Outpatient Medical Coder Edits UnitedHealth Group IncOutpatient Medical Coder EditsEden Prairie, MN$20–$36 / hourAs an Outpatient Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Codes for all types of same day surgeries, major Trauma ER encounters, observations, and complex surgery cases including orthopedic and spinal fusions. Primary Responsibilities: Identify appropriate assignments of CPT and ICD-10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
Health Information Technology Instructor/Program Director (1330 hours/year) @ Northwood Tech New Richmond Campus Northwood Technical CollegeHealth Information Technology Instructor/Program Director (1330 hours/year) @ Northwood Tech New Richmond CampusNew Richmond, WisconsinFull timePromote a culture of continuing student success, implement strategies to promote learner persistence and meet the needs of multi-generational learners, demonstrate learner-centered communication, and utilize available student support services. Minimum of two years (4,000 hours) related occupational experience (e.g., Director – Medical Records, Certified Procedural Coder, Certified Coding Specialist, etc.) of which at least one year (2,000 hours) shall be within 5 years prior to the date of appointment.
Case Manager RN Pride GlobalCase Manager RNMinneapolis, MN$1,720 / weekThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerMinneapolis, MNRemoteFull 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.
Case Manager (LCSW) TriWest Healthcare AllianceCase Manager (LCSW)Minneapolis, MNRemoteFull timeFunctions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.
Medical Surgery Coder - Intermediate Fairview Health Services IncMedical Surgery Coder - IntermediateMinneapolis, MNEnsures accurate diagnoses, procedure codes and other specified data to ensure appropriate/optimal reimbursement for facility and/or professional charges utilizing information from medical records and following established methods and procedures. Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more!
Medical Director - ENT CVS Health CorpMedical Director - ENTMN$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Finance Systems Analyst Hogan LovellsFinance Systems AnalystWashington, MN$100,000–$125,000 / yearThis will involve attending project meetings and working with other departments in Finance and Technology as required in relation to the projects concerned, keeping the appropriate manager regularly informed of progress and developments. The team currently consists of the Finance Systems Manager with analysts based in London and Hong Kong, a Senior Finance Systems Manager with analysts based in the US, and a Finance Systems Manager - Product Owner based in London.
Certified Coder II: Professional Billing North Memorial HealthCertified Coder II: Professional BillingRobbinsdale, MN$26.15–$39.23 / hourThe Coder II accurately applies the correct ICD-10CM and CPT coding with appropriate modifiers, analysis and data entry performed on inpatient and outpatient's services in either the professional services or in hospital setting for billing customer accounts and ensures accurate clinical data base is maintained. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered).
Director of Medical Device Reimbursement and Market Access SANUWAVE, IncDirector of Medical Device Reimbursement and Market AccessEden Prairie, MNRemoteThis individual will serve as the company's primary subject matter expert on coding, coverage, and payment policy — working cross-functionally with Sales, Commercial, Clinical, Regulatory, and Finance to ensure that providers and patients can access Sanuwave technologies with minimal reimbursement barriers. Develop and execute reimbursement strategies for new and existing medical device product lines, including coding (CPT, ICD-10, HCPCS), coverage, and payment pathway planning.
Medical Coder - Risk Adjustment Specialist Volunteers of America, Inc.Medical Coder - Risk Adjustment SpecialistEden Prairie, MN$58,000–$66,000 / yearFull timeJoin Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation, support CMS reporting, and strengthen value-based care for older adults in the PACE program. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best .
Clinical Informaticist Analyst ClinDCast LLCClinical Informaticist AnalystMinneapolis, MNFull timeThis role requires close collaboration with clinicians and engineers to ensure that automated models are accurate, clinically sound, and technically feasible. The Clinical Informaticist will bridge the gap between clinical and technical teams by interpreting clinical guidelines from CMS and Health Plans, and transforming them into models for automation.
Certified Coder II: Professional Billing North Memorial Health Career PortalCertified Coder II: Professional BillingRobbinsdaleThe Coder II accurately applies the correct ICD-10CM and CPT coding with appropriate modifiers, analysis and data entry performed on inpatient and outpatient's services in either the professional services or in hospital setting for billing customer accounts and ensures accurate clinical data base is maintained. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered).
Senior Product Complaint Analyst Boston Scientific CorpSenior Product Complaint AnalystArden Hills, MNThe anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) - see www.bscbenefitsconnect.com-will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. About the role: Works in a fast-paced environment to analyze customer complaints for the Electrophysiology Complaint Management Center (CMC), determine regulatory reportability and coordinate activities with internal, field and end-use customers.
Patient Accounts Specialist MNGI Digestive HealthPatient Accounts SpecialistMinneapolis, MN$20.88–$24.01 / hourResponsible for weekly rotating job tasks, including but not limited to: manually posting patient payments, posting and mailing patient refund checks, processing patient credit card payments, Healthia work log tasks, and additional clerical tasks. Work closely with internal and external parties (patients, primary care clinics, collection agencies, coworkers) to address and resolve any concerns while maintaining HIPAA compliance.
Field Reimbursement Manager-Ophthalmology - Minnesota, Wisconsin Regeneron Pharmaceuticals IncField Reimbursement Manager-Ophthalmology - Minnesota, WisconsinMN$165,600–$209,600 / yearProactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.
Medical Scribe - Twin Cities Orthopedics Twin Cities OrthopedicsMedical Scribe - Twin Cities OrthopedicsWoodbury, MNAct as a prescribing delegate to enter medical orders (i.e. medications, laboratory services, imaging studies and other auxiliary services into the computerized provider order entry (CPOE) into patient electronic records under the direct supervision of the provider. The Medical Scribe is responsible for documenting patient data into electronic health records system, as well as assisting with patient care and related administrative tasks in clinic to increase efficiency and productivity of providers.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOMN$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.
Occupational Therapist Minneapolis Clinic Of Neurology, LtdOccupational TherapistGolden Valley, MNFull timeIdentify red flags and appropriately manage patients presenting with health concerns beyond the scope of OT.Provide high quality, comprehensive therapy, and customer service, including the development of maintenance therapy planning for appropriate patients. Participate in practice improvements by implementing changes to procedures/workflows, identifying opportunities for improvement, and assisting with the delivery of compassionate and personalized patient care.
Medical Billing Collections- Fully Remote Doherty Staffing SolutionsMedical Billing Collections- Fully RemoteSt Paul, MNRemoteDoherty Staffing Solutions offers our valued contract employees health coverage through Benefits in a Card (preventative benefit and minimum value plans), along with weekly paychecks via a prepaid card from CHANGE. Enjoy weekly pay , access to health coverage options through Benefits in a Card (including preventative and minimum value plans), and temp-to-hire opportunities for long-term stability where applicable.