- University of Utah (Salt Lake City, UT)
- …Number** PRN43493B **Job Title** Medical Coders **Working Title** Medical Appeal & Coding Specialist **Career Progression Track** S00 **Track Level** ... processes and outbound communication with insurance companies. + Compose coding appeal letters and may collaborate with...or AAPC Certification required + Minimum 3 years of coding experience or medical billing + Ability… more
- Datavant (Salt Lake City, UT)
- …Care Guidelines and or Interqual + Select appropriate letter language to author appeal letter Identification of referrals to the medical director for review ... realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of… more
- Molina Healthcare (Orem, UT)
- …on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and ... of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement… more
- Molina Healthcare (Orem, UT)
- …request by another Molina department to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records ... program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM),… more