Senior Analyst, Coding Revenue Capture HealthPartners InstituteSenior Analyst, Coding Revenue CaptureSaint Paul, MNThis can include information on identified trends, issues, and/or provides input and support to medical departments on decreasing denials and capturing appropriate revenue by researching how clinician/departments can improve how they charge or code and make suggestions to the operational issues that contribute to the denials the department/clinician may be incurring. Position Summary: Highly skilled individual within Revenue Cycle or Charge Master who can independently analyze and understand large amounts of moderately complex data to identify trends, root causes and financial impacts related to charge capture, work queue (WQ) activities, and payer denials.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorMN$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. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Senior Business Analyst - Medical Coding Configuration Blue Cross Blue Shield of MinnesotaSenior Business Analyst - Medical Coding ConfigurationEagan, MinnesotaRemoteThe ideal candidate will have deep expertise in healthcare claims processing, medical coding methodologies, and claims editing configuration, with hands-on experience in Optum CES (Claims Editing System) and/or FACETS. This role focuses on analyzing, configuring, and maintaining medical coding and claims editing rules that drive claim adjudication outcomes, including payment, denial, and pended claim scenarios.
Coding Specialist - Hospital Services Gundersen Health SystemCoding Specialist - Hospital ServicesMNEmplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. We are seeking a detail‑oriented Coding Specialist to support accurate outpatient hospital coding and ensure compliance with ICD‑10‑CM, CPT, and HCPCS guidelines.
NewSenior Revenue Integrity Analyst - Coding & Denials HealthPartnersSenior Revenue Integrity Analyst - Coding & DenialsSaint Paul, MNHealthPartners Park Nicollet is seeking a Senior Analyst, Coding Revenue Integrity to analyze large data sets, identify trends, and quantify financial impacts related to charge capture and denials. You will collaborate with coding, denial management, and clinical teams to reduce revenue leakage, improve processes, and support system-wide best practices in revenue integrity.#J-18808-Ljbffr.
NewRevenue Integrity Analyst - Coding & Denials Methodist HospitalRevenue Integrity Analyst - Coding & DenialsSaint Paul, MNThis role analyzes large datasets to identify trends, root causes, and financial impacts related to charge capture and payer denials, and to monitor work queues for timely resolution. The position collaborates across coding, charge master, denial management, and compliance to improve revenue integrity and system-wide practices while guiding departments on proper charging and coding.#J-18808-Ljbffr.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)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.
NewDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And 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.
Medical Billing Specialist (Hybrid/Remote) Life Link IIIMedical Billing Specialist (Hybrid/Remote)Shoreview, MNRemote$26.96–$32.35 / hourWe continually focus on innovation and work to put cutting-edge technology and education in the hands of our flight medical crew, pilots, mechanics, operational control specialists and communication specialists so we can provide uncompromising care to the communities we serve. Life Link III is a premier, nationally recognized air medical transport company, known for our clinical excellence, superior aviation program and reliable response in providing care to critically ill or injured patients.
NewCharge Master Analyst Sutter HealthCharge Master AnalystSaint Paul, MN$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Patient Account Representative Gillette Children'sPatient Account RepresentativeSaint Paul, MinnesotaAccount Follow-Up: Follows up on outstanding patient accounts to clarify reason or delayed and/or delinquent processing and resolving technical denials to ensure accurate and timely processing in order to reconcile outstanding balances. This position provides support for recovering back-end revenue by ensuring timely and accurate processing of patient accounts to both third party payors and patients/guarantors.
Patient Account Representative Gillette Children's Specialty HealthcarePatient Account RepresentativeSaint Paul, MN$21.88–$30.87 / hourAccount Follow-Up: Follows up on outstanding patient accounts to clarify reason or delayed and/or delinquent processing and resolving technical denials to ensure accurate and timely processing in order to reconcile outstanding balances. Purpose of Position: This position provides support for recovering back-end revenue by ensuring timely and accurate processing of patient accounts to both third party payors and patients/guarantors.
Regional Patient Advocate Firstsource SolutionsRegional Patient AdvocateLexington, MNGeneral Summary: The Regional Patient Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs. Legibly record all patient information on the designated in-house screening sheet, and log account screening detail in Onsite Reporting Tool.
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.
Software Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)MNRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadMN$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.
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusSaint Paul, MNRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Temp Clinic Relations Coordinator Ultimate Staffing ServicesTemp Clinic Relations CoordinatorRoseville, Minnesota$27–$29 / hourThis role is heavily focused on provider communication, medical records collection, insurance compliance, and customer service within a fast-paced, collaborative healthcare environment. If you have experience in healthcare administration, medical billing, insurance verification, patient services, or customer support, this is a great opportunity to grow your career.
Consultant, Informatics Risk Adjustment HealthPartners InstituteConsultant, Informatics Risk AdjustmentSaint Paul, MNThe Informatics Consultant -supports the Health Plan's risk adjustment operations by delivering trusted, prioritized, and compliant data insights that drive efficient workflows and improve risk score accuracy, while continuously refining processes through feedback. 5+ years of experience in health plan and/or risk adjustment-related domains, such as: risk adjustment operations, encounter data management, coding, clinical documentation integrity, provider performance, quality improvement, or healthcare analytics.
Medical Biller (Start ASAP) Ultimate Staffing ServicesMedical Biller (Start ASAP)Maplewood, Minnesota$27–$29 / hourMinimum of 4 years of experience in medical billingExperience with O&P, DME, or specialty practice billing is highly advantageous. Manage the full billing cycle for orthotic and prosthetic services, including claim creation, submission, and follow‑up.
NewProfee Audit Specialist - FT DatavantProfee Audit Specialist - FTSaint Paul, MNRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
Care Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubMN$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Director of Health Economics and Market Access Boston Scientific CorpDirector of Health Economics and Market AccessArden Hills, MNAs a member of the AFS-CRMDx HEMA Leadership Team and CRMDx extended leadership team, this individual will help shape divisional strategy, support policy and compliance activities for CDx, and provide leadership in market access, reimbursement, health economics and value communication. The Director of Health Economics and Market Access (HEMA) will lead a team of Minnesota-based and remote market access and reimbursement professionals responsible for developing and executing global HEMA strategies that support product adoption, evidence generation and commercial success across the CRMDx portfolio.
Patient Account Representative (Charge Entry/Coder) Dermatology Consultants PAPatient Account Representative (Charge Entry/Coder)Woodbury, MN$21.50–$27 / hourThe business office acts as a patient advocate by providing information on health insurance, insurance billing, and the reimbursement process to patients as well as working directly with the Dermatology Consultants, physicians and staff in areas that impact the revenue cycle. The Patient Account Representative performs specific operational responsibilities within a functional unit within revenue cycle management and resides in the business office.
Medical Director MPO CVS Health CorpMedical Director MPOMN$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Primary Care Physician Herself HealthPrimary Care PhysicianRoseville, MNWe are building a new model of primary care for women 65+ to solve long-standing problems: rushed appointments, long wait times, and care that's generalized rather than specialized towards women's needs later in life such as post-menopausal care, bone density, weight management, and mental, social and emotional well-being. Functioning as a value-based care model, our team of clinicians proactively and strategically manage our population's health in accordance with IHI's Quintuple Aim, adopt best practices in coding compliance and achieve our HEDIS quality metrics.
Medical Biller Addison GroupMedical BillerMendota Heights, Minnesota$23–$29 / hourCollections: Monitor outstanding accounts, establish payment arrangements with patients, and follow up on delinquent accounts to ensure timely collections. Payment Posting: Accurately post payments from insurance companies and patients to the appropriate accounts.
Endocrinologist- St. Paul Allina HealthEndocrinologist- St. PaulMN$280,000–$330,000 / yearThis is an opportunity to practice within a collaborative, system-supported endocrinology program that is focused on improving access, delivering consistent outcomes, and providing whole-person care for patients with diabetes, thyroid disease, metabolic disorders, pituitary conditions, bone health concerns, and other endocrine-related conditions. Job Summary: Allina Health is on a transformational journey to strengthen and expand Endocrinology care across Minnesota, and we are seeking Board-Certified or Board-Eligible Endocrinologists to join our Medicine Specialties Clinical Service Line.
Endocrinologist | Flex FTE Options/Strong Referral Base | St. Paul, MN | Allina Health Allina HealthEndocrinologist | Flex FTE Options/Strong Referral Base | St. Paul, MN | Allina HealthSaint Paul, MN$280,000–$330,000 / yearThis is an opportunity to practice within a collaborative, system-supported endocrinology program that is focused on improving access, delivering consistent outcomes, and providing whole-person care for patients with diabetes, thyroid disease, metabolic disorders, pituitary conditions, bone health concerns, and other endocrine-related conditions. Allina Health is on a transformational journey to strengthen and expand Endocrinology care across Minnesota, and we are seeking Board-Certified or Board-Eligible Endocrinologists to join our Medicine Specialties Clinical Service Line.
Clinic Scheduler - Maplewood Minnesota OncologyClinic Scheduler - MaplewoodMaplewood, Minnesota$20–$27 / hourMay be responsible for follow up on all pre-operative tests to ensure cleared for surgical procedure and communicates with physician and patients if further testing is required before surgery is performed. May communicate to patient about surgeries or tests being scheduled and potential prep work needed, inquiring about test specifics from necessary parties and gathering patient information as needed.
Senior Software Engineer InkitSenior Software EngineerSaint Paul, MinnesotaYour ability to communicate complex technical concepts clearly, mentor junior developers, and take initiative on impactful projects are essential qualities for success in our environment. For major architectural changes, features, or anything that affects other teams' work, we give people a heads up but don't wait for consensus to start exploring solutions.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MN$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.
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.
Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerMN$83,430–$222,480 / yearCVS 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. Currently, we are seeking a Senior Software Development Engineer with deep expertise in Java/JEE, Spring Boot, RESTful microservices, and Kafka to lead the design and development of scalable, secure cloud-native solutions.
Software Developer Kimley-Horn and Associates IncSoftware DeveloperSaint Paul, MNAs a senior member of our team, you will play a key role in architecting and implementing software solutions that enhance efficiency in transportation, site design, energy fields, healthcare, and other engineering and planning disciplines, while mentoring developers and ensuring quality and analytics across our projects. If you have a passion for creating cutting-edge industry software, leading talented developers, and are dedicated to delivering high-quality results, we encourage you to apply.
Medical Director, Primary Care - Hugo Clinic HealthPartners InstituteMedical Director, Primary Care - Hugo ClinicMNOur clinician well-being program provides a wealth of information, tools, and resources tailored to meet the unique needs of our health care professionals, including physicians, advanced practice clinicians (APCs) and dentists. Position Purpose and Overview: The Primary Care Clinic Medical Director partners with the Clinic Manager in joint responsibility for the leadership, supervision and outcomes of all clinic activities and day to day operations.
Medical Director, Primary Care - Advanced Care Primary Care Clinic (St. Louis Park, MN) HealthPartners InstituteMedical Director, Primary Care - Advanced Care Primary Care Clinic (St. Louis Park, MN)Saint Paul, MNOur clinician well-being program provides a wealth of information, tools, and resources tailored to meet the unique needs of our health care professionals, including physicians, advanced practice clinicians (APCs) and dentists. Position Purpose and Overview: The Primary Care Clinic Medical Director partners with the Clinic Manager in joint responsibility for the leadership, supervision and outcomes of all clinic activities and day to day operations.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerMN$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.
Staff Development Engineer - Fulfillment CVS Health CorpStaff Development Engineer - FulfillmentMN$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.
NewSenior Manager - Software Development Engineering CVS Health CorpSenior Manager - Software Development EngineeringMN$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.
Application Security Engineer Ryder System IncApplication Security EngineerSaint Paul, MNCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Software Developer Kimley-HornSoftware DeveloperSaint Paul, Minnesota$120,000–$140,000 / yearAs a senior member of our team, you will play a key role in architecting and implementing software solutions that enhance efficiency in transportation, site design, energy fields, healthcare, and other engineering and planning disciplines, while mentoring developers and ensuring quality and analytics across our projects. If you have a passion for creating cutting-edge industry software, leading talented developers, and are dedicated to delivering high-quality results, we encourage you to apply.
Director of Billing Compliance Craig HomecareDirector of Billing ComplianceRoseville, MNJob Duties: Leadership & Team Oversight Lead, mentor, and develop a team of Billing Compliance professionals, including supervisors, coders, specialists, and coordinators. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Data Scientist LyntrisData ScientistSaint Paul, MinnesotaRemoteBachelor's degree in Computer Science, Statistics, Mathematics, Engineering, or related quantitative field; advanced degree, relevant internship experience, or equivalent hands-on industry experience may be considered in lieu of traditional qualifications. Employees may telework on designated days or as needed with supervisor approval, provided they maintain established communication expectations and effectively meet job responsibilities.
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.
Medical Assistant, Rheumatology - Twin Cities Orthopedics Twin Cities OrthopedicsMedical Assistant, Rheumatology - Twin Cities OrthopedicsStillwater, 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. Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i-Health), a group of local medical practices, owned and led by its physicians, on a mission to give patients more control over their healthcare.
Clinical Care Coordinator/ Medical Assistant, Rheumatology - Twin Cities Orthopedics Twin Cities OrthopedicsClinical Care Coordinator/ Medical Assistant, Rheumatology - Twin Cities OrthopedicsStillwater, 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. Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i-Health), a group of local medical practices, owned and led by its physicians, on a mission to give patients more control over their healthcare.