drive Data Accuracy and Support Quality Care Make a meaningful impact by translating complex clinical information into accurate coded data that informs hospital planning, funding, research and quality improvement. This is an opportunity to apply your expertise in Australian clinical coding while contributing to high standards of data integrity and patient care across a regional health network. About the Role As the Senior Regional Clinical Coder, you will report to the Coding & Health Information Consultant and be responsible for the accurate translation of inpatient and same-day health...

Medical Coder/Billing Specialist About Us We are a modern, state-of-the-art hospital with a 5-Star Culture which emphasizes 1) Making an Impact (2) Breaking Down Barriers 3) Personal Accountability and (4) Enjoying the Ride. As a successful, stable, and independent hospital, CVMC has been providing exceptional healthcare to Utah's rural communities for forty years. Friendly, professional and caring employees make all the difference. Come and see! Responsibilities Assigns ICD-10, CPT and HCPCS codes to diagnosis, procedures and treatments for patient records. Reviews patient medical records for completeness and accuracy. Prepares and submits medical insurance claims. Reviews and updates patient insurance information Evaluates claims to determine when additional attention is needed Updates and re-bills when necessary Works aged accounts to ensure patient data is accurate and complete Contacts insurance companies as necessary to follow up on claims...

Medical Records Technician (Coder) Auditor (Inpatient/Outpatient) This position is located in the Health Information Management (HIM) section of the Health Administration Service (HAS) at the James E. Van Zandt VA Medical Center. Incumbent is required to reside within 50 miles of VA Altoona. Accepting applications from 03/13/2026 to 03/20/2026. Salary range is $61,722 to $80,243 per year. Pay scale and grade is GS 9. Location is negotiable after selection. This position is not remote, but it is 100% telework eligible; incumbent is required to reside within 50 miles of VA Altoona. Travel is not required. Relocation expenses are not reimbursed. The appointment type is permanent and the work schedule is full-time. Service is excepted with no promotion potential. Security clearance is not required. Drug test is not required. Position sensitivity and risk is non-sensitive/low risk. Suitability/fitness is required through the trust determination process. Financial disclosure is not...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

About The Company Utah Retirement Systems provides retirement benefits for more than 250,000 Utah public employees, including teachers, firefighters, police officers, and others who serve their communities. URS administers eight pension systems and four retirement savings plans, providing financial security and peace of mind for thousands of Utah families. URS is a dynamic, complex enterprise that requires collaboration from talented employees across a diverse range of fields. We take pride in maintaining a positive team environment and excellent work-life balance. We offer a competitive salary, and our benefits far exceed what most modern employers offer. Job Description POSITION SUMMARY Performs a variety of professional duties related to auditing municipal, county, and state agencies for their administration of Utah Retirement Systems benefit plans with their employees in compliance with plan requirements. Provides direction, education, and training to these agencies...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

This is a full-time remote position focused on enhancing the product knowledge and functional skills of global medical affairs teams. As an Associate Director, you will act as a therapeutic area expert (in areas such as Nephrology or Immunology), leading training that supports the Global Medical Affairs (GMA) Business Unit's product strategies and priorities. Your key responsibilities will include: Developing and executing the core training curriculum for new products throughout all launch phases. Conducting training for new hire Medical Science Liaisons (MSLs) and GMA personnel within therapeutic areas. Supporting the GMA Peak Performers series aimed at enhancing the skills and performance of Global Medical Affairs. Creating original ideas for training sessions, developing presentation slides, and evaluating their effectiveness. Facilitating live and virtual classroom training sessions. Additionally, you will collaborate with regional/local training leads to...

This is a full time remote based position that specializes in advancing product expertise and functional skills of global medical affairs teams. The AD will serve as a therapeutic area expert (i.e., Nephrology/Immunology) by leading the training supporting the GMA Business Unit products, strategy and priorities. This role will be responsible for developing and executing the core training curriculum for a new product across all launch phases as well as training New Hire MSLs & GMA personnel supporting their therapeutic area. In addition, this role will be integral in the support of the GMA Peak Performers series, focusing on upskilling the performance of Global Medical Affairs. This will require original idea proposals, slide development, execution and evaluation. Leading live and virtual classroom trainings will also be an important deliverable of this position. The AD will partner and oversee regional/local Training Leads for their therapeutic area to develop tailored...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Job Description About the Role: We invite you to be part of our forward-thinking healthcare information management team as a Senior Inpatient Medical Coding Specialist. This critical role will enable you to bridge the gap between clinical data and cutting-edge technology, directly contributing to the evolution of AI-driven solutions for medical coding and billing. Your extensive knowledge will play a vital role in shaping our product development strategies. Requirements and Qualifications: At least 3 years of in-depth experience in inpatient medical coding within a hospital environment. Proven expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. Thorough understanding of the evidence requirements necessary for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Strong communication skills for effective collaboration...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance to other auditors within AHN on audit approach and analysis. Responsible for creating and overseeing orientation of auditors. Leads all hospital or physician audits/investigations, auditing support and responses related to external audit activity. ESSENTIAL RESPONSIBILITIES: Establishes and implements orientation for all members of the AHN audit compliance team. Evaluates the progress of team members including review of reports and audit activities. Works with senior management responsible for AHN-wide case management/physician programs to develop processes that meet Medicare and 3rd party payor requirements. Provides guidance to staff auditors on audit topics and reports. (20%) Conducts educational sessions for...

Overview Top candidates will have experience in Same Day Surgery Coding. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...