Professional Coding Specialist I Pride GlobalProfessional Coding Specialist ISaint Paul, MNRemote$30–$34 / hourThis 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.
Coding Specialist - Hospital Services Gundersen Health SystemCoding Specialist - Hospital ServicesMinnesota, MNEmplify 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.
Professional Coding Specialist I Pride Technologies LLCProfessional Coding Specialist ISaint Paul, MNRemote$30–$34 / hourThis 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.
Supervisor Coding Provider Practice - Gen Surg, Plastics, Wound Sanford HealthSupervisor Coding Provider Practice - Gen Surg, Plastics, WoundMNRemote$32.50–$52 / hourSpecific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MN$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Charge 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.
Healthcare Finance Lead/Manager Javen TechnologiesHealthcare Finance Lead/ManagerEagan, MNThis individual will work closely with finance, billing, clinical, and operational teams to improve revenue performance, ensure billing accuracy, reduce outstanding accounts receivable, and maintain compliance with payer and regulatory requirements. " Manage healthcare billing and revenue cycle activities, including charge capture, claims submission, payment posting, denial management, collections, and account reconciliation.
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, Minnesota$90,000–$120,000 / yearThe 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.
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 Billing & Insurance Credentialing Specialist Nutritional Weight And WellnessMedical Billing & Insurance Credentialing SpecialistSaint Paul, MNFull timeYou'll work inside Healthie (EHR) and ClaimMD (EDI) — modern tools that handle a lot of the heavy lifting — but this role still requires a sharp, experienced person who knows how to read a denial, fix a claim, credential a provider, and talk to a client about their benefits without making their eyes glaze over. Credentialing new providers and keeping everything current — CAQH profiles, revalidations, payer enrollments, expiring documents.
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.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteMNRemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.
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.
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.
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.
Senior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)MN$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.
Quality Engineer I Talent Software Services, Inc.Quality Engineer IArden Hills, MN$35–$37 / hourMay be asked to engage in projects/project plans outlining work plans including timelines, roles and resources; Identifies and leads cross-functional project teams comprised of functional experts and local managers. "Communicating product post-market by formal presentations to management committees and design teams, supporting published product performance reports and customer requests for performance information either directly or through the sales organization.
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.
Quality Engineer I/ II # 26-19536 US Tech Solutions, Inc.Quality Engineer I/ II # 26-19536Arden Hills, MN$35–$45 / hourMay be asked to engage in projects/project plans outlining work plans including timelines, roles and resources; Identifies and leads cross-functional project teams comprised of functional experts and local managers. Communicating product performance by formal presentations to management committees and design teams, supporting published product performance reports and customer requests for performance information either directly or through the sales organization.