31 jobs found in Minneapolis

Position Overview We are seeking an experienced Risk Adjustment Coding Auditor to join our team. This role is responsible for ensuring the accuracy, completeness, and compliance of risk adjustment coding and clinical documentation across Medicare, Medicaid, and ACA Commercial populations. The ideal candidate will bring deep expertise in HCC coding, risk adjustment auditing, and regulatory compliance while serving as a trusted resource for coding guidance and best practices. Key Responsibilities Conduct retrospective and prospective chart reviews to validate risk adjustment diagnoses and reporting accuracy. Audit provider-reported diagnosis codes for accuracy, specificity, completeness, and documentation support. Review medical records to identify complete and accurate diagnosis capture in alignment with CMS-HCC guidelines. Ensure coding practices comply with applicable regulatory requirements, coding standards, and organizational policies. Maintain compliance with HIPAA,...

TEKsystems is seeking an experienced Risk Adjustment Coding Auditor to ensure accurate, complete, and compliant coding across Medicare, Medicaid, and ACA populations. The role emphasizes deep HCC expertise, auditing, and guidance to stakeholders. The candidate will perform chart reviews, validate diagnoses, and provide feedback to improve documentation practices while meeting project deadlines in a remote setting. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

Our growing company is always seeking motivated and ambitious professionals with expertise in Medical Content Review. At Canopy, we understand that the advertising environment has evolved and with it, so have the skills required for promotional and medical content review. In this new environment, you must understand and appreciate the legacy as well as provide creative, forward-looking ideas, approaches, and solutions to drive content that is both compelling and compliant. We look for applicants with a progressive mindset that are grounded in practiced principles to deliver a superior level of support to our clients. The role of Director, Medical Content Review and Associate Director, Medical Content Review is to act as the primary medical and scientific content reviewer and provide final approval for all medical and promotional assets for clients. The following are the general duties and expectations of the role: Represent Medical Affairs on the content review...

The Coding Network (TCN) is looking to contract with an OBGYN coder to perform the OBGYN coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. All applicants must: Have a minimum of 3 years of OBGYN Specific Coding Have an active coding certification (CPC, RHIA, RHIT) Live and work in the United States of America Take and pass TCN’s OBGYN Coding Exam #J-18808-Ljbffr

Medical Billing and Coding Instructor The Medical Billing and Coding Instructor facilitates meaningful learning of course competencies and proactively supports all facets of the learning environment. This role is responsible for teaching the Medical Billing and Coding course, along with related Medical Administrative Assistant (MAA) courses including Introduction to Insurance, Medical Office Procedures, and Legal and Ethical Principles. Through curriculum development, instruction, and classroom management, this position supports Summit Academy OIC's mission of preparing students for living-wage careers in healthcare. Essential Functions Curriculum Development and Instruction Develops and delivers curriculum for the Medical Billing and Coding course within the Medical Administrative Assistant (MAA) program, ensuring alignment with established competencies and industry standards. Teaches Medical Billing andCoding along with related MAA courses, including Introduction to Insurance,...

Risk Adjustment Coding Analyst Senior HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. Accountabilities: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases...

The Coding Auditor/Educator - Multi-specialty will assure consistent quality coding and training in evaluation and management, office procedures, and surgical coding through ongoing internal audits, training and education while adhering to official coding guidelines, in support of federal, state, local, and department requirements.FT role requires supporting the coding department during core business hours, 7:30 AM - 5:00 PM in the Central Time Zone. This role is 100% remote.Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.Essential Job Functions:Training and development of current and newly hired remote and on-site coding team members.Perform quality assurance reviews to assess comprehension of training efforts.Training and continued development based upon internal...

Position Overview We are seeking an experienced Risk Adjustment Coding Auditor to join our team. This role is responsible for ensuring the accuracy, completeness, and compliance of risk adjustment coding and clinical documentation across Medicare, Medicaid, and ACA Commercial populations. The ideal candidate will bring deep expertise in HCC coding, risk adjustment auditing, and regulatory compliance while serving as a trusted resource for coding guidance and best practices. The Risk Adjustment Coding Auditor plays a critical role in supporting accurate reimbursement, reducing compliance risk, improving data integrity, and driving organizational success through high-quality coding audits and reporting. Key Responsibilities Conduct retrospective and prospective chart reviews to validate risk adjustment diagnoses and reporting accuracy. Audit provider-reported diagnosis codes for accuracy, specificity, completeness, and documentation support. Review medical...

Revo Health, working closely with Infinite Health Collaborative (i-Health), seeks a Coding Auditor/Educator - Multi-specialty to ensure quality coding across evaluations and procedures through audits and education.The role is 100% remote, with core hours 7:30 AM – 5:00 PM CT, and focuses on training remote and on-site staff, QA reviews, and curriculum development to support providers and coding teams across divisions.J-18808-Ljbffr

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, and complications. 2....

Pena4 Inc. seeks an Inpatient Medical Coder (CCS certified) for a 100% remote position. The role requires at least 5 years of IP PCS experience, CCS certification, and a full-time weekday schedule. Start date is immediate with coding assessment tests. Experience with Cerner, PowerChart, 3M, and EPIC is preferred. Responsibilities include analyzing records, sequencing diagnoses and procedures, optimizing DRG assignments, and maintaining high accuracy and productivity while pursuing continuing #J-18808-Ljbffr

Description Position Summary The Mental Health / Medical Billing Supervisor oversees the agency's third-party billing and reimbursement processes to ensure accurate billing, timely reimbursement, and excellent customer service. This role provides leadership and supervision to the authorization and billing team, partners closely with the Revenue Cycle Manager, and ensures consistent training and adherence to billing and authorization standards across the agency. This role is primarily onsite, with limited hybrid opportunities based on operational needs and performance. Responsibilities Third-Party Billing & Reimbursement (40%) The Billing Assistant Supervisor leads and supports billing and reimbursement operations, including: Develop, implement, and maintain billing processes and internal controls to ensure accurate, timely billing and payment cycles, including quality assurance (QA) and credentialing procedures Collaborate closely with the Revenue...

Medical Coding AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to...

Senior BillerThis position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.Explore opportunities with American Health Network (AHN), part of the Optum family of businesses. Here, you'll be part of a team that offers quality, affordable care that's backed by a global organization, committed to improving the lives of those we serve. We operate in over 70 medical offices in Indiana and Ohio with 1,200 employees. Our markets are continuing to grow and we're looking for talented individuals who share our passion for quality care to join our team in provider or office positions.As a health-focused organization, we will empower you with resources that support your work-life flexibility as well as your physical, emotional and financial well-being. This is an opportunity to join a team that helps people feel their best and a chance to discover the meaning behind Caring. Connecting. Growing Together.The Senior...

Optum is seeking a Medical Coding Auditor to determine claim accuracy by comparing provider records with CPT/HCPCS coding. You will assess coding precision, ensure compliance, and provide detailed narratives. Candidates must demonstrate coder certifications and solid medical record review experience.This telecommuting role requires strong independent judgment, excellent written communication, and the ability to manage a production-driven workflow while collaborating with cross-functional teams.J-18808-Ljbffr

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

Build a career where your precision and decisions truly matter. Information Providers Inc. in Minneapolis, MN, and Bloomington, MN, is hiring a full-time Insurance Premium Auditor . Apply now and take the next step forward in your career. You can expect to earn $42,000-$55,000 per year , along with a comprehensive benefits package that includes: Health, dental, and vision insurance PTO Flexible schedule Growth opportunities HSA/FSA Life insurance Short- and long-term disability 401(k) As our Insurance Premium Auditor, you will also receive a company-provided laptop. WHEN YOU'LL WORK Choose a schedule that supports your lifestyle while maintaining a consistent routine. We offer full-time opportunities, working either 8 am‑5 pm or 7 am‑4 pm, Monday through Friday. What Your Day Entails You will dispatch directly from your home to your assigned job sites, taking ownership of your daily schedule by coordinating and managing client appointments. You will conduct both...

UnitedHealth Group is seeking a Senior Biller for a national remote role. You will manage a large portfolio of insurance receivables, refile corrections, appeals, and use the EHR and payer websites to resolve aging accounts. Requires 3+ years in healthcare billing, ICD-10-CM, CPT, HCPCS, and experience with major payers; strong analytical, communication, and detail‑oriented skills; training on our benefits and flexibility to work within EST hours. #J-18808-Ljbffr

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We’re looking for people who are determined to make life better for people around the world. Purpose: Scientific and Clinical Experts (SEs/CEs) are individuals who are noted for their expertise in a therapeutic area and as a result have special needs for in-depth and cutting-edge scientific information, because they treat patients, design and implement novel research, and educate colleagues and students. The Medical Science Liaison (MSL) program is specifically designed to meet these needs through a field-based group of medical...