Quality Assurance Auditor II

Company: University of Utah
Location: Salt Lake City
Posted on: March 8, 2025

Job Description:

Quality Assurance Auditor II

For a complete understanding of this opportunity, and what will be required to be a successful applicant, read on.

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.

DisclaimerThis 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.



Special Instructions
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.



Requisition Number: PRN41328B
Full Time or Part Time? Full Time
Work Schedule Summary: UMB Office Hours; M-F 8:00am to 5:00pm Mountain Time
Department: 00209 - Univ Medical Billing - Oper
Location: Other
Pay Rate Range: $36.00 to $38.00 per hour
Close Date: 5/4/2025
Open Until Filled:

To apply, visit https://utah.peopleadmin.com/postings/179445




jeid-076250fbe99f554085524d1dd88f3d2f

Keywords: University of Utah, Salt Lake City , Quality Assurance Auditor II, Accounting, Auditing , Salt Lake City, Utah