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Quality Assurance Auditor II

University of Utah Health
Salt Lake, UT Full Time
POSTED ON 3/5/2025 CLOSED ON 4/6/2025

What are the responsibilities and job description for the Quality Assurance Auditor II position at University of Utah Health?

Details

Open Date 03/04/2025

Requisition Number PRN41328B

Job Title Coding Auditor

Working Title Quality Assurance Auditor II

Job Grade E

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 $36.00 to $38.00 per hour

Close Date 05/04/2025

Priority Review Date (Note - Posting may close at any time)

Job Summary

We are looking for an experienced Quality Assurance Auditor II to join our team. As the Quality Assurance Auditor, you will be responsible for conducting audits of medical coding to increase coding accuracy and identify opportunities for improvement and training within an organization that provides healthcare patient services. Review audit results with medical coding management and staff. Provide training on coding guidelines, medical terminology, and proper documentation techniques. Serve as resource for information on coding standards and regulatory requirements. Mid-level support role. Completes routine tasks under moderate supervision.

Mid-level position. Performs general tasks and completes routine assignments.

Compensation & Benefits

The starting salary for this position is $36 – $38 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!

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.

Responsibilities

Essential Functions:

Reviews and audits professional coding and billing from multiple medical and surgical departments and entities of University Health Care. Reviews billing and revenue cycle processes for accuracy and process improvements. 55%

Provides education based on clinical documentation requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state, and payer specific) and health insurance processing. 15%

Research coding, regulatory and billing policies, background, and instructions as needed to ensure high quality auditing, education, feedback, and subject matter expertise development. Has implicit understanding of the service line audited. Analyzes data to find billing irregularities and modify audit scope. 15%

Identifies inaccurate coding practices; prepares reports of findings and education on accurate coding practices, compliance risks, and revenue cycle efficiencies. 15%

Complete ad hoc related duties as assigned; meet performance standards and key performance expectations of position.

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

American Health Information Management Association ( AHIMA ) or American Academy of Professional Coders ( AAPC ) recognized certification such as: Certified Professional Coder ( CPC ), Certified Professional Coder-Hospital ( CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist – Physician Based ( CCS - P), Registered Health Information Administrator ( RHIA ), Registered Health Information Technician ( RHIT ), or other specialty certification indicated by the department, plus 4 years coding, clinical, or billing experience or equivalency (one year of education can be substituted for two years of related work experience). Departments may prefer specific certifications over others.

Demonstrated human relations and effective communication skills also required; proficiency with medical terminology.

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Preferences

An especially qualified candidate will also possess the following:

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

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’s 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 (801) 581-7447 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 (801) 366-7770 or (800) 695-4877 or University Human Resource Management at (801) 581-7447 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 patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patients.

All qualified individuals are strongly encouraged to apply. 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.

The University of Utah is an Affirmative Action/Equal Opportunity employer and 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.

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 Affirmative Action ( OEO /AA). More information, including the Director/Title IX Coordinator’s office address, electronic mail address, and telephone number can be located at: https://www.utah.edu/nondiscrimination/

Online reports may be submitted at oeo.utah.edu

https://safety.utah.edu/safetyreport This 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.

Salary : $36 - $38

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