Senior Director Coding Sanford HealthSenior Director CodingFargo, ND$67–$110.50 / hourCollaborates and coordinates with various Sanford Health leaders to ensure coding integrity and accurate data collection is achieved to support a seamless continuum of care, supporting provider compensation models, compliant processes, optimal reimbursement and efficient revenue cycle functions. Responsible for operational budget and strategic initiatives and formulation of Sanford Health"s coding operating model and enhancement of coding related services throughout the system in order to drive and meet the goals of revenue services.
Coding Associate Analyst II Essentia HealthCoding Associate Analyst IIFargo, ND$23.76–$35.64 / hourUses ICD-10, CPT and HCPCS coding and billing knowledge, and awareness of state and federal billing regulations, to recommend and assist in implementing methods for improving coding, billing, and denials management processes. Licensure/Certification Qualifications: Certification/Licensure Requirements: AHIMA credential (RHIA (Registered Health Information Administrator), RHIT (Registered Health Information technician), CCS (Certified Coding Specialist), CPC -H (Certified Professional Coder - Hospital)).
Coding Instructor Code NinjasCoding InstructorFargo, North DakotaWe are looking for a Code Sensei (Code Teacher) to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Coding Instructor Cognito LLCCoding InstructorFargo, NDWe are looking for a Code Sensei (Code Teacher) to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Full Time Nanny Needed \- West Fargo ND (Internal Code: AW\-P) NannyPodFull Time Nanny Needed \- West Fargo ND (Internal Code: AW\-P)West Fargo, North DakotaNewborn Care Specialist, Infant Care Specialist, Neo-Natal Nurse, Registered Nurse certifications or similar are a plus but not a pre-requisite for Infant Care Specialist bookings. We are generally a flexible family and have been able to work with our current nanny to accommodate when she has needed to take care of things during the week (medical or dental appointments, mechanic services, vet appts, etc).
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)ND$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.
Patient Accounts Coordinator Rural Psychiatry AssociatesPatient Accounts CoordinatorFargo, NDFull timePatient Accounts CoordinatorAt Rural Psychiatry Associates, we are committed to bringing quality mental health services to rural and underserved communities across the country. This role is ideal for someone who enjoys problem-solving, working with insurance and billing processes, and contributing to the financial success of a mission-driven healthcare organization.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)ND$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Director Clinical Operations and Medical Policy Cambia Health Solutions IncDirector Clinical Operations and Medical PolicyFargo, NDDemonstrated knowledge of the following: Health Plan and benefit design structures and application; Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Knowledge of health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities, health insurance operations, or legal research helpful; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. These activities include services pertaining to: evidence reviews of medications, formulary development, Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or medical claims system, medication pipeline monitoring, medication trend management, and consultation and guidance on medication-related issues.
Senior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)ND$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerFargo, NDRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Referral Specialist TriWest Healthcare AllianceReferral SpecialistFargo, NDRemoteFull timeEnsures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOND$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
RN Clinical Documentation Specialist Sanford HealthRN Clinical Documentation SpecialistFargo, North DakotaThe CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct diagnosis related group (DRG). Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
QA Risk Adj Auditor II Cambia HealthQA Risk Adj Auditor IIFargo, ND$26.03–$41.65 / hourIdentifies trends in provider coding/documentation and vendor risk adjustment reporting and makes those trends known to leadership as well as coding team manager and training lead to develop intervention strategies - all in service of creating a person-focused health care experience. As a member of the Risk Adjustment team, our The Risk Adjustment Auditor performs Retrospective/Prospective chart review utilizing various types of records to ensure accurate risk adjustment reporting.
QA Risk ADj Auditor II Cambia Health Solutions IncQA Risk ADj Auditor IIFargo, ND$26.03–$41.65 / hourIdentifies trends in provider coding/documentation and vendor risk adjustment reporting and makes those trends known to leadership as well as coding team manager and training lead to develop intervention strategies - all in service of creating a person-focused health care experience. As a member of the Risk Adjustment team, our The Risk Adjustment Auditor performs Retrospective/Prospective chart review utilizing various types of records to ensure accurate risk adjustment reporting.
NewSoftware Engineer- PHP Therapy BrandsSoftware Engineer- PHPNDWe're seeking a Software Engineer with strong object-oriented programming experience (PHP preferred, but open to other OOP languages) and a thoughtful interest in how AI can enhance modern software development. Use AI-assisted development tools (such as GitHub Copilot, Cursor, Claude, or similar) to improve productivity, accelerate debugging, and support test creation-while validating outputs and ensuring quality.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerND$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Senior Manager - Software Development Engineering CVS Health CorpSenior Manager - Software Development EngineeringND$106,605–$284,280 / year3+ years of experience defining technology strategy and leading the adoption and operationalization of technologies such as AI/ML, cloud services, automation, and developer productivity tools in a large-scale enterprise environment with evidence of measurable impact (e.g., reduction in MTTR, cost savings, efficiency gains, or adoption KPIs). Currently, we are seeking Senior Manager - Software Development Engineering who will lead and manage a team of software engineers, providing hands-on technical direction, architecture guidance, and mentorship while establishing measurable engineering goals aligned with business outcomes.
Healthcare Revenue Cycle Consulting Manager - Remote Eligible Eide Bailly LLPHealthcare Revenue Cycle Consulting Manager - Remote EligibleFargo, NDRemote$100,000–$150,000 / yearA typical day as a Healthcare Revenue Cycle Consultant might include: Conducting onsite and remote revenue cycle assessments for healthcare providers (primarily hospitals), including evaluating patient access, mid-cycle, and back-end functions; identifying improvement opportunities and recommending solutions. You have well-rounded knowledge of CMS, and other state and federal regulatory guidance related to the healthcare industry with a strong understanding of inpatient, outpatient and professional billing and payer requirements.