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Medical Coding Compliance Jobs in Utah (NOW HIRING)

Medical Coder

Alpine, UT · On-site

$25 - $35/hr

This position is responsible for reviewing medical documentation, applying accurate billing and coding standards, supporting compliant claims submission, and managing denials through correction ...

Experience in medical coding, revenue cycle, health information management, utilization management, patient access, compliance, or related healthcare operations. * Strong knowledge of medical coding ...

As the Medical Appeals & Coding Specialist, you will analyze and translate medical and clinical ... compliant workplace, cameras on for all virtual calls/meetings, and the ability to work during ...

Medical Coders

Salt Lake City, UT · On-site

$25 - $28/hr

As the Medical Appeals & Coding Specialist, you will analyze and translate medical and clinical ... compliant workplace, cameras on for all virtual calls/meetings, and the ability to work during ...

PB Coder

West Valley City, UT · On-site +1

$28.06 - $44.20/hr

... compliance guidelines. Essential Functions * Evaluates and resolves all types of coding edits in ... medical terminology, disease processes, and surgical techniques to support the effective ...

PB Coding Coordinator

West Valley City, UT · On-site

$31.01 - $48.84/hr

Provides education/training for medical providers and coders within the department. * Performs quality assurance audits within specialty team. * Ensures compliance with coding regulations and ...

PB Coding Coordinator

West Valley City, UT · On-site

$31.01 - $48.84/hr

Provides education/training for medical providers and coders within the department. * Performs quality assurance audits within specialty team. * Ensures compliance with coding regulations and ...

CPC Tutor

Spanish Fork, UT · Remote

$18 - $40/hr

Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...

CPC Tutor

Logan, UT · Remote

$18 - $40/hr

Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...

CPC Tutor

Provo, UT · Remote

$18 - $40/hr

Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...

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Medical Coding Compliance information

What is medical coding compliance?

Medical coding compliance refers to the process of ensuring that medical coding practices adhere to federal, state, and organizational regulations and guidelines. This involves accurately translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. Compliance helps prevent fraud, reduce billing errors, and ensures that healthcare providers receive appropriate reimbursement while avoiding legal penalties. Professionals in this field stay updated on changing regulations, conduct audits, and provide training to staff to maintain high standards of accuracy and integrity.

What are the key skills and qualifications needed to thrive in medical coding compliance, and why are they important?

To thrive in Medical Coding Compliance, you need a thorough understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often backed by certifications like CPC, CCS, or CHC. Proficiency with electronic health record (EHR) systems, coding software, and compliance auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and educating staff. These skills ensure accurate coding, reduce legal risks, and maintain organizational compliance with healthcare regulations.

What are some common challenges faced in a medical coding compliance role, and how can they be addressed?

Medical Coding Compliance professionals often encounter challenges such as staying updated with frequent changes to coding regulations, ensuring consistent adherence to compliance standards across departments, and accurately interpreting complex clinical documentation. To address these, it’s crucial to participate in ongoing education, maintain close communication with healthcare providers, and utilize robust auditing tools. Collaborating with compliance officers and regularly attending training sessions can also help reinforce best practices and minimize errors.

What is the difference between Medical Coding Compliance vs Medical Coding Specialist?

AspectMedical Coding ComplianceMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentCompliance departments, healthcare organizationsMedical offices, hospitals, clinics
Primary FocusEnsuring coding accuracy and regulatory adherenceAssigning codes to medical procedures and diagnoses
Employer & Industry UsageHealthcare compliance and auditing firms, hospitalsHealthcare providers, billing companies

Medical Coding Compliance professionals focus on ensuring that coding practices adhere to regulations and standards, often working in compliance or auditing roles. Medical Coding Specialists primarily assign codes to medical records for billing and documentation. While both roles require similar certifications, their responsibilities and work environments differ significantly.

What does a medical coding compliance specialist do?

A medical coding compliance specialist ensures that healthcare providers accurately code medical procedures and diagnoses according to industry standards and regulations. They review coding practices, monitor for compliance with legal and payer requirements, and implement policies to prevent fraud and errors, often using coding software and staying updated on coding guidelines.

What are popular job titles related to Medical Coding Compliance jobs in Utah?

For Medical Coding Compliance jobs in Utah, the most frequently searched job titles are:

What cities in Utah are hiring for Medical Coding Compliance jobs?

Cities in Utah with the most Medical Coding Compliance job openings:

Infographic showing various Medical Coding Compliance job openings in Utah as of August 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, and 14% Remote job distribution.

$25 - $35/hr

Full-time

Medical, PTO

Re-posted 24 days ago


Job description

About Monovo
Monovo delivers proactive virtual care between visits. We partner with clinics through remote physiological monitoring, chronic care management, and care coordination.
Our work helps providers extend care beyond the clinic, helps patients stay supported in real life, and creates a more preventive, connected healthcare experience. We combine a real clinical care team with technology and operational support to make modern care easier to deliver and easier for patients to use.
As a Medical Coder at Monovo, your work directly supports the financial and operational foundation of proactive care. By ensuring documentation, codes, and claims are accurate and compliant, you help providers get reimbursed for meaningful care delivered outside the traditional office visit-making programs like remote patient monitoring and chronic care management sustainable for clinics and valuable for patients.
About the role
Monovo is seeking a highly detail-oriented, dependable Medical Coder to support accurate coding, compliant claim submission, and end-to-end denial resolution. This role is responsible for reviewing documentation, assigning appropriate codes, submitting and correcting claims, and owning denied, rejected, and underpaid claims through resolution.
This is not a narrow, transactional billing role. The right candidate will treat denials as problems to investigate, correct, and help prevent in the future. Success in this role means improving reimbursement outcomes, strengthening revenue-cycle discipline, and reducing preventable denials over time through strong judgment, persistence, and follow-through.
What you'll do
The Medical Coder plays a key role in Monovo's revenue cycle operations. This position is responsible for reviewing medical documentation, applying accurate billing and coding standards, supporting compliant claims submission, and managing denials through correction, appeal, and payer follow-up.
The ideal candidate combines technical billing and coding competence with strong organizational discipline and accountability. They are comfortable in structured, detail-heavy workflows, able to manage multiple claims and payer issues at once, and committed to closing loops fully rather than letting problems stall.
Key Responsibilities
Medical Coding and Documentation Review
  • Review and analyze medical records to extract accurate coding and billing-related information.
  • Apply appropriate ICD-10, CPT, and HCPCS codes based on documentation and payer requirements.
  • Ensure documentation supports billed services and aligns with compliance standards.
  • Identify coding discrepancies, missing documentation, and claim issues before or after submission.
  • Maintain accurate, timely, and compliant records in relevant systems and the clinic EHR.
  • Help reinforce process discipline and documentation quality across billing workflows.

Claim Submission and Billing Operations
  • Prepare and submit claims accurately and in a timely manner.
  • Support corrections, adjustments, write-offs, and resubmissions when needed.
  • Verify claim readiness based on payer requirements and internal documentation standards.
  • Track claim activity and maintain clear visibility into work status, next steps, and outstanding issues.
  • Collaborate with internal teams to obtain missing information needed for billing resolution.

Denials Management and Resolution
  • Own the review and resolution of denied, rejected, and underpaid claims.
  • Investigate denial causes, including coding errors, documentation gaps, payer edits, authorization issues, eligibility issues, and reimbursement discrepancies.
  • Correct and resubmit claims as appropriate.
  • Prepare and submit appeals with supporting documentation and strong rationale when needed.
  • Follow up with payers on unresolved denials, delayed reimbursements, and appeal outcomes.
  • Maintain organized documentation of denial actions, appeal status, and resolution progress.
  • Identify recurring denial patterns and escalate root-cause issues that should be addressed upstream.
  • Help improve clean claim performance by spotting trends and recommending process changes over time.

Compliance and Quality
  • Maintain compliance with HIPAA regulations and payer-specific billing and coding guidelines.
  • Stay current on coding changes, payer requirements, and reimbursement rules.
  • Help strengthen Monovo's standards for accuracy, consistency, and evidence-based billing practices.
  • Contribute to process improvement efforts that reduce friction, improve reimbursement outcomes, and support stronger operational quality.
  • Describe the specific responsibilities and job functions of the role

Qualifications
Required
  • 2+ years of medical coding experience
  • Strong working knowledge of CPT, ICD-10, and HCPCS
  • Experience with claim submission, denial resolution, appeals, and payer follow-up
  • Familiarity with reimbursement processes and medical documentation standards
  • Experience in a healthcare, clinic, physician-office, or outpatient setting
  • Strong attention to detail, organization, and written communication
  • Proficiency with EHR systems, billing platforms, and Microsoft Office Suite
  • Certification such as CPC, CCS, or CBCS
  • Experience using Athenahealth or similar EHR/billing platforms
  • Experience managing denied, rejected, or underpaid claims in an outpatient environment
  • Experience preparing appeals and supporting documentation packages
  • Familiarity with Medicare, commercial payer rules, and payer-specific denial patterns
  • Experience in preventive care, chronic care, or remote-care billing workflows

Candidate Background Most Likely to Succeed
  • Medical biller/coder in an outpatient clinic, physician office, or specialty practice.
  • Billing and coding specialist with direct experience managing denied, rejected, or underpaid claims.
  • Revenue cycle team member with strong exposure to denials, appeals, corrections, and payer follow-up.
  • Medical coder who has worked closely with billing operations rather than coding in isolation.

To Be Successful at Monovo, You
  • Take initiative and move work forward without waiting to be told every next step.
  • Follow through with consistency, care, and accountability.
  • Stay resilient in a fast-moving healthcare environment.
  • Communicate clearly, professionally, and with maturity.
  • Are teachable, open to feedback, and eager to learn evolving systems and payer requirements.
  • Care deeply about quality and getting things right.
  • Are mission-driven and motivated by improving outcomes through strong operational execution.

Why Work at Monovo
  • Be part of a healthcare company focused on preventive and connected care.
  • Play a meaningful role in improving reimbursement quality and operational discipline.
  • Help shape stronger billing and denial-management workflows as Monovo grows.
  • Build specialized experience at the intersection of billing, coding, payer strategy, and process improvement.
  • Do work that is purposeful, high-accountability, and important to the strength of the business.

Benefits
  • PTO and Paid Holidays
  • Health Stipend to get your own healthcare
  • Wellness Incentive Program that helps cover preventive care
  • Hybrid work environment

The pay range for this role is:
25 - 35 USD per hour (Alpine, UT (hybrid))