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Medical Coding Compliance Jobs in Minnesota (NOW HIRING)

Datavant

Profee Coding Consultant - PRN

Saint Paul, MN · On-site

$20 - $28/hr

... compliance, and optimizing service outcomes in both hospitals and alternative care settings. What You Will Do: * Review medical records and assign precise codes to ensure accurate coding aligned with ...

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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

Coding Denials and Appeals Specialist

Northfield Hospital & Clinics

Northfield, MN • On-site

$27.74 - $39.16/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Northfield Hospital + Clinics rating

8.0

Company rating: 8.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Are you passionate about coding, compliance, and revenue integrity? Do you enjoy solving complex coding challenges and making a meaningful impact on an organization's financial health? Join Northfield Hospital + Clinics as a Coding Denials & Appeals Specialist and play a key role in reducing denials, improving reimbursement accuracy, and strengthening coding quality across the organization.
In this highly specialized position, you will investigate coding and medical necessity denials, identify root causes, collaborate with coding and revenue cycle teams, and help drive process improvements that support compliant and accurate reimbursement. Your expertise will directly influence denial prevention strategies, coding education, revenue recovery efforts, and overall organizational success.
This is an excellent opportunity for an experienced coding professional who enjoys critical thinking, data analysis, problem-solving, and working collaboratively with coding, billing, and revenue cycle teams to improve outcomes and ensure regulatory compliance.
Make an impact. Protect revenue. Improve quality. Advance your coding career with Northfield Hospital & Clinics.
Compensation
We are committed to providing wage ranges for all open positions. Please note that the specific compensation for this role will be determined based on experience, education and internal equity considerations. The hourly wage range for this position is $27.74 - $39.16. This range reflects the base salary for this position.
Key Accountabilities
  • Review, analyze, and resolve clinical and medical‑necessity denials for outpatient professional and facility services.
  • Identify and correct coding discrepancies to support accurate billing, compliant documentation, and appropriate reimbursement.
  • Collaborate with internal teams, including coding, billing, and revenue cycle analyst and management to address denial trends and improve coding accuracy.
  • Participate in post‑billed account reviews and post‑payment audits to support recovery efforts and reduce preventable denials.
  • Use data and coding denial trends to recommend process improvements and support denial prevention strategies.
  • Suggest coding education opportunities with HIM manager based on denial findings, coding errors, and documentation improvement opportunities.
  • Maintain up‑to‑date knowledge of payer policies, regulatory requirements, and industry coding standards.
  • Document all denial activities, corrections, and follow‑up actions in accordance with organizational policies.
  • Support special projects, audits, and initiatives related to coding quality, compliance, and revenue integrity as assigned.

Required Qualifications
  • Minimum of three years of professional and outpatient/facility coding experience.
  • One of the following credentials: Certified Professional Coder (CPC), Clinical Coding Specialist (CCS), or a Health Information Technology degree with RHIT or RHIA registration.
  • Strong working knowledge of ICD‑10/PCS, CPT, and HCPCS coding guidelines and regulatory requirements.
  • At least two years of experience with denial workflows, work queue management, and coding software.

Preferred Qualifications
  • Five years of professional and outpatient/facility coding experience.
  • HFMA Certified Revenue Cycle Representative (CRCR) credential.

Schedule
  • Full-time, 80 hours per two-week pay period
  • Monday-Friday Business Hours
  • Remote work setting, but must live in the state of Minnesota

Benefits Include
  • Eligible for Shift Differential Pay in addition to base wage
  • Paid Time Off accrued starting on first paycheck
  • Medical, Dental, and Vision (discount plan) coverage
  • Flexible Spending Accounts
  • Life, AD&D, and Disability Insurance
  • Pension Plan (PERA) with 7.5% employer match
  • Optional 457(b) Retirement Plans
  • Tuition Reimbursement
  • Loan Forgiveness Eligibility - PSLF + MN state programs for qualifying roles
  • Employer-Provided Certifications + Continuing Education
  • Additional perks: Qualified Bilingual Staff Program, Employee Assistance Program, and discounts on cafeteria, scrubs, and OTC pharmacy items

About Us
Northfield Hospital + Clinics is a trusted, independent healthcare system with more than 800 employees. We're recognized for our collaborative work environment and strong commitment to high-quality patient care and community impact. We're proud to be named to Becker's 2025 list of "100 Great Community Hospitals." Our services span the full spectrum of hospital and clinical care, with our main hospital located in Northfield, MN, and primary and specialty clinics in Northfield, Lakeville, Farmington, Faribault, and Kenyon-along with Urgent Care locations in both Northfield and Lakeville. We offer care across 48 specialties and serve patients at 22 locations throughout the south metro and southern Minnesota.
Whether you're just starting your career or bringing years of experience, you'll find meaningful opportunities, supportive teams, and a chance to make a real difference here.

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