Quality Assurance Auditor

University of Utah; Salt Lake City (UT); Remote; USD 50,000 - 54,000; Full time

Benefits offered by this job

Bonus based on department performance

90% employer-paid medical insurance

Retirement contribution 14.2%

Tuition reduction

PTO and holidays

Job summary

University Medical Billing (UMB) is a fully remote department serving the University of Utah School of Medicine. We are seeking a Quality Assurance Auditor to audit medical coding, improve accuracy, and provide training on coding guidelines and proper documentation.

The role emphasizes collaboration, regulatory knowledge, and supporting multiple departments. Candidates should hold CPC/AAPC certification and have at least 1 year of related experience, with telecommuting aligned to Mountain Time.

Qualifications

• 1 year of higher education can be substituted for 1 year of directly related work experience.
• Medical Coding Quality Auditor (Healthcare), II requires at least 1 year of related experience.
• CPC, AAPC Certification is required.
• Minimum 6 years coding with progressive coding experience in multiple specialties.
• Minimum 2 years auditing.

Responsibilities

• Audit professional coding and billing across multiple medical and surgical departments for accuracy.
• Educate staff on clinical documentation requirements and regulatory rules.
• Research coding, regulatory and billing policies to ensure high quality auditing and education.
• Identify inaccurate coding practices and prepare reports on findings and risks.
• Perform ad hoc duties and meet performance standards.

Skills

Auditing

Medical coding

Regulatory compliance

Training/education

Education

CPC/AAPC Certification Required

Associate's degree preferred

Job description

Quality Assurance Auditor

Job Summary

University 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 & Benefits

The 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 performance
• 90%employer-paid medical insurance
• generous 14.2% retirementcontribution
• reduced tuition
• PTO and holiday pay, and more!

Responsibilities

Essential Functions

1. Reviews 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.
2. Provides education based on clinical documentation requirementsrelated to regulatory and reimbursement rules and regulations,reimbursement systems (federal, state, and payer specific) andhealth insurance processing.
3. 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.
4. Identifies inaccurate coding practices; prepares reports offindings and education on accurate coding practices, compliancerisks, and revenue cycle efficiencies.
5. 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 Qualifications

EQUIVALENCY 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.

Preferences

An especially qualified candidate will also possess thefollowing:

• Associate's degree preferred
• CPC, AAPC Certification Required
• Minimum 6 years coding with progressive coding experience inmultiple specialties
• Minimum 2 years auditing

Applicants must demonstrate the potential ability to perform theessential functions of the job as outlined in the positiondescription.

Disclaimer

This 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 Instructions

While 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: PRN46375B

Full Time or Part Time? Full Time

Work Schedule Summary: UMB Office Hours; M-F 8:00am to5:00pm Mountain Time

Department: 00209 - Univ Medical Billing - Oper

Location: Other

Pay Rate Range: $36 to $39 per hour

Close Date: 12/02/2026