ZipRecruiter

Log In

1

Claims Edit Coder Jobs in Rosemount, MN (NOW HIRING)

All JobsClaims Edit Coder JobsClaims Edit Coder Jobs in Rosemount, MN

Claims Edit Coder information

See Rosemount, MN salary details

$16

$28

$44

How much do claims edit coder jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for claims edit coder in Rosemount, MN is $28.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.42 and $35.38 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.
Claims Edit Coder jobs near you

Senior Medical Coding Analyst

Blue Cross and Blue Shield of Minnesota

Eagan, MN • On-site, Remote

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 1 hour ago

Blue Cross Blue Shield Of Minnesota rating

6.0

Company rating: 6.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

281st of 303 rated insurance

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.


The Impact You'll Have We are seeking an experienced Senior Business Analyst - Medical Coding Configuration to support Medicaid claims processing and payment integrity initiatives. This role focuses on analyzing, configuring, and maintaining medical coding and claims editing rules that drive claim adjudication outcomes, including payment, denial, and pended claim scenarios. The ideal candidate will have deep expertise in healthcare claims processing, medical coding methodologies, and claims editing configuration, with hands-on experience in Optum CES (Claims Editing System) and/or FACETS. What You'll Do
  • Conducts in-depth research and analysis.
  • Identifies trends, emerging issues and recommends best practices to ensure maximum results and develops metrics.
  • Documents metrics and process changes.
  • Effectively analyzes, designs, develops, tests, debugs, implements, maintains and/or enhances new or existing systems through reporting and documentation.
How You'll Do It
  • Participate in and coordinate individual projects and related activities to ensure project progresses on schedule.
  • Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
  • Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
  • Responsible for representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
  • Serves as senior subject matter expert associated with content, processes, and procedures.
  • May lead project teams and may provide training to lower level staff to achieve project milestones and objectives.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 5+ years of related information technology professional experience.
  • Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience
  • Optum CES (Claims Edit System) experience
  • 5+ years of medical coding experience in lieu of Information technology experience.
  • FACETS platform experience.
  • Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
  • Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
  • Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
  • Proficiency with business technology platforms, systems, software, and tools.
  • Understanding of business operations, processes, or domain context.
  • Ability to analyze information and support business decisions, solutions, or process outcomes.
Role Designation Teleworker

Role designation definition:

  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.
Compensation and Benefits $90,800.00 - $120,300.00 - $149,800.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.


Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.


Physical requirements.


What Blue Cross Blue Shield Of Minnesota employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply