CVS Health CorpNewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, ND$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
Code NinjasNewCoding 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.
CVS Health CorpClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, ND$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Ceribell IncSenior Manager, Reimbursement - Central remote Ceribell IncSenior Manager, Reimbursement - Central remoteNDRemote$184,000–$210,000 / yearThe Ceribell System is a novel, point-of-care electroencephalography ("EEG") platform specifically designed to address the unmet needs of patients in the acute care setting, and is being used in hundreds of community hospitals, large academic facilities and major IDN's across the country. Data Analysis and Reporting: Utilize reimbursement data, claims data, and other relevant sources to perform data analysis and generate reports on reimbursement trends, payment patterns, and financial outcomes.
TriWest Healthcare AllianceClaims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystFargo, NDRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
TriWest Healthcare AllianceSupervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminFargo, NDRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Sanford HealthHospital Coder - Outpatient - Full Time Sanford HealthHospital Coder - Outpatient - Full TimeNDRemote$19–$30.50 / hourMaintain certification in Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) by fulfilling continuing education requirements. Assigns codes to diagnoses and procedures for outpatient medical records using current International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding classification systems.
Noridian Healthcare Solutions, LLCSoftware Developer I Noridian Healthcare Solutions, LLCSoftware Developer IFargo, ND$59,937.84–$90,695.98 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Federal ID's may include one of the following: Personal Identity Verification (PIV) card, Personal Identity Verification-Interoperable (PIV-I) card, a Local-Based Physical Access Card issued by CMS, or a Local-Based Physical Access Card issued by another Federal agency and approved by CMS.
TriWest Healthcare AllianceSr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerFargo, NDRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
TriWest Healthcare AllianceClaims Reviewer TriWest Healthcare AllianceClaims ReviewerFargo, NDRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
TriWest Healthcare AllianceUtilization 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.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)ND$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
UnitedHealth Group IncRegional Traveler - HouseCalls Nurse Practitioner - IA, MN, MO, ND, WI UnitedHealth Group IncRegional Traveler - HouseCalls Nurse Practitioner - IA, MN, MO, ND, WINorth Dakota, NDIreland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialRegional Traveler - HouseCalls Nurse Practitioner - IA MN MO ND WI Clayton Missouri Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. This is a non-prescribing field-based role focused on improving health outcomes through education gap closure and collaboration with primary care providers PCP.Primary ResponsibilitiesConduct comprehensive in-home assessments includingPast medical history review medication reconciliation vital signs and physical examEvidence-based screenings and point-of-care testing as appropriateIdentify and document diagnoses for care management and treatment planningCommunicate findings to members PCPs to address gaps in careRecognize urgentemergent situations and intervene appropriatelyEducate members on disease processes medications and complianceAddress social determinants of health and provide referrals as neededYoull be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction.
North Dakota University SystemJunior/Senior Research Economist North Dakota University SystemJunior/Senior Research EconomistFargo, NDThe Junior/Senior Research Economist will lead or contribute to ARPC-branded publications, policy briefs, stakeholder reports, presentations, data products, dashboards, peer-reviewed academic publications, and other research products that translate rigorous empirical analysis into practical guidance for policymakers, industry leaders, commodity organizations, and producer groups. This collaborative role involves identifying emerging policy priorities, developing empirical research projects, and generating evidence on how agricultural policies, commodity, land, and credit market conditions, financing constraints, and production risks affect producers, agribusinesses, and rural communities.
CVS Health CorpStaff Software Development Engineer - Fulfillment CVS Health CorpStaff Software Development Engineer - FulfillmentND$106,605–$284,280 / yearCollaborate closely with engineering, platform, and business teams to deliver cost optimized, scalable solutions-leveraging cloud cost profiling tools, storage tiering strategies, service right sizing, and architectural simplification. Apply advanced software engineering practices across the full SDLC-including domain driven design (DDD), design patterns, secure coding, automated testing strategies (unit, contract, integration), code quality gates, trunk based development, and continuous observability.
CVS Health CorpStaff Development Engineer - Fulfillment CVS Health CorpStaff Development Engineer - FulfillmentND$106,605–$284,280 / year7+ years of software development in enterprise / web / cloud applications • 5+ years of backend software development experience with programming languages/tools including: Java, Spring Boot, Kafka • 3+ years of distributed caching experience • 3+ years of experience having a track record developing in AWS or GCP or Azure or similar public cloud environments (GCP preferred) • 3+ years of experience in design, development and operationalizing microservices based web/webservices application in cloud native environment • 3+ years of technical lead experience within a matrixed environment, including mentoring junior engineers and working cross collaboratively between architecture, product, etc. • Understand security threats and patterns and ensure adherence to all regulatory initiatives, HIPAA, PHI, PII, locational and contractual data restrictions • Experience with build automation technologies like Maven, Gradle, Jenkins, Harness • Expert knowledge with functional, imperative and object-oriented languages and methodologies • Experience with Cassandra and Postgres - preferred • Experience with test-driven development and automated testing frameworks • Experience with Scrum/Agile development methodologies.
Eide Bailly LLPHealthcare Revenue Cycle Consultant - Remote Eligible Eide Bailly LLPHealthcare Revenue Cycle Consultant - 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.
MaximusData Conversion Lead MaximusData Conversion LeadFargo, NDFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
CambiaNewAppeals Clinician I CambiaAppeals Clinician IFargo, NDRemote$76,500–$103,500 / yearAs a member of the Clinical Services team, our Appeals Clinician I utilizes clinical expertise to complete the clinical component of all appeal types to resolve member and/or provider appeals - all in service of making our members' health journeys easier. Active licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g.