Charge Master Coding Analyst HealthPartners InstituteCharge Master Coding AnalystSaint Paul, MNWorks directly with clinical areas regarding missing or misdirected charges and acts as a resource to assist with charging and coding issues that occur. Licensure / Registration / Certification: Coding certification, such as CPC (Certified Professional Coder), or Health Information Management Certification such as RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator).
C&S Clinical Coding Analyst UnitedHealth Group IncC&S Clinical Coding 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.
Inpatient Medical Coding Manager Huron Consulting GroupInpatient Medical Coding ManagerWashington, MN$90,000–$130,000 / yearREQURIED SKILLS: Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members. is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.
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.
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.
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.
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.
Charge Audit Analyst Sutter HealthCharge Audit AnalystSaint Paul, MN$42.41–$63.62 / hourPosition Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
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.
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.
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.
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.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MN$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.
Senior Inpatient DRG Medical Coder UnitedHealth Group Inc.Senior Inpatient DRG Medical CoderSaint Paul, MN$24–$43 / hourPrimary Responsibilities: Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility. 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.
Medical Biller (Start ASAP) Ultimate Staffing ServicesMedical Biller (Start ASAP)Saint Paul, Minnesota$25–$29 / hourManage the full billing cycle for orthotic and prosthetic services, including claim creation, submission, and follow‑up. Minimum of 4 years of experience in medical billing Experience with O&P, DME, or specialty practice billing is highly advantageous.
SIU Investigator Centene Corporation GroupSIU InvestigatorMN$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
Clinical Quality Coder II Sutter HealthClinical Quality Coder IISaint Paul, MN$35.04–$52.56 / hourSKILLS AND KNOWLEDGE: Advanced knowledge of ICD-10 diagnosis coding conventions and requirements, knowledge of Quality Coding Program requirements such as the Medicare Advantage Coding Program/HCC, as well as medical terminology and abbreviations of disease, illness and injury process. Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines.