Advanced knowledge of ICD-10-CM/PCS coding conventions, DRG reimbursement methodology, and clinical validation principles, with demonstrated ability to interpret Coding Clinic guidance and Medicare ...
Advanced knowledge of ICD-10-CM/PCS coding conventions, DRG reimbursement methodology, and clinical validation principles, with demonstrated ability to interpret Coding Clinic guidance and Medicare ...
Advanced knowledge of ICD-10-CM/PCS coding conventions, DRG reimbursement methodology, and clinical validation principles, with demonstrated ability to interpret Coding Clinic guidance and Medicare ...
Advanced knowledge of ICD-10-CM/PCS coding conventions, DRG reimbursement methodology, and clinical validation principles, with demonstrated ability to interpret Coding Clinic guidance and Medicare ...
MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
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MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
MDS Director - Cura of Le Sueur
Le Sueur, MN · On-site
$37.50 - $47.75/hr
Maximize appropriate reimbursement by ensuring precise MDS coding, tracking Medicare/Medicaid eligibility, and supporting consolidated billing requirements. Conduct triple-check processes, monitor ...
Clinical Appeals Specialist II-Hybrid
Rochester, MN · Hybrid
$88K - $123K/yr
Advanced knowledge of ICD-10-CM/PCS coding conventions, DRG reimbursement methodology, and clinical validation principles, with demonstrated ability to interpret Coding Clinic guidance and Medicare ...
Clinical Appeals Specialist II-Hybrid
Rochester, MN · Hybrid
$88K - $123K/yr
Advanced knowledge of ICD-10-CM/PCS coding conventions, DRG reimbursement methodology, and clinical validation principles, with demonstrated ability to interpret Coding Clinic guidance and Medicare ...
Accounts Receivable Coordinator - Nursing Home
Sauk Rapids, MN · On-site
$23 - $28.72/hr
... codes * Prepare and distribute billing for private pay, Medicare, Medical Assistance, and third-party payors * Manage and maintain complete resident records, both paper and electronic, including ...
Accounts Receivable Coordinator - Nursing Home
Sauk Rapids, MN · On-site
$23 - $28.72/hr
... codes * Prepare and distribute billing for private pay, Medicare, Medical Assistance, and third-party payors * Manage and maintain complete resident records, both paper and electronic, including ...
... codes * Prepare and distribute billing for private pay, Medicare, Medical Assistance, and third-party payors * Manage and maintain complete resident records, both paper and electronic, including ...
... codes * Prepare and distribute billing for private pay, Medicare, Medical Assistance, and third-party payors * Manage and maintain complete resident records, both paper and electronic, including ...
Provider Auditor II
Mendota Heights, MN · On-site
Requires an intermediate level of working knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement manual) to ensure reimbursement principles are properly ...
Provider Auditor II
Mendota Heights, MN · On-site
Requires an intermediate level of working knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement manual) to ensure reimbursement principles are properly ...
Provider Auditor II
Mendota Heights, MN · On-site +1
Requires an intermediate level of working knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement manual) to ensure reimbursement principles are properly ...
Provider Auditor II
Mendota Heights, MN · On-site +1
Requires an intermediate level of working knowledge of Medicare rules, regulations (e.g., Code of Federal Regulations, Provider Reimbursement manual) to ensure reimbursement principles are properly ...
... Medicare and Medicaid. * 10+ years of experience educating and engaging healthcare providers on procedure and technology coding, coverage and payment. * Experience developing a payer engagement ...
... Medicare and Medicaid. * 10+ years of experience educating and engaging healthcare providers on procedure and technology coding, coverage and payment. * Experience developing a payer engagement ...
... codes, CPT codes, billing coding, appeals process). * Knowledge of the buy-and-bill process. * Knowledge of private payer Medicare and Medicaid structure systems and reimbursement process
... codes, CPT codes, billing coding, appeals process). * Knowledge of the buy-and-bill process. * Knowledge of private payer Medicare and Medicaid structure systems and reimbursement process
Senior Manager - Health Policy and Government Reimbursement (Remote)
Minneapolis, MN · On-site +1
$112K - $121K/yr
... new coding, positive medical coverage, and adequate payment within the US by engaging with ... Minimum 10 years' experience working in the Medical Device, DME, managed care plan, Medicare ...
Senior Manager - Health Policy and Government Reimbursement (Remote)
Minneapolis, MN · On-site +1
$112K - $121K/yr
... new coding, positive medical coverage, and adequate payment within the US by engaging with ... Minimum 10 years' experience working in the Medical Device, DME, managed care plan, Medicare ...
Senior Manager - Health Policy and Government Reimbursement (Remote)
Minneapolis, MN · Remote
$112K - $121K/yr
... new coding, positive medical coverage, and adequate payment within the US by engaging with ... Minimum 10 years' experience working in the Medical Device, DME, managed care plan, Medicare ...
Senior Manager - Health Policy and Government Reimbursement (Remote)
Minneapolis, MN · Remote
$112K - $121K/yr
... new coding, positive medical coverage, and adequate payment within the US by engaging with ... Minimum 10 years' experience working in the Medical Device, DME, managed care plan, Medicare ...
Insurance Follow-Up Specialist (Remote) - Eastern Time & Central Time
Sartell, MN · Remote
$18 - $21/hr
... Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution. * Analyze denial codes, remittance advice, payer correspondence, and claim ...
Insurance Follow-Up Specialist (Remote) - Eastern Time & Central Time
Sartell, MN · Remote
$18 - $21/hr
... Medicare, Medicaid, Blue Cross, and commercial insurance carriers to obtain claim status updates and payment resolution. * Analyze denial codes, remittance advice, payer correspondence, and claim ...
Manager, US Market Access
Minneapolis, MN · On-site
$110K - $160K/yr
... payers, Medicare and its contractors, state legislators and Medicaid administrators. A major focus of this role involves supporting and educating providers on billing and coding and engaging ...
Manager, US Market Access
Minneapolis, MN · On-site
$110K - $160K/yr
... payers, Medicare and its contractors, state legislators and Medicaid administrators. A major focus of this role involves supporting and educating providers on billing and coding and engaging ...
Patient Access Specialist - Part-time
$17 - $18.15/hr
Explains and distributes patient education documents, such as Important Message from Medicare ... plan code, enters benefit data into system to support POS (Point of Service Collections) and ...
Quick apply
Patient Access Specialist - Part-time
$17 - $18.15/hr
Explains and distributes patient education documents, such as Important Message from Medicare ... plan code, enters benefit data into system to support POS (Point of Service Collections) and ...
Patient Access Specialist - Full Time
$17 - $18.15/hr
Explains and distributes patient education documents, such as Important Message from Medicare ... plan code, enters benefit data into system to support POS (Point of Service Collections) and ...
Quick apply
Patient Access Specialist - Full Time
$17 - $18.15/hr
Explains and distributes patient education documents, such as Important Message from Medicare ... plan code, enters benefit data into system to support POS (Point of Service Collections) and ...
Associate Healthcare Economics Director - Remote - Minnetonka, MN preferred
Minnetonka, MN · On-site
$112.70 - $193.20/hr
Prepare Medicare Advantage bids submitted to CMS annually * Build AI-powered solutions that solve ... Intermediate or higher level of proficiency in coding with Snowflake, SQL, or SAS * Excellent ...
Associate Healthcare Economics Director - Remote - Minnetonka, MN preferred
Minnetonka, MN · On-site
$112.70 - $193.20/hr
Prepare Medicare Advantage bids submitted to CMS annually * Build AI-powered solutions that solve ... Intermediate or higher level of proficiency in coding with Snowflake, SQL, or SAS * Excellent ...
Medicare Coding information
Is it hard to get hired as a Medicare coding?
Getting hired as a Medicare coder can be competitive, but having relevant certifications such as CPC or CCS and strong knowledge of coding guidelines improves job prospects. Employers often look for accuracy, attention to detail, and familiarity with healthcare billing systems. Entry-level positions may require some experience or training, but opportunities exist for those with the right skills.
What is the difference between Medicare Coding vs Medical Billing?
| Aspect | Medicare Coding | Medical Billing |
|---|---|---|
| Primary Focus | Assigning medical codes for Medicare claims | Processing and submitting insurance claims |
| Certifications | Medical Coding Certification (e.g., CPC) | Billing and coding certifications often preferred |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Industry Usage | Used mainly in Medicare and insurance claims | Used 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 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:
Full-time
Medical, Dental, Vision, Retirement
Posted 12 days ago
Mayo Clinic rating
7.8
Based on 697 frontline employees who took The Breakroom Quiz
132nd of 887 rated healthcare providers
Job description
This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.
Primary duties may include, but are not limited to, responsibility for reviewing assigned clinically related denials, payer audits, and payer correspondence as well as preparation of relevant appeal submission or audit responses. Utilizes clinical expertise and critical thinking in the evaluation of medical records against appropriate criteria and contract requirements and utilizes appropriate communication style to appeal or defend medically denied claims. Is a liaison and resource to revenue cycle, case management and practice stakeholders in defending clinically denied claims and providing relevant feedback to key stakeholders on denial prevention opportunities.
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
- Medical: Multiple plan options.
- Dental: Delta Dental or reimbursement account for flexible coverage.
- Vision: Affordable plan with national network.
- Pre-Tax Savings: HSA and FSAs for eligible expenses.
- Retirement: Competitive retirement package to secure your future.
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Minimum Education: Associates Degree
Minimum Experience: 3 years of relevant nursing experience
Current active unrestricted RN license.
The preferred applicant will have the following experience: Advanced knowledge of ICD-10-CM/PCS coding conventions, DRG reimbursement methodology, and clinical validation principles, with demonstrated ability to interpret Coding Clinic guidance and Medicare IPPS regulations to support accurate DRG assignment and defend coding-related denials.
Healthcare Financial Management Association (HFMA) Certification Preferred.
CCDS or CDIP Certification Preferred.
Experience in utilization review, case management, denials and appeals, revenue cycle, or prior authorization preferred. Knowledge and use of discharge planning, case management, utilization review, and levels of care criteria. Familiarity with Medicaid and Medicare claims denials and appeals processing and regulatory requirements. Knowledge and use of payer medical policy and Medicare LCD/NCD criteria. Knowledge of billing and coding requirements. Experience utilizing Milliman Care Guidelines and InterQual Criteria. Knowledge of current NCQA/URAC standards. Knowledge and experience applying 2-Midnight Rule Criteria. Knowledge and experience in Epic. Must have the ability to effectively utilize Microsoft Office Suite and possess basic data entry skills. Must possess excellent verbal, written and interpersonal communication skills, and able to balance multiple demands and respond to time constraints. Must have high-level skills in organization as well as problem solving and analytical skills.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
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About Mayo Clinic
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Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Rochester, MN, US
Year founded
1919