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Entry Level Medical Coding Auditor Jobs in Minnesota

MedPersonnel

Medical Biller/ Insurance Specialist

Edina, MN

$19.50 - $24.75/hr

... entry level to executive level positions. Great opportunity for a full time Medical Biller ... Insurance Specialist. Monday - Friday Patient registrations Insurance verification Charge entry ...

MedPersonnel

Medical Biller/ Insurance Specialist

Edina, MN · On-site

$19.50 - $24.75/hr

... entry level to executive level positions. Great opportunity for a full time Medical Biller ... Insurance Specialist. Monday - Friday Patient registrations Insurance verification Charge entry ...

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Entry Level Medical Coding Auditor information

What are the key skills and qualifications needed to thrive as an entry level medical coding auditor?

To succeed as an Entry Level Medical Coding Auditor, you need a solid understanding of medical terminology, coding systems like ICD-10 and CPT, and a background in health information management or a related field. Familiarity with electronic health records (EHR) software and coding/auditing tools, as well as entry-level certifications such as CPC or CCA, are often required. Attention to detail, strong analytical ability, and effective communication skills help you review documentation and collaborate with healthcare professionals. These skills are essential to ensure coding accuracy, regulatory compliance, and high-quality reporting in healthcare organizations.

What is an entry level medical coding auditor?

An Entry Level Medical Coding Auditor reviews medical records to ensure accurate coding for billing and compliance. They check for coding errors, verify documentation supports the codes assigned, and ensure adherence to regulations like HIPAA and ICD-10 guidelines. This role helps healthcare organizations avoid billing discrepancies and maintain compliance with insurance and government standards. Typically, auditors work under supervision as they gain experience and may hold certifications such as CPC or CCA. Strong attention to detail and knowledge of medical terminology are essential for success in this position.

What does an entry level medical coding auditor do?

A typical day for an Entry Level Medical Coding Auditor involves reviewing patient records, verifying that medical codes are correctly assigned, and highlighting discrepancies or errors for correction. You may work independently on audits or as part of a team, collaborating with medical coders and sometimes interacting with healthcare providers to clarify documentation. Frequent use of coding software and electronic health records is standard, and ongoing learning is expected to stay current with coding guidelines. While the role is detail-oriented, it offers new professionals the chance to deepen their knowledge and build a foundation for career advancement in medical auditing or compliance.

What are the most commonly searched types of Medical Coding Auditor jobs in Minnesota? The most popular types of Medical Coding Auditor jobs in Minnesota are:
What are popular job titles related to Entry Level Medical Coding Auditor jobs in Minnesota? For Entry Level Medical Coding Auditor jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Entry Level Medical Coding Auditor jobs in Minnesota look for? The top searched job categories for Entry Level Medical Coding Auditor jobs in Minnesota are:
What cities in Minnesota are hiring for Entry Level Medical Coding Auditor jobs? Cities in Minnesota with the most Entry Level Medical Coding Auditor job openings:
Entry Level Medical Coding Auditor jobs near you
Infographic showing various Entry Level Medical Coding Auditor job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

DRG/Clinical Validation Auditor RN

UnitedHealth Group

Plymouth, MN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

186th of 887 rated healthcare providers

Job description

$10,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together.
In this position as a Clinical DRG RN auditor, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG assignments, and discharge statuses billed by hospitals to identify overpayments. Utilizing excellent communications skills, you will compose rationales supporting your audit findings.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Conduct MS-DRG and APR-DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification
  • Utilize expert knowledge to identify the ICD-10-CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements, ICD-10 Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance
  • Apply current ICD-10 Official Coding Guidelines and AHA Coding Clinic citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate code assignments
  • Perform clinical coding review to ensure accuracy of medical coding and utilize clinical expertise and judgment to determine correct coding and billing
  • Utilize solid command of anatomy and physiology, diagnostic procedures, and surgical operations developed from specialized training and extensive experience with ICD-10-PCS code assignment
  • Write clear, accurate and concise rationales in support of findings using ICD-10 CM/PCS Official Coding Guidelines, and AHA Coding Clinics
  • Utilize proprietary workflow systems and encoder tool efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly
  • Demonstrate knowledge of and compliance with changes and updates to coding guidelines, reimbursement trends, and client processes and requirements
  • Maintain and manage daily case review assignments, with a high emphasis on quality
  • Provide clinical support and expertise to the other investigative and analytical areas
  • Work in a high-volume production environment that is matrix driven

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.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Associate's degree
  • Unrestricted RN (Registered Nurse) license
  • CCS/CIC or willing to obtain certification within 6 months of hire
  • 2+ years of MS DRG/APR DRG coding experience in a hospital environment with expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
  • 2+ years of ICD-10-CM coding experience including but not limited to expert knowledge of principal diagnosis selection, complications/comorbidities (CCs) and major complications/comorbidities (MCCs), and conditions that impact severity of illness (SOI) and risk of mortality (ROM)
  • 2+ years of ICD-10-PCS coding experience including but not limited to expert knowledge of the structural components of PCS such as selection of appropriate body systems, root operations, body parts, approaches, devices, and qualifiers

Preferred Qualifications:
  • Experience with prior DRG concurrent and/or retrospective overpayment identification audits
  • Experience working with Utilization Management
  • Experience with readmission reviews of claims
  • Experience with DRG encoder tools (ex. 3M)
  • Experience using Microsoft Excel with the ability to create / edit spreadsheets, use sort / filter function, and perform data entry
  • Healthcare claims experience
  • Managed care experience
  • Knowledge of health insurance business, industry terminology, and regulatory guidelines

Soft Skills:
  • Ability to use a Windows PC with the ability to utilize multiple applications at the same time
  • Ability to work independently in a remote environment and deliver exceptional results
  • Demonstrate excellent written and verbal communication skills, solid analytical skills, and attention to detail
  • Excellent time management and work prioritization skills

Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Have a secluded office area in which to perform job duties during the work day
  • Have reliable high-speed internet access and a work environment free from distractions

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.
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 $35.00 to $62.50 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

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