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Medicare Coding Jobs in Minnesota (NOW HIRING)

UnitedHealth Group

Medical Coder

Saint Paul, 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 ...

UnitedHealth Group

Medical Coder

Saint Paul, MN · Remote

$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 ...

UnitedHealth Group

Medical Coder

Eden Prairie, MN · On-site

$20.38 - $36.44/hr

Knowledge of ICD-10, CPT and HCPCS coding systems, strong medical terminology * Knowledge of NCCI edit policies, Medicare LCD and NCD policies * Knowledge of professional ER leveling * Maintain up-to ...

UnitedHealth Group

Medical Coder

Eden Prairie, MN · Remote

$20.38 - $36.44/hr

Knowledge of ICD-10, CPT and HCPCS coding systems, strong medical terminology * Knowledge of NCCI edit policies, Medicare LCD and NCD policies * Knowledge of professional ER leveling * Maintain up-to ...

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 ...

Staffing Proxy

Billing Specialist

Minneapolis, MN

$62K - $70K/yr

Manage claims submission, follow-up, and denial resolution for Medicare and Medicare Advantage plans * Ensure accuracy and compliance with HCPCS coding, modifiers, and CMS billing requirements

UnitedHealth Group

Policy Writer - US Remote

Minnetonka, MN · Remote

$91.70K - $163.70K/yr

... Medicare Coverage Database (MCD), and interpretation of CMS transmittals, Internet-Only manual (IOM), national and local coverage determinations (NCDs and LCDs) * 1 years of Coding experience (e.g ...

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Medicare Coding information

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 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 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.

How to become a Medicare reviewer?

To become a Medicare reviewer, candidates typically need 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 medical record review are often required, and some roles may require experience with Medicare claims processing or audits.

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 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

Revenue Integrity Coding Billing Specialist (remote)

Guidehouse

Minneapolis, MN • Remote

$56K - $94K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 13 days ago

Guidehouse rating

7.5

Company rating: 7.5 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

38th of 57 rated business consultants

Job description

Job Family:

General Coding


Travel Required:

None


Clearance Required:

None

This position is fully remote

What You Will Do:

  • Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote.

    Daily duties for this position include:

    • Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving standard billing edits such as:

    • Correct Coding Initiatives (CCI)

    • Medically Unlikely Edits (MUE)

    • Medical Necessity edits

    • Other claim level edits as assigned

    • As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers.

    • Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX system.

    • Ensures coding and billing practices are in compliance with Federal/State guidelines by utilizing various types of authoritative information.

    • Maintains current knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements.

    • Other duties commensurate with skills and experience as determined by the Director of Revenue Integrity.

    What You Will Need:

    • High School Diploma or equivalent

    • 5+ years of Revenue Integrity experience

    • AAPC or AHIMA coding certification.

    • Experience in ICD-10, CPT and HCPCS Level II Coding.

    • Expertise in determining medical necessity of services provided and charged based on provider/clinical documentation.

    • Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims.

    • Proficiency in determining accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology, imaging, and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy)

    • Knowledge of current code bundling rules and regulations along with proficiency on issues regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's.

    • Knowledge and understanding of hospital charge description master coding systems and structures.

    • Strong verbal, written and interpersonal communication skills.

    • Ability to produce accurate, assigned work product within specified time frames.

    What Would Be Nice To Have:

    • 5 years' experience in Revenue Integrity Coding and Billing

    • Hospital medical billing and auditing experience

    • Associate's degree

    #IndeedSponsored

    #LI- Remote#LI-DNI

The annual salary range for this position is $56,000.00-$94,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.


What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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