Top 38 coding specialist Jobs in eden prairie, mn

Medical Coder - Risk Adjustment Specialist
Volunteers of America, Inc. —Eden Prairie, MN
- $58,000 - $66,000 a year
- Monday to Friday
- Remote
- Anatomy knowledge
- 5 years
- Writing skills
Quick Apply
8d
Clinical Documentation Integrity (CDI) Specialist
Optum —Eden Prairie, MN
- $72,800 - $130,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Hospital
- 5 years
9d
Clinical Documentation Improvement Specialist
Bluestone Physician Services —Saint Paul, MN
- $60,000 - $75,000 a year
- Full-time
- Remote
- Nursing
- English
- Mid-level
- Mileage reimbursement
- Health savings account
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Health Information Analyst II
Regions Hospital —Saint Paul, MN
- $27.05 - $40.57 an hour
- Full-time
- Data analysis skills
- Mid-level
- 3 years
- Disability insurance
- Health insurance
Coder 2
Fairview Health Services —Saint Paul, MN
- $26.58 - $37.53 an hour
- Full-time
- Bachelor of Science
- Mid-level
- Windows
3d
Revenue Cycle Specialist (Medical Biller – Behavioral Health)
TNT Healthcare Billing Solutions —Rosemount, MN
- $22 - $26 an hour
- Full-time
- Remote
- Mid-level
- Organizational skills
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Medical Coding Specialist
Minnesota Community Care —Saint Paul, MN
- $20.72 - $31.08 an hour
- Spanish
- Anatomy knowledge
- Customer service
Medication Access Specialist
Visante Consulting LLC —Saint Paul, MN
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
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Prior Authorization Specialist
Retinal Consultants of Minnesota —Edina, MN
- $22 - $27 an hour
- Full-time
- HIPAA
- Office
- High school diploma or GED
- Health savings account
- Paid holidays
Quick Apply
2d
Specialist, Revenue Cycle Coding
Park Nicollet Clinics —Saint Paul, MN
- $26.27 - $39.41 an hour
- Full-time
- Anatomy knowledge
- Mid-level
- 1 year
- Health insurance
- Dental insurance
7d
Medical Business Office Specialist
Twin Cities Eye Consultants —Minneapolis, MN
- From $19 an hour
- Full-time
- Hybrid work
- Background check
- English
- Clinic experience
- Health insurance
- Dental insurance
Quick Apply
2d
Patient Check-in / Pre-Visit Specialist
Minneapolis Clinic Of Neurology, Ltd —Burnsville, MN
- $20.22 - $26.26 an hour
- Microsoft Outlook
- Writing skills
- High school diploma or GED
Quick Apply
Medical Billing Specialist
Life Link III —Minneapolis, MN
- $26.96 - $32.35 an hour
- HIPAA
- Research
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Medical Billing Specialist
Tareen Dermatology PA —Roseville, MN
- $19 - $27 an hour
- Full-time
- Hybrid work
- OSHA
- Computer literacy
- Medical office experience
- Paid holidays
- Disability insurance
Quick Apply
2d
Health Information Analyst II-Same Day Surgery Coder
Regions Hospital —Saint Paul, MN
- $27.05 - $40.57 an hour
- Full-time
- Data analysis skills
- Mid-level
- 3 years
- Disability insurance
- Health insurance
7d
Billing & Credentialing Specialist
Canopy Roots —Minneapolis, MN
- $26 - $33 an hour
- Online Application
- Hybrid work
- HIPAA
- High school diploma or GED
- Continuous improvement
- AD&D insurance
- Paid holidays
Quick Apply
Denials Specialist
Methodist Hospital —Saint Paul, MN
- $20.13 - $30.19 an hour
- Full-time
- Computer literacy
- Mid-level
- Epic
- Health insurance
- Dental insurance
Medical Billing Specialist
Handi Medical Supply —Saint Paul, MN
- $23 - $26 an hour
- Full-time
- Research
- Mid-level
- Office
- Free parking
- Paid holidays
Quick Apply
Medication Access Specialist - Home Infusion
Visante Consulting LLC —Saint Paul, MN
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Supervisor, Medication Access Specialist - Pacific Standard Time/ Mountain Standard Time
Visante Consulting LLC —Saint Paul, MN
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply

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Medical Coder - Risk Adjustment Specialist

Volunteers of America, Inc. -
Eden Prairie, MN

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Job Details

$58,000 - $66,000 a year
8 days ago

Qualifications

Anatomy knowledge
Spreadsheets
Professional ethics
Writing skills
HIPAA
Patient management software
English
State healthcare regulations
CMS regulatory compliance
Data management
Clinical information systems
Health information regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations
Health information management
Regulatory compliance analysis
Clinical documentation standards
Associate's degree
Clinical data analysis
Medical terminology
Technical Proficiency
Stakeholder relationship building
Cross-functional communication
Data analysis software

Full Job Description

Join Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation, support CMS reporting, and strengthen value-based care for older adults in the PACE program.

Medical Coder - Risk Adjustment Specialist- Remote

Schedule: M-F 8:00 AM-5:00 PM

Salary: $58,000-$66,000 (Based on Experience)

Essentials:

Collaboration for Risk Adjustment Integrity:

Works closely with Medical Directors and PACE providers to uphold the integrity and accuracy of the risk adjustment reporting process.
Engages in continuous dialogue with healthcare professionals to ensure that coding accurately reflects participant acuity.

Medication Documentation Review and Diagnostic Coding:

Reviews and interprets provider documentation to extract critical information.
Assigns ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures from documented information in the medical record.
Assures the final diagnoses and procedures are valid and complete.
Communicates and resolves coding issues (lacking documentation, provider queries, etc.).

Liaison Role:

Acts as a key intermediary between PACE providers and contracted coding services.
Ensures timely and effective response to coding-related inquiries and issues.

Coding Compliance and Data Analysis:

Facilitates the audit review process, collaborating with providers to resolve individual and systemic coding issues.
Leads efforts to enhance coding accuracy and compliance through regular, targeted audits.
Performs data analysis to uncover and seize missed coding opportunities.

Report Review and Response Process:

Works with clinical leadership to devise and implement procedures for generating and distributing participant specific-reports.
Ensures these reports are reviewed by the provider during subsequent participant clinic visits, maintaining a system for tracking and ensuring accountability.

Encounter Reporting Support:

Applies coding expertise to support the accuracy of the encounter reporting process in applicable programs. Acts as a resource for program leadership in determining the appropriateness of coding used for encounters.

Systems and Process Improvement:

Assists in the continuous improvement of systems and processes to better align with the organization’s strategic goals.
Contributes to the development of initiatives that enhance the efficiency and accuracy of coding practices.

Remote Work and Accountability:

Work independently in remote setting, demonstrating high level of responsibility and accountability.
Collaborate with cross-functional teams as needed.

Establishes and maintains a productive working relationship.

Maintains the stability and reputation of SCC by ensuring all activities and operations are performed in compliance with local, State, and Federal laws, regulations and contractual requirements and adheres to organizational policies.
Is responsible for adherence to program cultural standards including supporting through modeling, coaching, and accountability.
Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.
Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.

Required Qualifications:

Education: Associate’s degree in Health Information Management or related field.
Current certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) and Certified Risk Coder (CRC) required.
Experience: Minimum of five (5) years of experience working directly with diagnostic and procedural coding required. Strong preference for substantial experience with Hierarchical Condition Categories (HCCs) and risk adjustment methodologies.

Skills and Knowledge:

Ability to effectively communicate orally and in writing in English.
Strong technical skills with proficiency in data management.
Strong knowledge of medical terminology, anatomy and physiology, and disease processes.
Familiarity with healthcare software including EHR systems, coding software, and data analysis tools.
Understanding of regulatory requirements including HIPAA, CMS guidelines, AHIMA code of ethics, and other regulations affecting coding and billing.
Proficient ability with Excel including ability to extract meaningful information from large datasets.
Analytical skills and ability to interpret medical records and extract pertinent information for accurate coding.
Strong problem-solving and critical thinking skills.
Strong attention to detail.
Effective communication skills for presenting information.
Creative, detailed-oriented, and organized.
Must have integrity, practice discretion and practice objective problem solving.
Skilled in establishing and maintaining effective working relationships and working collaboratively with a multidisciplinary team.

At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations’ shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

coding specialist jobs in eden prairie, mn

Medical Coder - Risk Adjustment Specialist

Clinical Documentation Integrity (CDI) Specialist

Clinical Documentation Improvement Specialist

Health Information Analyst II

Coder 2

Revenue Cycle Specialist (Medical Biller – Behavioral Health)

Medical Coding Specialist

Medication Access Specialist

Prior Authorization Specialist

Specialist, Revenue Cycle Coding

Medical Business Office Specialist

Patient Check-in / Pre-Visit Specialist

Medical Billing Specialist

Medical Billing Specialist

Health Information Analyst II-Same Day Surgery Coder

Billing & Credentialing Specialist

Denials Specialist

Medical Billing Specialist

Medication Access Specialist - Home Infusion

Supervisor, Medication Access Specialist - Pacific Standard Time/ Mountain Standard Time

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