DRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg) Elevance HealthDRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg)Mendota Heights, MN$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Manager, Financial Reporting - Physician Practice Clients Wipfli Advisory LLCManager, Financial Reporting - Physician Practice ClientsMinneapolis, MinnesotaRemote$97,000–$145,000 / yearFull timeWipfli 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.
Revenue Cycle Manager NATIVE AMERICAN COMMUNITY CLINICRevenue Cycle ManagerMinneapolis, MNOral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
Medical Coder - Palliative Care UnitedHealth Group Inc.Medical Coder - Palliative CareEden Prairie, MN$20–$36 / hourWe 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. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
NewMedical Coder - Cardiology UnitedHealth Group Inc.Medical Coder - CardiologyEden Prairie, MN$20–$36 / hourWe 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. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
NewSenior Inpatient Medical Coder UnitedHealth Group Inc.Senior Inpatient Medical CoderEden Prairie, MN$23.89–$42.69 / hourPrimary Responsibilities: Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility. 3+ years of experience working with DRG coding with a mastery of complex procedures, cardiac catheterization, complex cardiology, interventional radiology, orthopedic and neurology cases.
NewSenior Inpatient Medical Coder - Acute Edits & Denials UnitedHealth Group Inc.Senior Inpatient Medical Coder - Acute Edits & DenialsEden Prairie, MN$24–$43 / hourAs a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. Combine accounts; identifies codes that require charge build, collaborate with other departments on charging and documentation requirements, participates in special projects involving payer and compliance reviews.
Office Home Medical Equipment Coordinator HealthPartners InstituteOffice Home Medical Equipment CoordinatorSaint Paul, MNWe're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
Optometric Technician EdinaOptometric TechnicianEdina, MinnesotaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Diagnosis Accuracy Clinical Reviewer HealthPartners InstituteDiagnosis Accuracy Clinical ReviewerBloomington, MNLicensure/ Registration/ Certification: Recommend Certified Professional Coder (CPC) or Certified Coding Specialist (CCS-P) Certification, AHIMA accredited Registered Health Information (RHIT), or Registered Health Information Administer (RHIA), Certified Documentation Expert - Outpatient (CDEO). MINIMUM QUALIFICATIONS: Education, Experience or Equivalent Combination: Advanced Practice Clinician either Master of Science in Nursing degree (Nurse Practitioner), Physician Assistant (PA), or Master's prepared Registered Nurse (RN) with clinical coding experience.
Revenue Integrity Analyst Hennepin County Medical CenterRevenue Integrity AnalystMinneapolis, MNConducts annual cost center quality reviews leveraging reporting tools to evaluate for charge capture gaps as well as the appropriateness of services billed based on supporting documentation, procedural (CPT/HCPCS) codes selected and appropriateness of modifier usage to identify potential opportunities for revenue capture and recognize areas of compliance concern. Revenue Integrity Analyst (260395) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County.
Senior Data Analyst (remote) Intuitive Technology GroupSenior Data Analyst (remote)Eden Prairie, MNRemoteThis individual will partner closely with business analytics stakeholders to identify relevant data sources, interpret complex claims data elements, trace claim activity through the adjudication lifecycle, and uncover patterns that support accurate estimate-to-claim matching. This role will focus on defining and analyzing matching criteria between pre-service member- and provider-facing cost estimates and actual medical claims submitted and adjudicated across multiple lines of business.
Director of Revenue Cycle Management Ellie Mental HealthDirector of Revenue Cycle ManagementMendota Heights, MinnesotaThe Director of Billing holds operational accountability over Ellie’s billing account management function, providing leadership, organization, planning, and direction to the Revenue Cycle Performance Leads who serve as liaisons between the Billery and Ellie’s franchise practice partners. This role contributes to the overall organizational and financial health by evaluating metrics and performance by franchisee, presenting the health of the revenue cycle, and delivering comprehensive reporting to franchise owners and Clinical Directors on relevant trends, KPIs, and insights.
Field Access Manager - North Central WI, MN, NE, IA, MO, KS Telix Pharmaceuticals LtdField Access Manager - North Central WI, MN, NE, IA, MO, KSMinneapolis, MNIn addition to Site of Service Access and Reimbursement responsibilities, the FAM will maintain a portfolio of regional payers and be responsible for medical policy planning and development, policy review, and favorable placement of the Telix brand portfolio within regional commercial medical policies, remove restrictions to unfavorable policies, placement of Telix products on state Medicaid fee schedules, and favorable formulary status where applicable. Key Accountabilities: Work directly with site of service support staff, providers, and other important stakeholders involved with patient access for all things reimbursement, including but not limited to, education around billing and coding, appeal or denials, patient support services, and appropriate use criteria for the Telix brand portfolio.
NewDRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadMendota Heights, MN$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
NewDirector, Health Economics & Reimbursementnt Edwards LifesciencesDirector, Health Economics & ReimbursementntMinneapolis, MinnesotaEstablish and maintain effective working relationships with key stakeholders at hospitals engaged in THV procedures, including hospital executives, cardiovascular administrators, quality, finance, documentation integrity, billing, and physicians (interventionists and surgeons), to support the site in establishing and maintaining a THV program through the development and implementation of reimbursement plans (coding, coverage, payment) unique to each provider. This individual will also support the health care providers in obtaining optimal reimbursement (payment rates and market access) by serving as a knowledgeable resource in coding, coverage and payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran Affairs (VA) and commercial payers.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementMinneapolis, MNRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Medical Director, General Surgery - Remote UnitedHealth Group Inc.Medical Director, General Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearWe 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Medical Director, Orthopedic Surgery - Remote UnitedHealth Group Inc.Medical Director, Orthopedic Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearWe 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
NewMedical Director, Vascular Surgery - Remote UnitedHealth Group Inc.Medical Director, Vascular Surgery - RemoteMinneapolis, MNRemote$248,500–$373,000 / yearWe 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.