NewClaims Coding Analyst Senior HealthPartners InstituteClaims Coding Analyst SeniorBloomington, MNThe Senior Analyst supports evaluation of new codes, regulatory updates, and plan-specific policies, while investigating complex claims to determine reimbursement accuracy and identify provider billing trends and errors. MINIMUM QUALIFICATIONS: Education, Experience or Equivalent Combination: Expert-level completion of Medical Coding Program with certification (AAPC or AHIMA equivalent: CPC, CCA, CCS).
NewProfee Inpatient Coding Specialist CorroHealth IncProfee Inpatient Coding SpecialistMNProfessional Fee Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Experience codding for hospitalists, nephrology and coding bedside procedures, split shared services, inpatient tests and FS modifiers.
Physician Coding Liaison Ensemble Health PartnersPhysician Coding LiaisonMNRemote$57,400–$99,000 / yearThis role also involves performing root cause analysis of trending identifying coding opportunities, supporting and at times leading coding opportunity improvement projects, and performing special coding projects as determined by leadership. This position performs coder communications reviews, serves as the key contact for the specialty, and provides the front-line expertise for their specialty for the company and clients.
Managed Services - Revenue Cycle Coding - Senior Manager PwCManaged Services - Revenue Cycle Coding - Senior ManagerMinneapolis, MN$124,000–$280,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Revenue Cycle for each missing year of college is required. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Insurance Denials Specialist for Coding Denial Management RAYUS Radiology IncInsurance Denials Specialist for Coding Denial ManagementSt. Louis Park, MNRemote$20.70–$29.93 / hourAccurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states. Communicates with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner to expedite the billing and collection of accounts receivable.
Lead Surgical Coding Auditor US Oncology IncLead Surgical Coding AuditorMinnesota, MNCookies are used on this site to assist in continually improving the candidate experience and all the interaction data we store of our visitors is anonymous. We're sorry, but it looks like this job may be no longer available or does not exist.
Evaluation And Management Medical Coder/Auditor UnitedHealth Group Inc.Evaluation And Management Medical Coder/AuditorPlymouth, MN$20–$36 / hour10-20%: Audit outpatient claims to validate reported services, appropriate use of procedure codes, modifiers, identify potential unbundled services, confirm place of service and number of units per claim line item. Educational outreach involves effectively communicating coding and documentation guidelines, both verbal and written, to provider(s), provider office staff and / or designated biller(s).
Evaluation and Management Medical Coder/Auditor UnitedHealth Group IncEvaluation and Management Medical Coder/AuditorPlymouth, MN$20–$36 / hour10-20%: Audit outpatient claims to validate reported services, appropriate use of procedure codes, modifiers, identify potential unbundled services, confirm place of service and number of units per claim line item. Educational outreach involves effectively communicating coding and documentation guidelines, both verbal and written, to provider(s), provider office staff and / or designated biller(s).
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantMinneapolis, MinnesotaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Senior Medical Coder UnitedHealth Group IncSenior Medical CoderEden Prairie, MNRemote$24–$43 / hourThe Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Sr Recovery/Resolution Analyst UnitedHealth Group IncSr Recovery/Resolution AnalystMinnesota, MN$24–$43 / hourThey must be able to exercise judgement/decision making on complex payment decisions that directly impacts the provider and UHC/Client by following state and government compliance guidelines, coding requirements and policies. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Billing Manager AMHERST H. WILDER FOUNDATIONBilling ManagerSt. Paul, MNThis role requires a detail-oriented professional who can analyze financial data to provide insights that support strategic decision-making, including monitoring claim submissions and accounts receivable, reviewing rejected or underpaid claims, direct appeals and resolving payer disputes to maximize cash flow and minimize claim denials. Ultimately, the Billing Manager contributes to the financial health and transparency of the organization by maintaining robust billing and accounting practices and controls, and supporting the billing team with third party billing and receivables management to optimize revenue cycle performance.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MN$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Physician Compensation Analyst Gillette Children'sPhysician Compensation AnalystSaint Paul, MinnesotaThis role reports up through Revenue Cycle Management and partners closely with the Physician Compensation Program Specialist, the Specialty Services Manager, Coding, Chargemaster, Providers, and the Medical Staff Office. This role is dedicated to owning the back-end wRVU calculations, RVU crosswalks, and compensation impact modeling that convert coding, billing, and productivity data into accurate, auditable figures.
Physician Compensation Analyst Gillette Children's Specialty HealthcarePhysician Compensation AnalystSaint Paul, MN$43,922–$65,988 / yearThis role is dedicated to owning the back-end wRVU calculations, RVU crosswalks, and compensation impact modeling that convert coding, billing, and productivity data into accurate, auditable figures. This role reports up through Revenue Cycle Management and partners closely with the Physician Compensation Program Specialist, the Specialty Services Manager, Coding, Chargemaster, Providers, and the Medical Staff Office.
NewRegional Reimbursement Director, Neuroscience, North Central ImCheck Therapeutics SASRegional Reimbursement Director, Neuroscience, North CentralMinnesota, MN$161,250–$236,500 / yearJob Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen products within the Neuroscience therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Neurology products.
RN Medical Coverage Policy Consultant HealthPartners InstituteRN Medical Coverage Policy ConsultantBloomington, MNESSENTIAL DUTIES: (15%) Research, identify, analyze and evaluate evidence based scientific literature and use critical thinking skills to summarize and synthesize evidence-based findings, complex clinical information and technical information which affect medical coverage policies and benefits. The Consultant is a collaborative position that works with many cross functional departments including Claims, Utilization Management (UM), Medical Directors, Contracts and Benefits, Member Services/Appeals, and Government Programs to support policy changes.
NewRegional Reimbursement Director, Neuroscience, North Central Ipsen SARegional Reimbursement Director, Neuroscience, North CentralMN$161,250–$236,500 / yearJob Description: The Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen products within the Neuroscience therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen's Neurology products.
Manager, Financial Reporting Physician Practice Clients Wipfli LLPManager, Financial Reporting Physician Practice ClientsMinneapolis, MNRemote$97,000–$145,000 / yearWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
Field Reimbursement Manager (Remote Option) FLEX VascularField Reimbursement Manager (Remote Option)Plymouth, MNRemote5+ years in a client-facing reimbursement or field support role (e.g., medical device reimbursement, coding/billing, market access, or related field-based healthcare role), with demonstrated skill in payer navigation (benefit verification, prior authorization, appeals, and coverage policy interpretation) and direct provider/practice support (on-site education, troubleshooting claims, and guiding staff through coding and billing questions). The FRM travels to hospital, ASC, and physician-office accounts to educate billing and coding staff, troubleshoot claim and coverage issues, and help customers work through payer contract questions and updates.