Medical Appeal & Coding Specialist

Job Title

Medical Coders – Medical Appeal & Coding Specialist

Location:

Remote (Other)

Hours:

40 per week, Full time, Shift: Day (8:00am–5:00pm Mountain Time)

Pay Range: $25–$28 per hour

Close Date: 02/27/2026

University Medical Billing (UMB) is a fully remote department that serves over 1,800 providers across 30 specialties. We value collaboration, innovation, and accountability. As a Senior‑level Support track position, you will analyze and translate medical and clinical diagnoses into numeric codes, complete assignments per guidelines, and provide support to less experienced team members. This role requires 3+ years of related experience and operates with minimal supervision.

Members of UMB are eligible for a performance bonus and the University’s comprehensive benefits, including 90% employer‑paid medical insurance, a 14.2% retirement contribution, reduced tuition, PTO, holiday pay, and more.

• 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 with payers.
• Provide training, presentations, and education on billing procedures and workflows as needed.
• Review specialty work queues for trends for quality coding and account review and appropriate 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 using 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.

Equivalency statement: 1 year higher education can be substituted for 1 year 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.

• This role is expected to work during UMB office hours, Monday through Friday, 8:00am to 5:00pm Mountain Time.
• The University of Utah prioritizes Utah‑based applicants for remote roles. At this time, the University is unable to employ individuals living in California, Colorado, New York, Oregon, or Washington.

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires may enroll in URS if they elect before becoming eligible for retirement (usually first day of work). Retired individuals receiving monthly benefits may contact URS for post‑retirement rules.

This position may require a criminal background check and/or drug screen.

Veterans’ preference is extended to qualified applicants. Reasonable accommodations are available for individuals with disabilities. Equal Employment Opportunity laws are followed and full anti‑discrimination statements are in place (color, race, religion, gender, gender identity, sexual orientation, pregnancy, disability, protected veteran’s status, etc.). For Title IX or disability accommodations, contact the Title IX Coordinator or OEO. Online reports may be submitted at the specified URLs.