Medical Appeal & Coding Specialist

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Posted 4 days ago. Be among the first 25 applicants.

• Open Date: 12/29/2025
• Requisition Number: PRN
  43924B
• Job Title:
  
  Medical Coders
• Working Title:
  
  Medical Appeal & Coding Specialist
• Career Progression Track: S00
• Track Level: S3 - Skilled
• 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: $25.00–$28.00/hr
• Close Date: 02/27/2026

University Medical Billing (UMB) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states.

We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability – attributes a successful candidate will exemplify.

Analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. Code records for use and planning by physicians, hospitals, research organizations, or insurance companies. Knowledgeable of medical and clinical terminology, disease processes, and pharmacology. Complete assignments according to established guidelines and schedules. May include contact with patients, families, doctors, or insurance companies. Senior‑level support role. Completes assignments with little supervision.

May assist less‑experienced team members. Typically requires 3+ years of related experience. This is a Skilled Level position in the Support track.

• Detect abnormalities and provide recommendations for resolution.
• Review trends in work queues.
• Provide recommendations to supervisory team.
• Identify and summarize departmental concerns. Determine, document and present a summary and suggestion for resolution to leadership and/or departments.
• Identify, analyze, and research frequent root causes of denials and develop corrective action plans for resolution of denials working directly with the payers.
• Provide training, presentations, and education on billing procedures and workflows, one‑on‑one or in‑group settings as needed.
• Review specialty work queues for trends for quality coding and account review and appropriate account resolution of MAC 1 & 2 team members.
• Monitor and resolve denials and appeals to ensure timely collection.
• Maintain work queue expectations.
• Evaluate and resolve coding claim rejections and denials through application of coding concepts, regulatory/policy review and adherence to internal processes and outbound communication with insurance companies.
• Compose coding appeal letters and may collaborate with providers, QA educators, and other key stakeholders.
• Collaborate with leadership team.
• Communicate effectively about denial trends affecting insurance payment.
• Escalate payers outside of turnaround times.
• Meet productivity and accuracy expectations of the position.
• Other duties as assigned to support team and department objectives.

• 1 year of higher education can be substituted for 1 year of directly related work experience (Example: bachelor’s degree = 4 years of directly related work experience).
• Medical Coder, III – Requires 3+ years of related experience.

• AHIMA or AAPC Certification required.
• Minimum 3 years of coding experience or medical billing.
• Ability to independently code multi‑specialties.
• Proven experience working from home effectively.

Starting salary: $25–$28/hr, depending on experience. Eligible for a department performance bonus and the University’s comprehensive benefits package, including 90% employer‑paid medical insurance, a 14.2% retirement contribution, reduced tuition, PTO, holiday pay, and more.

Employment is contingent on the successful completion of a background check…