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  • Medical Coder

    Unitedhealth Group 4.6company rating

    Medical coder job in Saint Paul, MN

    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 one way your work will impact on the health and wellness of our members on a huge scale. Schedule: A 40-hour work week, Monday through Friday between the hours of 7 am to 7:00pm. The schedule will be determined by the supervisor upon hire. Location: National remote You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Analyzes and codes claim information in a timely and accurate manner Responsible for written explanations ensuring quality data and timely review Completes assigned work ensuring department benchmarks are met or exceeded consistently in accordance with current industry standards and use of current technologies Maintains professional skills and remains engaged in the goals and vision of the organization to ensure the department functions efficiently and accurately with integrity Performs other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: uhgbenefits You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED (or higher) Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Will consider CPC -A. OR Certified Coding Specialist (CCS), Physician-based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC) 6+ months of experience/knowledge of durable medical equipment coding, professional fee billing, reimbursement and third-party payers regulations 6+ months of experience/knowledge of medical terminology Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI) Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Preferred Qualifications: Intermediate level of computer proficiency of MS Office (MS Word, Excel, Outlook and Power Point) Ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required Soft Skills: Ability to work independently and as a team, and maintain good judgment and accountability Demonstrated ability to work well with health care providers Strong organizational and time management skills Ability to multi-task and prioritize tasks to meet all deadlines Ability to work well under pressure in a fast-paced environment Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #GREEN
    $20-35.7 hourly 5d ago
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  • Medical Coding and Billing Specialist (Clinical Research)

    Minneapolis Heart Institute Foundation 3.5company rating

    Medical coder job in Minneapolis, MN

    At the Minneapolis Heart Institute Foundation (MHIF), a Medical Coding and Billing Specialist (Research Business Services Specialist I) plays a key role in maintaining the financial accuracy and operational integrity that support groundbreaking cardiovascular research, education, and patient care. In this role, you do more than process or manage billing-you ensure timely reimbursements, uphold compliance standards, and provide the financial insight that strengthens MHIF's mission to advance heart health and save lives. Job Summary: The Medical Coding and Billing Specialist (Research Business Services Specialist I) supports financial compliance and operational efficiency in support of the Minneapolis Heart Institute Foundation's mission and the financial integrity of the organization's clinical research portfolio. This role is responsible for reviewing clinical trial billing, conducting coverage analyses, and ensuring adherence to federal, state, and institutional regulations and requirements. Ideal candidates for this role have a strong background in healthcare billing and coding and clinical research operations, with a focus on accuracy and compliance. Key Responsibilities: Manage overall process for revenue and expenses tracking for clinical research studies. Oversee day-to-day activities for research study financial management, including invoicing, cash application, and accounts receivable management. Perform Medicare Coverage Analysis (MCA) for portfolio of new and ongoing clinical trials. Review, process, and reconcile clinical trial-related charges to ensure proper billing to sponsors, payers, and/or patients, in partnership with key stakeholders. Consult clinical research staff to review complex patient billing encounters. Serves as key contact for management of research billing compliance issues, serves as subject matter expert with respect to research billing, provides guidance and training to staff as needed. Review and process subject travel, accommodations, and stipends. Review and process other study expenses, including IRB invoices, pharmacy, lab, and other ancillary charges, and administrative expenses. Facilitate financial clearance and prior authorizations for patient visits as needed. Enter administrative revenue activities into Clinical Trial Management System (CTMS) platform. Support Finance receivables management, system inquiries, and reporting, as needed. Utilize EMR, Finance, and CTMS platforms to track research-related services and billing. Partner with key stakeholders to prevent double billing and ensure compliance with CMS, FDA, and HIPAA regulations. Other duties as assigned - this position may support other functions as required by business need. This job description represents the major functions of the position but is not intended to be all-inclusive. Core Values in Action At MHIF, our values guide how we lead and work together: Integrity: Do the right thing, even when it's hard. Operate ethically and transparently. Innovation: Ask bold questions. Be proactive and curious in improving how we work. Collaboration: Support one another, build trust, and celebrate success as one team. Excellence: Own your work. Be accountable. Bring urgency and resilience to solving problems. What Sets you Apart Associate's degree in accounting, finance, business, or related field, or equivalent combination of education and experience. 2+ years of experience in clinical research billing, revenue cycle management, or research finance. Knowledge of medical billing and coding, including CPT/HCPCS coding, NCT numbers, and routine v. research costs. Familiarity with Medical guidelines, clinical trial agreements, and informed consent billing language. Familiarity with insurance coverage determinations. Proficiency in MS Office suite, with strong Excel skills. Proficiency in EHR systems (e.g., Epic) and CTMS platforms (e.g., RealTime, OnCore) Strong analytical thinking, communication, organization, and customer service skills. Relationships: This role reports to the Sr. Compliance Advisor and may take direction from the Research Business Services Lead. Frequent interactions with clinical research teams, contract, budget, and regulatory personnel, and Finance Department. Works closely with CTMS administrator, Allina Office of Sponsored Programs (OSP) billing compliance staff, and Allina medical billing and coding personnel. Total Rewards In addition to meaningful, mission-driven work, MHIF offers: Competitive salary: $55,000-$65,000 Comprehensive benefits including: Medical, dental, and vision insurance Life, short- and long-term disability Employer HSA contribution 401(k) with employer match and contribution Generous PTO, paid holidays, and parental leave Tuition reimbursement and paid volunteer time Why Join MHIF? “Small team. Global impact.” Here, your work has purpose. Your voice is heard. Your career can grow. We are driven by discovery and grounded in compassion-and we're looking for someone who brings both heart and expertise to the table. Ready to do work that matters?
    $55k-65k yearly 4d ago
  • Medical Coding and Billing Specialist (Clinical Research)

    Mlnneapolis Heart Institute Foundation

    Medical coder job in Minneapolis, MN

    At the Minneapolis Heart Institute Foundation (MHIF), a Medical Coding and Billing Specialist (Research Business Services Specialist I) plays a key role in maintaining the financial accuracy and operational integrity that support groundbreaking cardiovascular research, education, and patient care. In this role, you do more than process or manage billing-you ensure timely reimbursements, uphold compliance standards, and provide the financial insight that strengthens MHIF's mission to advance heart health and save lives. Job Summary : The Medical Coding and Billing Specialist (Research Business Services Specialist I) supports financial compliance and operational efficiency in support of the Minneapolis Heart Institute Foundation's mission and the financial integrity of the organization's clinical research portfolio. This role is responsible for reviewing clinical trial billing, conducting coverage analyses, and ensuring adherence to federal, state, and institutional regulations and requirements. Ideal candidates for this role have a strong background in healthcare billing and coding and clinical research operations, with a focus on accuracy and compliance. Key Responsibilities : Manage overall process for revenue and expenses tracking for clinical research studies. Oversee day-to-day activities for research study financial management, including invoicing, cash application, and accounts receivable management. Perform Medicare Coverage Analysis (MCA) for portfolio of new and ongoing clinical trials. Review, process, and reconcile clinical trial-related charges to ensure proper billing to sponsors, payers, and/or patients, in partnership with key stakeholders. Consult clinical research staff to review complex patient billing encounters. Serves as key contact for management of research billing compliance issues, serves as subject matter expert with respect to research billing, provides guidance and training to staff as needed. Review and process subject travel, accommodations, and stipends. Review and process other study expenses, including IRB invoices, pharmacy, lab, and other ancillary charges, and administrative expenses. Facilitate financial clearance and prior authorizations for patient visits as needed. Enter administrative revenue activities into Clinical Trial Management System (CTMS) platform. Support Finance receivables management, system inquiries, and reporting, as needed. Utilize EMR, Finance, and CTMS platforms to track research-related services and billing. Partner with key stakeholders to prevent double billing and ensure compliance with CMS, FDA, and HIPAA regulations. Other duties as assigned - this position may support other functions as required by business need. This job description represents the major functions of the position but is not intended to be all-inclusive. Core Values in Action At MHIF, our values guide how we lead and work together: Integrity: Do the right thing, even when it's hard. Operate ethically and transparently. Innovation: Ask bold questions. Be proactive and curious in improving how we work. Collaboration: Support one another, build trust, and celebrate success as one team. Excellence: Own your work. Be accountable. Bring urgency and resilience to solving problems. What Sets you Apart Associate's degree in accounting, finance, business, or related field, or equivalent combination of education and experience. 2+ years of experience in clinical research billing, revenue cycle management, or research finance. Knowledge of medical billing and coding, including CPT/HCPCS coding, NCT numbers, and routine v. research costs. Familiarity with Medical guidelines, clinical trial agreements, and informed consent billing language. Familiarity with insurance coverage determinations. Proficiency in MS Office suite, with strong Excel skills. Proficiency in EHR systems (e.g., Epic) and CTMS platforms (e.g., RealTime, OnCore) Strong analytical thinking, communication, organization, and customer service skills. Relationships: This role reports to the Sr. Compliance Advisor and may take direction from the Research Business Services Lead. Frequent interactions with clinical research teams, contract, budget, and regulatory personnel, and Finance Department. Works closely with CTMS administrator, Allina Office of Sponsored Programs (OSP) billing compliance staff, and Allina medical billing and coding personnel. Total Rewards In addition to meaningful, mission-driven work, MHIF offers: Competitive salary: $55,000-$65,000 Comprehensive benefits including: Medical, dental, and vision insurance Life, short- and long-term disability Employer HSA contribution 401(k) with employer match and contribution Generous PTO, paid holidays, and parental leave Tuition reimbursement and paid volunteer time Why Join MHIF? “Small team. Global impact.” Here, your work has purpose. Your voice is heard. Your career can grow. We are driven by discovery and grounded in compassion-and we're looking for someone who brings both heart and expertise to the table. Ready to do work that matters?
    $55k-65k yearly Auto-Apply 4d ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Minneapolis, MN

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 47d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Minneapolis, MN

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 48d ago
  • Coding Specialist II - Revo Health

    Revo Health

    Medical coder job in Bloomington, MN

    To provide and assure consistent quality coding for provider orthopedic clinic services while adhering to applicable federal, state, local and private requirements, and while complying with Revo Health | i-Health policy and procedures. This is a full-position working remotely, Monday - Friday. Core hours during business hours. Flexible hours from 6:30 AM until 6:30 PM. Ob/Gyn and Internal Medicine experience would be a plus. Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions. Essential Functions: Assign appropriate diagnosis codes by using ICD-10-CM diagnosis set Assign appropriate CPT and HCPCS codes, per provider documentation, for hospital and clinic procedures Manage and provide coding support for coding backlogs, staffing coverage, and taking ownership of workloads Investigate discrepancies in documentation and task back as appropriate Follow coding policies and guidelines to determine appropriate coding Provide education and feedback to physicians and supporting staff regarding documentation, code selections and billing processes Review denied claims to determine appropriate action Monitor assigned provider “Unkeyed” encounters to ensure that all billable services have been captured Any and all other duties as assigned Education and Experience Requirements: High School diploma/GED or equivalent Coding Certification (CPC, CCS-P, RHIT or RHIA) and/or a graduate of a Coding Program with certificate/diploma of completion is strongly preferred. Intermediate knowledge of ICD-10-CM, CPT, HCPCS and payer specific guidelines Intermediate understanding of medical terminology, body system/anatomy, physiology and concepts of disease processes We are looking for a coder with Ob/Gyn or Internal Medicine experience preferred to code E/M encounters and laboratory services. Benefits & Compensation: Actual starting pay will vary based on education, skills, and experience. We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more click here.  Essential Requirements: Ability to: Comply with company policies, procedures, practices and business ethics guidelines. Complete job required training. Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.) Work remotely, in the clinic, office or surgery center during business hours Travel independently throughout the clinic, office or surgery center (which may include movement from floor to floor); frequent bending, lifting, stooping or sitting for long periods of time may be required Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines Converse in a respectful and professional manner Prioritize workload while being flexible to meet the expectations of the daily operations Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions Understand and execute a variety of instructions Effectively operate equipment and communicate on and operate the phone system Work independently with minimal supervision Travel to other work locations, if required Performance Expectations - Revo Health's Core Values: Integrity - Do the right thing and take responsibility for what you do and say Service - Consistently contribute to deliver an exceptional experience Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness Teamwork - Be a part of the whole; support each other positively Environmental Conditions: Remote Notes: Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008. We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: *************************************** This position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.
    $38k-51k yearly est. 1d ago
  • Spec, Medical Coding & Billing

    Hillrom 4.9company rating

    Medical coder job in Saint Paul, MN

    This is where your work makes a difference. At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job-you will find purpose and pride. Your Role: The Medical Coding and Billing Specialist will review medical records to ensure claims are properly documented and coded as well as coordinate and execute processes of medical billing for our Respiratory Health products. The position is responsible for ensuring business practices follow government regulations and abide by carrier specific acceptable HCPCS and ICD-10 coding standards. This consists of all billing activities including initial, re-authorization, and purchases across all lines of business (Commercial, Medicare, Medicaid, and Managed Care Organizations). This is a full-time hybrid position where the candidate would report to the St. Paul office three days a week, Monday through Friday. The hours of operation are 8:30am - 5pm. What You'll Be Doing: Complete review of medical records to ensure the ICD-10 diagnosis used for billing is properly documented. Complete quality review of patient records to ensure they are comprehensive, in compliance with each payer's rules and regulations, and billed accurately Adhere to month-end accounting deadlines for revenue and claim processing including selecting orders, generating claim files, submitting EDI files to clearinghouse, printing claims, attaching claim documentation, and mailing. Reference coding guidelines and reimbursement policies/procedures to keep current with changes in regulations, insurance specific policies, as well as company policies and procedures. Collaborate with and provide feedback to Revenue Cycle Management and Managed Care colleagues to ensure accurate claims processing and documentation within company systems. Perform other project and duties as assigned. What You'll Bring: High school diploma or equivalent required Medical Coding Certification required; ICD-10 coding experience preferred 3+ years of experience in healthcare environment required; associates degree or higher may substitute for 2 years of experience Experience working with high-dollar DME preferred Billing database software experience required Clearinghouse and payer portal experience preferred Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $49,600 to $68,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. US Benefits at Baxter (except for Puerto Rico) This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter Equal Employment Opportunity Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic. Know Your Rights: Workplace Discrimination is Illegal Reasonable Accommodations Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information. Recruitment Fraud Notice Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.
    $49.6k-68.2k yearly Auto-Apply 38d ago
  • Coder 2

    Fairview Health Services 4.2company rating

    Medical coder job in Saint Paul, MN

    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 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 provides feedback to providers on the quality of their documentation and charging. Responsibilities * Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards. * Actively participates in creating and implementing improvements. * Assigns ICD-10, CPT-4, and HCPCs codes to all diagnoses, treatments, and procedures, according to official coding guidelines. * Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned. * Extracts required information from electronic medical record and enters encoder and abstracting system. * Follows-up on unabstracted accounts to assure timely billing and reimbursement. * Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication. May query physicians on documentation according to established procedures and guidelines. * Meets departmental productivity and quality standards * Complete projects as assigned. * Timely and accurate work * Contributes to the process or enablement of collecting expected payment * Understands and adheres to Revenue Cycle's Escalation Policy. Required Qualifications * Certificate program in Coding or A.A./A.S. in HIM or Certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle) * 1 year of coding experience * Basic knowledge of Windows-based computer software. Epic and Microsoft Teams. * Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary. * Registered Health Info Admin (RHIA) or Registered Health Info Tech (RHIT) or Certified Coding Specialist (CCS) or Professional Coder Cert (CPC) or Certified Coding Specialist - Professional (CCS-P) or Professional Coder- Hospital (CPC-H) or Certified Outpatient Coding (COC) or AAPC specialty certifications Preferred Qualifications * B.S./B.A. in HIM * 2 years of coding experience Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $35k-43k yearly est. Auto-Apply 19d ago
  • Coder II

    Centracare Health 4.6company rating

    Medical coder job in Monticello, MN

    CentraCare Health - Monticello is a team of health care providers working together to deliver comprehensive, high-quality care in a compassionate environment, close to home. Our mission is to improve the health of every patient, every day. We are looking for caring, skilled professionals who are passionate about making CentraCare the leader in Minnesota for quality, safety, service and value. We offer an outstanding work environment to our employees, who are dedicated to providing a superior patient experience. Job Description The Coder II reviews electronic and written documentation to allow for accurate and timely diagnostic and procedural coding using ICD-9-CM/CPT4/HCPCS classification systems. Knowledge and use of applicable coding standards, guidelines, and regulations. As necessary, communicate with clinical staff including physicians to clarify medical record documentation, diagnosis, and codes. Safeguards patient privacy and confidentiality. Qualifications · Registered Health Information Technician or Certified Coding Specialist. · Two years hospital coding experience. · Basic computer knowledge · Knowledge of anatomy, medical terminology and disease process. · ICD-9/10 CM, CPT-4 Coding · Ability to read and communicate effectively in English. · Strong written and verbal skills. · Strong interpersonal human relations skills. Additional Information Apply online at *******************
    $29k-33k yearly est. 1d ago
  • Minimum Data Det (MDS Nurse)

    Align Executive Search

    Medical coder job in Saint Paul, MN

    Are you tired of the stress and long hours of being an MDS in long-term care? ALIGN Executive Search has a Minimum Data Set Nurse opportunity with a faith-based non-profit organization that has been caring for seniors for over 150 years. This smaller long-term care facility embodies the loving family environment seniors deserve and the results speak for themselves. For 7 straight years, this facility has received 5 out of 5 stars for resident satisfaction, family satisfaction, and quality of life for its residents. Opportunity Highlights: Well-staffed and stable clinical team (5 star staffing rating) The MDs never works the floor and can focus on MDS An experienced Administrator that has been in the industry for over 20 years A mission driven faith based environment that treats the residents like family Excellent benefits package that includes a pension plan (Yes, a pension plan!) Actual work life balance that comes in a low stress environment What we are looking for: Active Minnesota RN or LPN license Experience in a MDS role in a long term care setting (At least 1 year) A true passion for senior care This opportunity will be the right MDS's new “forever home” and will fill quickly. For more information apply today before we go into the holidays!
    $48k-68k yearly est. 30d ago
  • Coding Liaison, Professional Billing Coding

    Hcmc

    Medical coder job in Minneapolis, MN

    Coding Liaison, Professional Billing Coding (251859) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc. , a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARY:We are currently seeking a Coding Liaison to join our Professional Billing Coding team. This full-time role is designated for the day shift and is primarily remote (approximately 90%). However, occasional on-site presence may be required based on operational needs. Purpose of this position: Provides support, education, and feedback to the Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends RESPONSIBILITIES:Assists with New Provider OnboardingPresents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement Collaborates with other departments and key stakeholders to determine trends and educational needs Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage Other duties as assigned QUALIFICATIONS:Minimum Qualifications:Two (2) years post-secondary education in HIM field-OR-Three (3) years external coding/reimbursement experience-OR-An approved equivalent combination of education and experience Preferred Qualifications:Bachelor's Degree in health related field Knowledge/ Skills/ Abilities:Strong interpersonal and communication skills Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers Able to present to both small and large (up to 100) groups Initiates judgment, makes decisions, and works autonomously Ability to work with a variety of stakeholders at various levels of authority within the organization Problem solving and conflict resolution Analytical and critical thinking skills License/Certifications:RNCCS-P, CPC, RHIT, RHIACDIP, CCDS You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer. Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements. Total Rewards Package:We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity. We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions). For a complete list of our benefits, please visit our career site on why you should work for us. Department: Professional Billing CodingPrimary Location: MN-Minneapolis-Downtown CampusStandard Hours/FTE Status: FTE = 1. 00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: UnionMin:$34. 33Max: $47. 30 Job Posting: Dec-02-2025
    $32k-40k yearly est. Auto-Apply 16h ago
  • Certified Peer Specialist - IRTS

    Brightspring Health Services

    Medical coder job in Minneapolis, MN

    Our Company SpringPath Mental Health Services The Certified Peer Support Specialist works as part of the Intensive Residential Treatment Service team, which provides care and treatment for persons who are experiencing significant mental health/psychiatric symptoms, who are demonstrating significant functional impairments, and who may have co-occurring chemical dependency and or personality disorder. Peer Specialists are fully integrated team members who provide individualized and group services in the residence and the community and promote client self-determination and decision making. Peer Specialists also provide essential expertise and consultation to the entire team to promote a culture in which each person's point of view and preferences are recognized, understood, respected, and integrated into treatment, rehabilitation, and community self-help activities. Responsibilities Willingness to provide peer-recovery education Assist peers with assessing their unique strengths and abilities Help peers with identifying, developing and working towards recovery goals Assist peers with developing self-advocacy skills Help peers identify and access appropriate professional resources Act as a community liaison Provide education for team members regarding the recovery process Assist in implementing and developing treatment goal plans Sit in case management meetings Provide care and resources for clients and staff on culture Serves as a link to community resources, teaches and models client self-advocacy and acts as a community liaison/educator Reports significant/major incidents or accidents Medication administration Adheres to data privacy practices/HIPAA Writes progress notes and assists in summaries and discharges. Monitors and records, medication administration activities. Provides objective verbal and written critical incident analysis. Documents essential activities related to licensure, welfare and safety Qualifications Must be at least 21 years old. Have a GED or high school diploma, associate of arts degree in one of the behavioral sciences or human services preferred Have or had a primary diagnosis of mental illness Be current or former consumer of mental health services Demonstrate dedication to promoting recovery opportunities in lives of peers Demonstrate ability to utilize own lived experience of recovery to inspire recovery in the lives of peers Successfully complete the MN Department of Human Services approved Certified Peer Specialist training and certification exam Excellent communication skills both verbal and written Excellent customer service skills Ability to prioritize, meet deadlines and multitask Experience with MS Office (Word, Excel) About our Line of Business SpringPath Mental Health Services, an affiliate of BrightSpring Health Services, assists individuals with emotional, behavioral, and psychiatric disorders which result in functional impairments in traditional day-to-day life activities. Our services focus on developing social skills, developing coping skills, being an active participant in the local community, offering community choice, and psychoeducation. We help individuals develop skills and access resources needed to live more positive, active and social lives. For more information, please visit ******************************* Follow us on Facebook and LinkedIn. Salary Range USD $22.12 / Year
    $22.1 hourly Auto-Apply 60d+ ago
  • Medical Records Clerk

    Cedar Riverside People

    Medical coder job in Minneapolis, MN

    Job Description Join our organization whose mission is improving lives, transforming communities, and achieving health equity for everyone. People's Center Clinics & Services (PCCS) is a Federally Qualified Health Center located in the heart of Minneapolis, Minnesota. We are physicians, dentists, nurses, social workers, care coordinators, and other healthcare and administrative staff, and serve nearly 10,000 patients every year through medical, dental, and behavioral services. We offer competitive compensation and benefits package including: • Health, Dental, and vision insurance • Retirement plan with company contribution • 4 weeks of paid time off • 8 annual holidays • Company paid life insurance benefit • Company-paid Short -Term and Long-Term Disability benefits • National Health Service Corps loan forgiveness approved site • Company paid continuing education dollars and days • License and certification expense reimbursement SUMMARY Manage the patient records in the medical clinic by copying, filing, pulling charts as requested, and scanning records to EHR (Electronic Health Records). QUALIFICATIONS Education High school graduate or equivalent. Experience Previous medical experience preferred. RESPONSIBILITIES Patient Information · Request patient results from referrals. · Forward patient information to medical personnel. · Verify permissions before releasing records. Medical Records Management · Re-file completed patient charts. · Prepare patient charts for faxing. · Scan all outside records to patients' charts. · Print charts as requested. · Comply with HIPAA privacy protections when managing PHI. Front Desk Support · Greet and register patients. · Collect payments and write receipts. · Answer telephones and screen calls. · Take proper messages and route to proper personnel. Clinic Operations · Participate in staff meetings. · Other duties as directed by supervisor. Knowledge, Skill and Abilities · Knowledge of medical terminology · Knowledge of business office procedures · Experience with and knowledge of computers and software · Excellent customer service skills-with an ability to establish and maintain working relationships with patients, employees and the public · Ability to work with people of diverse backgrounds and experiences AA/EOE
    $29k-37k yearly est. 2d ago
  • PGA Certified STUDIO Performance Specialist

    PGA Tour Superstore 4.3company rating

    Medical coder job in Minnetonka, MN

    Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement * Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. * Build lasting relationships that encourage repeat business and client referrals. * Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching * Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. * Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. * Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. * Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance * Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. * Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. * Educate customers on product features, benefits, and performance differences across brands. * Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence * Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. * Ensure equipment, software, and technology remain functional and calibrated. * Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. * Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth * Achieve key performance indicators (KPIs) such as: * Lessons and fittings completed * Sales per hour and booking percentage * Clinic participation and conversion to sales * Proactively grow the STUDIO business through client outreach, networking, and relationship management. * Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required * Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. * Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. * Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). * Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. * Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. * Experience: * 2+ years of golf instruction and club fitting experience preferred. * Experience with swing analysis tools and custom club building highly valued. * Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. * Availability: Must maintain flexible availability, including nights, weekends, and holidays. * Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
    $40k-52k yearly est. Auto-Apply 23d ago
  • Medical Record, Part-time

    River Falls Post Acute

    Medical coder job in River Falls, WI

    Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures. Assist the Medical Records/Health Information Consultant as required. Maintain minutes of meetings. File as necessary. Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained. Assist in recording all incidents/accidents. File in accordance with established policies and procedures. Retrieve resident records (manually/electronically). Deliver as necessary. Files information such as nurses' notes, resident assessments, progress notes, laboratory reports, x ray results, correspondence, etc., into resident charts. Collect, assemble, check and file resident charts as required. Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines. Ensure incomplete records/charts are returned to appropriate departments or personnel for correction. Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing. Establish a procedure to ensure resident charts/records do not leave the medical records room except as authorized in our policies and procedures. Maintain a record of authorized information released from charts/records, i.e., type information, name of recipient, date, department, etc. Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc. in accordance with current Privacy Rules. Index medical records as directed by the medical records/health information consultant. Maintain various registries as directed including register for admission and discharge of residents. Transcribe and type reports for physicians as necessary. Collect charts, assemble them in proper order, and inspect them for completion. Pick up and deliver resident medical records from wards, nurses' stations, and other designated areas as necessary. Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed. Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary. Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.) Assure that medical records taken from the department are signed out and signed in upon return to the department. File active and inactive records in accordance with established policies. Index medical records as directed. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position. Committee Functions Perform secretarial duties for committees of the facility as directed. Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Personnel Functions Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver activates within established facility policy guidelines. Staff Development Attend and participate in mandatory facility in service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.). Attend and participate in workshops, seminars, etc., as approved. Safety and Sanitation Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately. Equipment and Supply Functions Report equipment malfunctions or breakdowns to your supervisor as soon as possible. Ensure supplies have been replenished in work areas as necessary. Assure that work/assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc. Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Other duties as assigned Supervisory Requirements ou are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a high school diploma or GED. Must be able to type a minimum of 45 words per minute and use dictation equipment. A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required. On the job training provided in medical record and health information system procedures. Must be knowledgeable of medical terminology. Be knowledgeable in computers, data retrieval, input and output functions, etc. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, visitors and the general public. Must possess the ability to work harmoniously with other personnel. Must possess the ability to minimize waste of supplies, misuse of equipment, etc. Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices. Be able to follow written and oral instructions. Must not pose a direct threat to the health or safety of other individuals in the workplace. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office areas as well as throughout the facility. Moves intermittently during working hours. Is subject to frequent interruptions. Works beyond normal working hours, weekends and holidays and on other shifts/positions as necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. Communicates with nursing personnel, and other department personnel. Is subject to hostile and emotionally upset residents, family members, personnel, visitors, etc. Is involved with residents, family members, personnel, visitors, government agencies and personnel, etc., under all conditions and circumstances. May be subject to the handling of and exposure to hazardous chemicals. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
    $32k-40k yearly est. Auto-Apply 11d ago
  • Coding Specialist II, Professional Billing Coding

    Hennepin County Medical Center 4.8company rating

    Medical coder job in Minneapolis, MN

    We are currently seeking a Coding Specialist II to join our Professional Billing Coding team. This full-time role will primarily work remote (Day, M- F). Purpose of this position: Under general supervision, performs all functions associated with the appropriate assignment of ICD, HCPCS/CPT, and E&M codes for outpatient and/or inpatient encounters Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin RESPONSIBILITIES: * Assigns the appropriate ICD, HCPCS/CPT, and E&M codes, as applicable, to diagnoses and procedures generated for outpatient or inpatient encounters, maintaining a 95% accuracy rate in conjunction with meeting productivity standards * Abstracts demographic and clinical data for performance improvement, research, reporting, and reimbursement purposes in relation to assigned areas of work by use of a computerized encoding system * Validates charges on accounts/charge sessions * Effectively interacts with providers and ancillary staff for clarification of coding issues * Maintains statistics, records, and logs in relation to assigned work area * Assists with the training and in-services of students and new employees in specific areas of assignment as directed by management * Keeps educated about current coding updates per management's direction - including ICD-10-CM, HCPCS/CPT, and E&M code guidelines and methodologies, as well as payor requirement changes as applicable * Keeps management informed of coding problems/issues * Represents coding on teams, committees, and task forces as assigned by management * Actively participates in other duties as assigned, but only after appropriate training QUALIFICATIONS: Minimum Qualifications: * Must have completed an American Academy of Professional Coders (AAPC) approved coding program, -OR- American Health Information Management Association (AHIMA) approved program for: Certified Coding Specialist, -OR- Health Information Technician (2 year degree), -OR- Health Information Administrator (4 year degree) * PLUS- * One year of coding experience is preferred * OR- * An approved equivalent combination of education and experience Knowledge/ Skills/ Abilities: * Ability to communicate effectively both orally and in writing * Ability to work independently with minimal direction License/Certifications: * Certified Professional Coder (CPC) by an AAPC recognized program, -OR- Certified Coding Specialist-Professional (CCS-P), Registered Health Information Technician (RHIT), -OR- Registered Health Information Administrator (RHIA) by an AHIMA recognized program
    $29k-33k yearly est. 60d+ ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Saint Paul, MN

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 48d ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Saint Paul, MN

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $98.1k-123.9k yearly Auto-Apply 47d ago
  • Inpatient Coding Denials Specialist

    Fairview Health Services 4.2company rating

    Medical coder job in Saint Paul, MN

    The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a working knowledge and stays abreast of ICD-10-CM and ICD-10-PCS, coding principles, medical terminology, governmental regulations, protocols and third-party payer requirements pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report suspected or emerging trends related to payer denials. This position requires anticipating and responding to a wide variety of issues/concerns and works independently to plan, schedule and organize activities that directly impact hospital and reimbursement. This position will support change management by tracking and communicating trends and root cause to support future prevention with internal customers and stakeholders as well as with payers and third parties. This role is key to securing reimbursement and minimizing avoidable write off's. **Responsibilities** + Performs critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation of denials; + Maintains extensive caseload of coding denials. + Formulates strategy for prioritizing cases and maintains aging within appropriate ranges with minimal direction or intervention from Leadership. + Acts as a liaison among all department managers, staff, physicians and administration with respect to coding denials issues. + Assists with the development of denial reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses the coding components of said claims. + Reviews insurance coding-related denials, including but not limited to: DRG downgrade, DRG Validation, Clinical Validation, diagnosis codes not supported, and/or general coding error denials. + Responsible for reviewing assigned diagnostic and procedural codes against patient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. + Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. + Contacts insurance carriers as appropriate to resolve claim issues + Maintains payer portal access and utilizes said portal to assist in reviewing commercial medical policies + Maintains working knowledge of regulatory and third-party policies and requirements to ensure compliance; remains current with applicable insurance carriers' timely filing deadlines, claims submission processes, and appeal processes and escalates timely filing requests to leadership. + Assists with short-notice timely filing deadlines for accounts with coding issues. + Provides feedback to the coding leadership team regarding coding denials. + Compiles training material and educational sessions associated with coding denial-related topics and presents such educational materials. Collaboratively works with the coding education team & coding compliance team to assist in providing education to coders, physicians and mid-level providers. + Monitors for coding trends, works collaboratively with the revenue cycle teams to prevent avoidable denials and reduce revenue loss. + Identifies, quantifies and communicates risk concerns to leadership and supports mitigation efforts as appropriate. Demonstrates the ability to analyze coded data to identify areas of risk and provide suggestions for documentation improvement. + Organization Expectations, as applicable: + Fulfills all organizational requirements. + Completes all required learning relevant to the role. + Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures and standards. + Fosters a culture of improvement, efficiency and innovative thinking. + Recommends process efficiencies, strategies for improvement and/or solutions to align with business strategies. + Participate in process improvement meetings and/or discussions, recommending process efficiencies and/or strategies for denial prevention and revenue improvement. + Performs all assigned functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Adheres to HIPAA compliance rules and regulations. + Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. + Educates and mentors new employees through the on-boarding process. + Adheres to productivity and quality standards. + Performs other duties as assigned. **Required Qualifications** + 5 years hospital inpatient coding-related experience such as coding, auditing, abstracting, DRG assignment, Data Quality in coding denials + Registered Health Info Admin or Registered Health Info Tech or Certified Inpatient Coder (CIC)or Certified Coding Specialist **Preferred Qualifications** + B.S./B.A. in HIM + 1 year experience in managing and appealing denials + 1 year expertise in reading and interpreting commercial payer medical policies + 7+ years of hospital inpatient coding related experience such as coding, auditing, abstracting, DRG assignment, Data Quality in coding function type as required by position + Epic experience in Resolute Hospital Billing **Benefit Overview** Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** **Compensation Disclaimer** The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. **EEO Statement** EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
    $35k-43k yearly est. 51d ago
  • Medical Records Clerk

    Cedar Riverside People

    Medical coder job in Minneapolis, MN

    Join our organization whose mission is improving lives, transforming communities, and achieving health equity for everyone. People's Center Clinics & Services (PCCS) is a Federally Qualified Health Center located in the heart of Minneapolis, Minnesota. We are physicians, dentists, nurses, social workers, care coordinators, and other healthcare and administrative staff, and serve nearly 10,000 patients every year through medical, dental, and behavioral services. We offer competitive compensation and benefits package including: • Health, Dental, and vision insurance • Retirement plan with company contribution • 4 weeks of paid time off • 8 annual holidays • Company paid life insurance benefit • Company-paid Short -Term and Long-Term Disability benefits • National Health Service Corps loan forgiveness approved site • Company paid continuing education dollars and days • License and certification expense reimbursement SUMMARY Manage the patient records in the medical clinic by copying, filing, pulling charts as requested, and scanning records to EHR (Electronic Health Records). QUALIFICATIONS Education High school graduate or equivalent. Experience Previous medical experience preferred. RESPONSIBILITIES Patient Information · Request patient results from referrals. · Forward patient information to medical personnel. · Verify permissions before releasing records. Medical Records Management · Re-file completed patient charts. · Prepare patient charts for faxing. · Scan all outside records to patients' charts. · Print charts as requested. · Comply with HIPAA privacy protections when managing PHI. Front Desk Support · Greet and register patients. · Collect payments and write receipts. · Answer telephones and screen calls. · Take proper messages and route to proper personnel. Clinic Operations · Participate in staff meetings. · Other duties as directed by supervisor. Knowledge, Skill and Abilities · Knowledge of medical terminology · Knowledge of business office procedures · Experience with and knowledge of computers and software · Excellent customer service skills-with an ability to establish and maintain working relationships with patients, employees and the public · Ability to work with people of diverse backgrounds and experiences AA/EOE
    $29k-37k yearly est. Auto-Apply 31d ago

Learn more about medical coder jobs

How much does a medical coder earn in Brooklyn Park, MN?

The average medical coder in Brooklyn Park, MN earns between $33,000 and $58,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Brooklyn Park, MN

$44,000

What are the biggest employers of Medical Coders in Brooklyn Park, MN?

The biggest employers of Medical Coders in Brooklyn Park, MN are:
  1. UnitedHealth Group
  2. Minneapolis Heart Institute Foundation
  3. Code Ninjas
  4. Mlnneapolis Heart Institute Foundation
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