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Medicare Coding Jobs in Minnesota (NOW HIRING)

Pride Global

Medical Coder

Minneapolis, MN · On-site

$19.50 - $26/hr

The ideal candidate will have strong knowledge of medical coding guidelines, provider documentation, and Medicare Advantage Risk Adjustment (HCC) coding. Key Responsibilities * Accurately assign ICD ...

divvyDOSE

Medical Coder - Ancillary

Eden Prairie, MN · On-site

$20.38 - $36.44/hr

Knowledge of NCCI edit policies, Medicare LCD and NCD policies * Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers ...

divvyDOSE

Medical Coder - | Prairie, |

Eden Prairie, MN · On-site

$20.38 - $36.44/hr

Knowledge of NCCI edit policies, Medicare LCD and NCD policies * Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers ...

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UnitedHealthcare

Medical Coder

Eden Prairie, MN · On-site

$18 - $32/hr

Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits * Understand the Medicare Ambulatory Payment Classification (APC) codes * Abstract additional data elements during the ...

UnitedHealth Group

Medical Coder

Eden Prairie, MN · Remote

$18 - $32/hr

Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits * Understand the Medicare Ambulatory Payment Classification (APC) codes * Abstract additional data elements during the ...

UnitedHealth Group

Medical Coder

Eden Prairie, MN · On-site

$18 - $32/hr

Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits * Understand the Medicare Ambulatory Payment Classification (APC) codes * Abstract additional data elements during the ...

Meduit

Medical Coder II - Remote

Sartell, MN · Remote

$26 - $30/hr

... Medicare bulletins, ACR bulletins, etc. to keep abreast of the changes within the industry Maintains knowledge of and complies with coding guidelines Find documentation in multiple EMR systems such ...

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All JobsMedicare Coding JobsMedicare Coding Jobs in Minnesota

Medicare Coding information

Are medical coders still in demand?

Medical coders, including those specializing in Medicare coding, are in steady demand due to the ongoing need for accurate medical billing and coding in healthcare. The role requires knowledge of coding systems like ICD-10 and CPT, and job prospects remain strong as healthcare providers seek compliance and reimbursement efficiency.

Will AI eventually replace medical coders?

Medicare coders use specialized knowledge to assign codes based on medical records, and while AI tools can assist with coding accuracy and efficiency, they are unlikely to fully replace human coders in the near future due to the need for clinical judgment and understanding of complex cases. Coders will continue to play a vital role in ensuring correct billing and compliance, often working alongside AI systems. Ongoing training in coding standards and technology is important for job security in this evolving field.

What is the difference between Medicare Coding vs Medical Billing?

AspectMedicare CodingMedical Billing
Primary FocusAssigning medical codes for Medicare claimsProcessing and submitting insurance claims
CertificationsMedical Coding Certification (e.g., CPC)Billing and coding certifications often preferred
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Industry UsageUsed mainly in Medicare and insurance claimsUsed across various insurance providers

Medicare Coding involves assigning specific codes to medical procedures and diagnoses for Medicare claims, focusing on accurate coding for reimbursement. Medical Billing encompasses the broader process of submitting claims, following up on payments, and managing patient billing. While they overlap, Medicare Coding is more specialized in coding accuracy for Medicare, whereas Medical Billing covers the entire billing cycle across multiple insurers.

What are the key skills and qualifications needed to thrive as a Medicare Coder, and why are they important?

To thrive as a Medicare Coder, you need a solid understanding of medical terminology, ICD-10-CM and CPT coding systems, and compliance with Medicare regulations, often supported by certification such as CPC or CCS. Proficiency with coding software, electronic health records (EHRs), and claims submission systems is typically required. Attention to detail, analytical thinking, and strong organizational skills help coders accurately interpret clinical documentation and manage complex billing requirements. These skills are essential to ensure accurate reimbursement, reduce claim denials, and maintain compliance with federal healthcare regulations.

What is Medicare coding?

Medicare coding refers to the process of assigning standardized codes to medical diagnoses, procedures, and services for patients covered under Medicare. These codes, such as ICD-10, CPT, and HCPCS, are used to ensure accurate billing and reimbursement from the Centers for Medicare & Medicaid Services (CMS). Proper Medicare coding is crucial for healthcare providers to receive correct payment and to comply with federal regulations. Coders must stay up to date with frequent changes in coding guidelines and Medicare policies.

What are some common challenges faced by professionals in Medicare coding, and how can these be managed effectively?

Medicare coding professionals often encounter challenges such as keeping up with frequent regulatory updates, accurately interpreting complex medical documentation, and ensuring compliance with strict billing guidelines. To manage these effectively, it’s important to participate in ongoing training, regularly review CMS updates, and utilize coding tools and resources. Collaborating closely with healthcare providers and billing teams can also help ensure accurate and timely claim submissions, reducing the risk of denials or audits.

What is the highest paid Medical Coder?

The highest paid medical coders are often those specializing in inpatient hospital coding, such as Certified Professional Coders (CPC) with additional credentials or experience in complex coding environments. Senior or specialized roles, including coding managers or auditors, can earn salaries exceeding $80,000 annually, especially with advanced certifications and extensive experience.

How to become a Medicare reviewer?

To become a Medicare reviewer, typically one needs a background in healthcare, such as nursing, medical coding, or health administration, along with knowledge of Medicare policies. Certification in medical coding (e.g., CPC, CCS) and familiarity with Medicare guidelines are often required, and experience in claims review or auditing can be beneficial.
What are popular job titles related to Medicare Coding jobs in Minnesota? For Medicare Coding jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Medicare Coding jobs in Minnesota look for? The top searched job categories for Medicare Coding jobs in Minnesota are:
Medicare Coding jobs near you
Payment Integrity Coding Analyst

Payment Integrity Coding Analyst

HealthPartners

Bloomington, MN • On-site

Other

Medical, Retirement

Posted 29 days ago

HealthPartners rating

7.7

Company rating: 7.7 out of 10

Based on 132 frontline employees who took The Breakroom Quiz

157th of 884 rated healthcare providers

Job description

The Payment Integrity Coding Analyst provides expert support in medical coding compliance, claims adjudication accuracy, and coding system integrity. This role ensures that claims processing systems accurately reflect industry-standard coding requirements including CPT, HCPCS, ICD-9, ICD-10, and related code sets. The analyst supports implementation of regulatory and policy changes, evaluates coding-related claim issues, and identifies billing trends and errors. The position partners with internal stakeholders and external vendors to maintain coding system functionality and ensure accurate reimbursement and compliance outcomes.

 

MINIMUM QUALIFICATIONS: 

Education, Experience or Equivalent Combination:

  • Completion of Medical Coding Program with certification (AAPC or AHIMA equivalent: CPC, CCA, CCS), or ability to obtain within one year 
  • Minimum 2 years of coding experience across multiple patient visit types 
  • Experience in claims processing and medical billing within healthcare or insurance settings 
  • Experience with HMO, fully insured, indemnity, and government programs 

  • Demonstrated ability to make independent decisions in claim coding and adjudication

Licensure/ Registration/ Certification:

  • CPC, CCA, CCS or equivalent (required or obtained within one year from date of hire)

Knowledge, Skills, and Abilities:

  • Strong knowledge of CPT, HCPCS, , ICD-10, revenue codes, and claim formats (837P/837I) 
  • Understanding of medical terminology, anatomy, physiology, and disease processes 
  • Knowledge of Coordination of Benefits (COB) rules, including Medicare regulations 
  • Experience using claims processing systems, encoder tools, and coding software 
  • Strong analytical, problem-solving, and trend analysis skills 
  • Solid organizational and planning capabilities 
  • Proficient in Microsoft tools and data analysis 

  • Ability to communicate effectively with internal stakeholders and external parties

PREFERRED QUALIFICATIONS: 

Education, Experience or Equivalent Combination:

  • Bachelor's degree in a related field 
  • 5+ years of experience in the healthcare industry

Licensure/ Registration/ Certification:

  • Advanced or specialty coding certifications preferred

Knowledge, Skills, and Abilities:

  • Experience with claims processing systems 

  • Strong familiarity with coding governance, reimbursement methodologies, and audit processes

ESSENTIAL DUTIES: 

(50%) Coding Compliance & Claims Adjudication

  • Review and evaluate claims for coding accuracy and medical appropriateness 
  • Approve or deny claims based on coding guidelines and policy requirements 
  • Resolve claim processing errors related to code validation during adjudication Ensure compliance with HIPAA and industry coding standards across all claim types

(20%) Coding System Management & Updates

  • Monitor CMS, NUBC, and other regulatory bodies for coding updates 
  • Support implementation, testing, and validation of coding system updates 
  • Maintain and support coding systems including vendor-managed platforms (e.g., ClaimCheck) 

  • Ensure system configuration aligns with current coding requirements

(20%) Analysis, Research & Trend Identification 

  • Analyze coding-related claim issues to identify billing trends, errors, and opportunities 
  • Recommend enhancements or corrections for identified billing trends, errors, and opportunities 
  • Conduct research to support new code implementation or policy changes 
  • Evaluate coding business rules and recommend enhancements or corrections 

  • Perform trend analysis to support business decision-making

(10%) Stakeholder Support & Communication

  • Serve as subject matter expert for coding questions across the organization 
  • Act as key point of contact for claims, provider appeals, and adjustment requests 
  • Communicate coding review outcomes to members and providers when appropriate 
  • Support cross-functional teams including claims, sales, and contracting

At HealthPartners we believe in the power of good - good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health
As a HealthPartners colleague, we're committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

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