• Medical Appeal & Coding Specialist

    University of Utah (Salt Lake City, UT)
    …**Requisition Number** PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track ... successful candidate will exemplify. **Job Summary:** Analyze and translate medical and clinical diagnoses, procedures, injuries, or...or AAPC Certification required + Minimum 3 years of coding experience or medical billing + Ability… more
    University of Utah (11/06/25)
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  • DRG Coding Auditor

    University of Utah Health (Salt Lake City, UT)
    …of six years experience of HIM Management. + Four years of experience with coding ICD-10. + Clinical Coding Specialist (CCS) certification. + Certified ... by clinical indicators and treatment. + Develops and coordinates coding education and formal training programs. + Improves documentation by participating in… more
    University of Utah Health (12/04/25)
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  • Director , Clinical Data Acquisition

    Molina Healthcare (West Valley City, UT)
    **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
    Molina Healthcare (10/22/25)
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  • Medical Director - Medicaid (remote)

    Humana (Salt Lake City, UT)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more
    Humana (12/07/25)
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  • Medical Director - IP Claims…

    Humana (Salt Lake City, UT)
    Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance,… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Salt Lake City, UT)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (12/11/25)
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  • Medical Director , Medical

    Highmark Health (Salt Lake City, UT)
    …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding more
    Highmark Health (12/24/25)
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  • Director , Risk Bearing Provider Sales

    Datavant (Salt Lake City, UT)
    …bold vision for healthcare. **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be responsible for driving revenue growth, building… more
    Datavant (12/10/25)
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  • Director , Revenue Cycle Management

    Cardinal Health (Salt Lake City, UT)
    …oncology practices navigate the future. **About the Revenue Cycle Team** The Director of Revenue Cycle for Radiation Oncology is responsible for overseeing all ... position requires strategic leadership, operational excellence, and collaboration across clinical , operations, and financial teams while spearheading the development… more
    Cardinal Health (12/24/25)
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  • Denials Director

    R1 RCM (Salt Lake City, UT)
    …Collaboration:** Collaborate with senior leaders and other departments, such as coding , clinical documentation, case management and patient access, to ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...AI, intelligent automation, and workflow orchestration. As our **Denials Director ** , you will act as a strategic leader… more
    R1 RCM (12/19/25)
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