• Medical Appeal & Coding

    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
    University of Utah (11/06/25)
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  • Senior Claim Denial Prevention & Appeals…

    Oracle (Salt Lake City, UT)
    …+ Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and billing forms (UB, 1500). + Experience with coding , ... burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators… more
    Oracle (12/11/25)
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  • Denials Prevention Specialist , Clinician…

    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
    Datavant (11/12/25)
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  • Unemployment Specialist

    Sedgwick (Salt Lake City, UT)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **PRIMARY PURPOSE** : To analyze complex or technically difficult ... + Works to move claim towards appropriate claim closure which may include appeal to hearing or Board of Review + Represents company at administrative unemployment… more
    Sedgwick (12/11/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (Salt Lake City, UT)
    …of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement ... medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination… more
    Molina Healthcare (12/03/25)
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