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Medical Coding Compliance Jobs in Minnesota (NOW HIRING)

Northfield Hospital & Clinics

Medical Coder

Northfield, MN · On-site

$22.80 - $32.18/hr

Continuously monitors updates in coding standards, payer policies, and documentation best practices to ensure compliance and accuracy. Qualifications * Completion of a certified medical coding ...

Northfield Hospital & Clinics

Medical Coder

Northfield, MN · On-site

$22.80 - $32.18/hr

Continuously monitors updates in coding standards, payer policies, and documentation best practices to ensure compliance and accuracy. Qualifications * Completion of a certified medical coding ...

Northfield Hospital & Clinics

Medical Coder

Northfield, MN · Remote

$22.80 - $32.18/hr

Continuously monitors updates in coding standards, payer policies, and documentation best practices to ensure compliance and accuracy. Qualifications * Completion of a certified medical coding ...

Medica

Coding Analyst

Minnetonka, MN · On-site

Key Accountabilities Apply Medical Coding Standards to Claims & Clinical Documentation * Review and ... Validate coding accuracy to support compliant billing, reimbursement, and data reporting.

Northfield Hospital & Clinics

Medical Coder

Northfield, MN · Remote

$22.80 - $32.18/hr

Continuously monitors updates in coding standards, payer policies, and documentation best practices to ensure compliance and accuracy. Qualifications * Completion of a certified medical coding ...

Welia Health

Clinic/Professional Coder

Mora, MN

$18.75 - $25/hr

Review medical records and clinical documentation to assign accurate diagnosis and procedure codes ... Ensure coding accuracy, completeness, and compliance with organizational policies and payer ...

Welia Health

Clinic/Professional Coder

Mora, MN · On-site

$18.75 - $25/hr

Review medical records and clinical documentation to assign accurate diagnosis and procedure codes ... Ensure coding accuracy, completeness, and compliance with organizational policies and payer ...

SFM Mutual Insurance

Medical Coder/Biller

Minneapolis, MN · On-site

$26.09 - $40.18/hr

... professional and compliant communication Investigate potentially improper billing patterns ... Medical coding certification is preferred, or willing to obtain certification with 18 months of ...

UnitedHealth Group

Coding Supervisor

Eden Prairie, MN · Remote

Ensure compliance with organizational policies, regulatory requirements, and ethical standards ... medical coding experience in pro-fee coding * 1 years in supervisory or lead experience (SME ...

UnitedHealth Group

Coding Supervisor

Eden Prairie, MN · On-site

Ensure compliance with organizational policies, regulatory requirements, and ethical standards ... medical coding experience in pro-fee coding * 1+ years in supervisory or lead experience (SME ...

HealthPartners

Charge Master Coding Analyst

Saint Paul, MN · On-site +1

$30.46 - $45.70/hr

Works closely with medical records, nursing departments, finance and patient accounting. Audits charge master details for individual departments; spot check coding compliance, revenue capture review ...

New

Regions Hospital

Charge Master Coding Analyst

Saint Paul, MN · On-site +1

$30.46 - $45.70/hr

Works closely with medical records, nursing departments, finance and patient accounting. Audits charge master details for individual departments; spot check coding compliance, revenue capture review ...

New

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Medical Coding Compliance information

What is medical coding compliance?

Medical coding compliance refers to the process of ensuring that medical coding practices adhere to federal, state, and organizational regulations and guidelines. This involves accurately translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. Compliance helps prevent fraud, reduce billing errors, and ensures that healthcare providers receive appropriate reimbursement while avoiding legal penalties. Professionals in this field stay updated on changing regulations, conduct audits, and provide training to staff to maintain high standards of accuracy and integrity.

What are the key skills and qualifications needed to thrive in medical coding compliance, and why are they important?

To thrive in Medical Coding Compliance, you need a thorough understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often backed by certifications like CPC, CCS, or CHC. Proficiency with electronic health record (EHR) systems, coding software, and compliance auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and educating staff. These skills ensure accurate coding, reduce legal risks, and maintain organizational compliance with healthcare regulations.

What are some common challenges faced in a medical coding compliance role, and how can they be addressed?

Medical Coding Compliance professionals often encounter challenges such as staying updated with frequent changes to coding regulations, ensuring consistent adherence to compliance standards across departments, and accurately interpreting complex clinical documentation. To address these, it’s crucial to participate in ongoing education, maintain close communication with healthcare providers, and utilize robust auditing tools. Collaborating with compliance officers and regularly attending training sessions can also help reinforce best practices and minimize errors.

What is the difference between Medical Coding Compliance vs Medical Coding Specialist?

AspectMedical Coding ComplianceMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentCompliance departments, healthcare organizationsMedical offices, hospitals, clinics
Primary FocusEnsuring coding accuracy and regulatory adherenceAssigning codes to medical procedures and diagnoses
Employer & Industry UsageHealthcare compliance and auditing firms, hospitalsHealthcare providers, billing companies

Medical Coding Compliance professionals focus on ensuring that coding practices adhere to regulations and standards, often working in compliance or auditing roles. Medical Coding Specialists primarily assign codes to medical records for billing and documentation. While both roles require similar certifications, their responsibilities and work environments differ significantly.

What does a medical coding compliance specialist do?

A medical coding compliance specialist ensures that healthcare providers accurately code medical procedures and diagnoses according to industry standards and regulations. They review coding practices, monitor for compliance with legal and payer requirements, and implement policies to prevent fraud and errors, often using coding software and staying updated on coding guidelines.

What are popular job titles related to Medical Coding Compliance jobs in Minnesota?

For Medical Coding Compliance jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Medical Coding Compliance jobs in Minnesota look for?

The top searched job categories for Medical Coding Compliance jobs in Minnesota are:

What cities in Minnesota are hiring for Medical Coding Compliance jobs?

Cities in Minnesota with the most Medical Coding Compliance job openings:

Medical Coding Compliance jobs near you

Provider Coding Compliance Consultant

Minnesota Jobs

Saint Paul, MN • On-site

$63K/yr

Other

Posted 3 days ago

New

Job description

Provider Coding Compliance Consultant

Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Provider Coding Compliance Consultant reports to the Coding Compliance Manager and works under the Compliance Vice President or Director. They perform activities related to developing, implementing, and maintaining BSWH policies. These activities ensure adherence to federal, state, and local laws and regulations.

Salary: The pay range for this position is $30.52/hour ($63,481/year) for those with entry-level qualifications up to $45.79 ($95,243) for those highly experienced. The specific rate will depend upon the successful candidate's specific qualifications and prior experience.

Essential Functions of the Role

  • Identifies appropriate projects for audits and schedules audits with appropriate personnel.
  • Conducts auditing of provider services, monitoring, and investigating activities to establish compliance with BSWH policies and procedures, and federal, state and local laws.
  • Provides written audit and investigation reports, identifying risks and recommending appropriate steps to improve effectiveness and mitigate risks.
  • Obtains corrective action plans for identified deficiencies and follows through to establish effective implementation is completed.
  • Tracks audit findings and surveys personnel audited to assess audit satisfaction and effectiveness.
  • Provides and coordinates coding education with providers regarding audit trends and training for compliance initiatives.
  • Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters.

Key Success Factors

  • Strong written and verbal communication skills with the ability to provide provider education and present audit findings.
  • Proficient in Microsoft Word and Excel.
  • Exercises good judgment, attention to detail, integrity, dependability, and objectivity.
  • Possesses exceptional critical thinking skills.
  • Demonstrates professional growth by obtaining continuing education and seeking certifications.
  • Demonstrates initiative by learning business processes and applicable auditing techniques.
  • HCCA Certification Preferred.
  • Advanced knowledge of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer-specific billing and documentation requirements.
  • Experience auditing E/M services, surgical procedures, office-based procedures, and diagnostic services for multiple specialties with advanced knowledge in orthopedics.

Preferred Qualifications

  • Bachelor's in HIM or 4 years of Physician/Professional fee coding work experience
  • Medical Coding Certifications such as CPC, CCS, CCS-P

Minimum Qualifications

  • EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
  • EXPERIENCE - 1 Year of Experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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