51 jobs found in Saint Paul

Job Description Job Description Description: Riverland Community Health is a Federally Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to serving our patients and pursuing our mission to deliver excellent healthcare for all and training for the providers of tomorrow. JOB SUMMARY: The Medical Coding Specialist / Provider Educator is responsible for the review of medical records, notes, dictation and other related documentation to ensure the accurate and timely submission of charges for professional services provided by physicians and other providers as well as diagnoses for clinic services. The Medical Coding Specialist / Provider Educator is also responsible for conducting coding audits, providing education and communication of process...

Medical Biller We are currently hiring for a Medical Biller. Duties will consist of researching claims, following up on rejections and denials, posting payments, calling insurance companies, and other duties as assigned. Seeking a driven and hard working candidate! Key Responsibilities: Prepare and submit accurate medical claims to insurance companies or other payers, ensuring timely reimbursement for services rendered. Confirm patient insurance coverage and eligibility prior to billing to prevent claim denials. Accurately post payments from insurance companies and patients to the appropriate accounts. Identify and correct errors on denied or rejected claims, and resubmit them promptly to secure payment. Generate and send invoices to patients for any balances due after insurance payments, and handle inquiries regarding their bills. Monitor outstanding accounts, establish payment arrangements with patients, and follow up on delinquent accounts to ensure timely...

Join Our Caring CommunityHumana, a Fortune 100 Company, is looking for an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments.The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records.The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following:Review inpatient medical records and claims to ensure accurate coding and reimbursementAssign and validate ICD-10-CM, ICD-10-PCS, and DRG codesAudit coding quality and identify opportunities for...

Overview Are you ready to take the next step in your professional journey? At Minnesota Oncology, we believe that our people are our greatest asset, and we are committed to fostering a diverse and inclusive workplace where everyone can thrive. We are constantly on the lookout for talented individuals who are passionate, driven, and eager to make a difference. Come join this dynamic team who is passionate about providing exceptional care to our patients. Why Work for Us? We offer a competitive benefits package that includes - Medical Dental Vision Free Life Insurance Generous Paid Time Off (PTO) Plan Free Short-term and Long-term Disability Coverage 401k plan with company contribution Wellness program that rewards your healthy lifestyle Tuition Reimbursement Employee Assistance Program and Discount Program to some of your favorite retailers Free Parking Career Growth and Development Supportive Team and Resources This position may be remote for well-qualified applicants....

Join Our Team at OptumOptum 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.This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime.You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility...

Med Grp Professional Billing (PB) Coder IIThe Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines.Essential FunctionsEvaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic.Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders.Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes.Appropriately escalates coding/denial trends and provider education...

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. This position is full-time (40 hours/week) You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for Interventional Radiology services (ex. diagnostic angiography/venography, angioplasty, stent, atherectomy, embolization, thrombectomy, thrombolysis, central...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. 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. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The 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. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Med Grp Professional Billing (PB) Coder II The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

Coder 4 Fairview is looking to hire a Coder 4 to join our Inpatient Coding team. This is a full-time position (80 hours per pay period) and is benefit eligible. This role offers the flexibility to perform work in a virtual environment while remaining closely connected with the coding team and other partners across the organization. The ideal candidate will have strong experience in hospital-based inpatient coding, with demonstrated expertise in ICD-10-CM and ICD-10-PCS coding, including accurate MS-DRG assignment. This role utilizes encoder and computer-assisted coding (CAC) software to ensure accurate, thorough, and compliant coding of complex inpatient cases. The Coder 4 will also research complex coding scenarios, apply coding guidelines and clinical documentation, and query physicians when clarification is needed to support accurate code assignment. This is an HB Inpatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical...

*Top Skills' Details* *Level I - Must be a certified coder; CPC-A, CPC, CCS-P, RHIT, RHIA, or appropriate AAPC specialty certifications are acceptable at time of hire or must be obtained within 6 months of hire. *Strong coding expertise with solid knowledge of medical terminology, regulations, and policies, paired with high attention to detail to ensure accurate coding and billing * Effective communicator and team player with active listening, conflict management, and the ability to stay composed and collaborative in fast paced environments * Highly organized, proactive, and adaptable self starter with strong problem solving skills and the ability to manage workload, meet deadlines, and handle evolving responsibilities *Description* Reviews a patient's medical records after a visit or procedure to translate information into appropriate evaluation and management, diagnostic, and procedural codes that insurers use to process claims for the work performed by the provider....

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Coder 3 Fairview is looking to add a Coder 3 to our team. This is a full-time, benefit-eligible position designed for an experienced coding professional with advanced expertise in complex coding. The Coder 3 is responsible for handling highly complex coding assignments and requires expert-level knowledge of coding guidelines, regulations, and reimbursement practices. The ideal candidate will demonstrate strong critical-thinking and research skills, exceptional attention to detail, and the ability to independently resolve complex coding scenarios. A CIRCC (Certified Interventional Radiology Cardiovascular Coder) credential is preferred. This is a clinical or hospital-based coding position for an experienced coder working with specialty professional or hospital outpatient accounts. OP Coder 3 will have specialized knowledge in Interventional Radiology and Heart Catheterization. OP Coder 3 will competently assign ICD-10-CM, CPT-4, HCPCS codes to more complex outpatient accounts...

Job Overview Fairview is looking to hire a Coder 2 to join our Professional and Emergency Department (ED) Coding team. This is a full-time, 1.0 FTE (80 hours per pay period), benefit-eligible position. The position offers the flexibility to work from a home-based setting and will require availability to work one Saturday per month. The ideal candidate will have experience in professional and/or ED coding, with a strong preference for candidates who have a background or experience inanesthesia coding and billing. The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

## Associate Director, MSL Central RegionApplylocations: Remote - Colorado: Remote - Iowa: Remote - Kansas: Remote - Montana: Remote - Minnesotatime type: Full timeposted on: Posted Todayjob requisition id: JR202600625**Passionate about precision medicine and advancing the healthcare industry?**Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.**Passionate about precision medicine and advancing the healthcare industry?**Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable...

Minnesota Oncology seeks an experienced Medical Billing Auditor and Educator to join our team in Minnesota. You will perform EMR audits, verify documentation against charges, and educate surgeons for accurate reimbursement. Collaborating with HIM, CDI, and billing teams, you will prepare detailed audit reports, identify trends, and recommend improvements while maintaining patient confidentiality. Remote options may be considered for qualified MN/WI candidates. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. 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. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Certified Medical CoderReviews a patient's medical records after a visit or procedure to translate information into appropriate evaluation and management, diagnostic, and procedural codes that insurers use to process claims for the work performed by the provider.Skills: icd 10, cpt 4, certified coder aapc, cpc, ccsTop Skills Details: icd 10,cpt 4,certified coder aapcAdditional Skills & Qualifications: NAExperience Level: Intermediate LevelJob Type & Location: This is a contract position based out of St Paul, MN.Pay and Benefits: The pay range for this position is $25.00 - $35.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and...

Certified Medical Coder Reviews a patient's medical records after a visit or procedure to translate information into appropriate evaluation and management, diagnostic, and procedural codes that insurers use to process claims for the work performed by the provider. Skills: icd 10, cpt 4, certified coder aapc, cpc, ccs Top Skills Details: icd 10,cpt 4,certified coder aapc Additional Skills & Qualifications: NA Experience Level: Intermediate Level Job Type & Location: This is a contract position based out of St Paul, MN. Pay and Benefits: The pay range for this position is $25.00 - $35.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject...