92 jobs found in Minnesota

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

Join to apply for the Supervisor Medical Records role at Blue Cross and Blue Shield of Minnesota About Blue Cross And Blue Shield Of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You Will Have This position is responsible for supervising the people, daily activities, and deliverables of the Medical Record retrieval team within the Value Performance Team. The supervisor will provide workflow direction and subject matter expertise to ensure the record retrieval projects are managed closely, ensuring timely and successful completion. This position supports Healthcare Effectiveness...

A healthcare insurance organization is seeking a Supervisor for Medical Records in Eagan, MN. This role involves overseeing the retrieval team, ensuring adherence to project timelines, and maintaining quality assurance for records. The ideal candidate should have over 3 years of relevant experience, strong staff management skills, and effectively manage multiple projects. This full-time position offers a hybrid work model with competitive compensation and a comprehensive benefits package. #J-18808-Ljbffr

Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest Title of Job: Sr. Risk Adjustment Coder - Remote Pay:...

Become a part of our caring community and help us put health first The 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and...

Medical Billing Specialist - Keep the Numbers (and Care) in Balance! Are you detail-oriented, organized, and passionate about supporting meaningful work? A trusted mental health organization in Little Falls, MN, is seeking a Medical Billing Specialist to join their dedicated team. This is your chance to combine financial precision with purpose-helping ensure that quality mental health services reach the people who need them most. Hours and Pay Shift: 1st Shift - Monday through Friday, 8:00 AM to 5:00 PM Pay Rate: $23.00 per hour Employment Type: Temp (Potential for 8 - 12+ weeks) What You'll Do As a Medical Billing Specialist, you'll be an essential part of the revenue cycle process, managing insurance claims, client billing, and payment postings. You'll work closely with both clients and payers to resolve balances, streamline billing operations, and keep accounts accurate and compliant. Key Responsibilities: Review and resolve insurance denials,...

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity 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 Codes, CPT and modifiers for facility services...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Caring. Connecting. Growing Together. 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. Healthcare isn't just changing. It's growing more complex every day. ICD-10 Coding replaces ICD-9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360. We're a dynamic new partnership formed by Dignity Health...

Senior Inpatient Medical Coder 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. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As a Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. This is a virtual, remote, position that requires...

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. Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360 . We're a dynamic new partnership formed...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high‑quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes...

Coder 2 The Coder 2 analyzes clinical documentation; assigns appropriate diagnosis, procedure, and levels of service codes; abstracts 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 optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coder 2's also resolves clinical documentation and charge capture discrepancies and...

Caring. Connecting. Growing Together. 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. This position is a full-time (40 hours/week) opportunity Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignments of CPT, ICD-10 Codes and modifiers for professional services while...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

Medical Billing Specialist Industry: Healthcare Location (city, state): Minneapolis, MN Work Schedule: Monday - Friday 8-5PM Compensation: $28-$30 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client: A leading provider in the healthcare industry, the organization values hard work and rewards dedication with a supportive workplace culture. Employees are given opportunities to grow and be a part of something greater, serving the community. They are committed to providing high-quality care to its patients and is always looking to add skilled and dedicated professionals to their team. Job Description: As a Medical Billing Specialist, you will play a crucial role in ensuring the financial health of our client's facility. You will be responsible for submitting claims to all insurance carriers and posting cash payments. The role also involves following up on unpaid claims, completing month-end processes, and conducting reviews...

Medical Coder 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 Coder delivers quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a payer-centric approach to care. As a Medical Coder you will suggest and review claim information and procedure codes for all specialties and health services. Ensuring proper records is just...

Compliance Auditor (Non-Clinical) St. Croix Hospice Join to apply for the Compliance Auditor (Non-Clinical) role at St. Croix Hospice Work Where You Matter! At St. Croix Hospice we guide patients and families through the end‑of‑life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter. Position Overview The Compliance Auditor is responsible for assisting with the development and implementation of the compliance audit program to ensure regulatory adherence, risk mitigation and operational integrity. This role ensures that St. Croix Hospice complies with federal and state laws and regulations and internal policies by identifying potential risks and working cross‑functionally to implement corrective actions. The Compliance Auditor will lead risk assessments, internal...