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EPIC Quality Auditor

University of Utah -
Salt Lake City, UT

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Job Details

Full-time
$75,000 - $85,000 a year

Benefits

Paid holidays
Health insurance
Paid time off

Qualifications

Quality control corrective actions
Risk-based auditing
Internal controls
Health information process improvement
Audit report preparation
Audit engagement planning
Spreadsheets
Regulatory compliance in claims processing
HIPAA
Performance Reporting
AHIMA
Healthcare documentation compliance audits
Gap analysis
Medical billing compliance checks
Mid-level
Reporting and dashboarding tools
Quality control audit
Master's degree
Medical claims processing software
Quality assurance audits
Bachelor's degree
Charge capture (medical billing)
Health insurance knowledge
Electronic health record (EHR) management for billing and coding
Financial compliance audits
Health information regulatory compliance
Document review
Health information management
Quality audits
1 year

Full Job Description

EPIC Quality Auditor

Job Summary

University Medical Billing (UMB) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states. We strive to be a great place to work while providing the best service to our customers. Our leaders and employees value collaboration, innovation, and accountability, and believe a successful candidate will exemplify these attributes too.

Job Summary
We are looking for an experienced EPIC Quality Auditor to join our team. As the EPIC Quality Auditor, you will be responsible for examining and analyzing information systems operations to identify opportunities for improvement and assess risks. Participating in audit planning and execution. Evaluating policies and procedures to ensure appropriate internal controls surrounding information systems are maintained. Developing strategies and provide recommendations on strengthening controls, mitigating risk, and implementing corrective actions. Documenting and reporting audit findings to management. May require Certified Information Systems Auditor (CISA) designation. May assist with financial and operational audits and ensure compliance with existing regulations as they relate to information systems.

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.

Compensation & Benefits
The starting salary for this position is $75,000 to $85,000 per year, 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!

Responsibilities
Essential Functions

Review, analyze, and validate professional fee billing accuracy within Epic Resolute PB, including charge entry, charge routing, claim edits, denials, and related billing workflows, to identify opportunities for improvement and assess risk.

Participate in audit planning and execution by performing audits of system automations, system updates, new business workflows, charge capture processes, coding workflows, and claims to confirm they are functioning as intended and meeting coding, billing, payer, data policy, and government regulatory requirements.

Evaluate policies, procedures, workflows, and system processes to ensure appropriate internal controls are maintained and audit activities support compliance with coding, billing, payer requirements, data policies, and government regulations.

Conduct 30-, 60-, and 90-day post-finalization reviews of implemented system or workflow changes to validate intended outcomes, identify gaps, assess risk, and confirm sustained performance.

Audit team-completed operational tasks, such as charge reconciliation and charge capture review, against approved procedures to confirm accuracy, completeness, appropriate controls, and expected billing outcomes.

Analyze claims, charge data, denials, payment trends, coding patterns, and report details to identify revenue loss, coding errors, workflow failures, system issues, control gaps, or opportunities for improvement.

Document and report audit findings to management and stakeholders, including recommendations to strengthen controls, mitigate risk, support corrective actions, and improve coding, billing, and system workflow performance.

Other duties as assigned.

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
EQUIVALENCY STATEMENT: 1 year of higher education can be substituted for 1 year of directly related work experience (Example: bachelor's degree = 4 years of directly related work experience).
Department may hire employee at one of the following job levels:
Information Systems Auditor, II: Requires a bachelor's (or equivalency) + 4 years or a master's (or equivalency) + 2 years of directly related work experience.
Information Systems Auditor, III: Requires a bachelor's (or equivalency) + 6 years or a master's (or equivalency) + 4 years of directly related work experience.

Preferences
An especially qualified candidate will also possess the following:

Foundational knowledge of healthcare delivery and billing processes.
Experience working in EPIC implementation or system support, claims data, spreadsheets, and reporting tools.
Minimum 2 years of coding experience in multiple specialties, AHIMA or AAPC Certification required.
Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, medical necessity, payer policy requirements, and professional billing workflows.
Experience auditing claims, charges, coding, documentation, denials, edits, or billing system processes.
Proficiency with electronic health records and billing systems, claims data, spreadsheets, and reporting tools.
Ability to interpret regulatory guidance, payer policies, coding guidelines, and operational procedures.
Experience working effectively in a remote environment

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer
This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It 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.

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: PRN45273B
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: $75,000 to $85,000 per year
Close Date: 8/2/2026
Open Until Filled:

To apply, visit https://utah.peopleadmin.com/postings/203213

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coding entry level jobs in remote

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