HCPCS jobs in Eden Prairie, MN

Remote

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18d ago

Hi, I am Looking for Certified Clinical Coding Specialist for my client. 80% REMOTE, resources will need to come onsite in Columbia, SC to certain trainings/meetings Required Certification - Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). 3+ years experience in healthcare Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology 3+ years

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Contract

Up to $65

Epic System Analyst - Willow Inpatient Certified

Remote

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8d ago

Our Client, a Public University, is looking for an Epic Application System Analyst for their Ann Arbor, MI location. Responsibilities: FDB med load, cost updates, HCPCs updates, building and maintaining medication records, mixture records, CNR recipes, Dispense Prep recipes, medication lists.Support our daily operations (critical operations/Keeping The Lights On work) and will cover a mix of break/fix, enhancements, and projects. Requirements:Willow Inpatient certified2 years work experienceStr

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Contract

$50 - $53

Certified Medical Coder/Auditor

Remote

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25d ago

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking aCertified Medical Coder/Medical Record Audit Specialistwith strongBehavioral Healthcoding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issues, a

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Contract

Depends on Experience

Business Analyst Health Care

Remote

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Today

Business Analyst Health Care The consultant will support CPT/HCPCS and ICD-10 code maintenance, Medicaid policy and process activities, and the current Medicaid Management Information System (MMIS). The ideal candidate will have strong knowledge of medical coding methodologies, healthcare processes, business requirements, and documentation. The candidate will also serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and Reference Administration activities. Key Responsibili

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Contract

Depends on Experience

Principal AI/ML Engineer

Eden Prairie, Minnesota

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Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. Optum AI is U

Full-time

USD 164,600.00 - 282,200.00 per year

Authorization Coordinator I - REMOTE

Remote or Emeryville, California

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Today

Software Guidance & Assistance, Inc., (SGA), is searching for an Authorization Coordinator I for a Contract assignment with one of our premier Healthcare clients working remotely. Responsibilities : The Authorization Coordinator I processes patient referral requests to support timely and accurate determinations. This role reviews referrals according to standard work, health plan contracts, and utilization management protocols, forwarding requests to nurses or physicians when required. The coord

Contract

USD 25.00 - 25.00 per hour

Healthcare Claims Processor (Fully Insured)-Fully Remote

Remote

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3d ago

Elite Technical Services is seeking a Medical Claims Processors to join their Fully Insured operational team. This specialized track is responsible for establishing the baseline adjudication and processing engine for core commercial health insurance plans. This is a fast-paced, high-volume production environment well-suited for professional processors who possess sharp medical coding knowledge and exceptional systems navigation skills. Key Responsibilities: Review, investigate, and adjudicate

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Contract

Forward Deployed Process Engineer Lead - R37

Remote

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Today

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Forward Deployed Process Engineers will play a critical role in bri

Full-time

USD 152,163.00 - 289,353.75 per year

Senior Healthcare Data Analyst

Remote

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Today

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creatin

Full-time

USD 140,000.00 - 170,000.00 per year

Data science software developer

Remote or Murray, Utah

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Today

At Solventum, we improve lives by helping healthcare professionals do their best work. Join a team using innovation and insight to make a real impact on the future of healthcare. All roles listed are with Solventum, and we're committed to protecting your personal information-learn more in our Privacy Policy: ;br> Job Description: Senior Data Science Software Engineer (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a ne

Full-time

USD 124,000.00 - 170,500.00 per year

Data Scientist Principal, AI Development and Governance

Remote

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Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Data Science and Data Engineering Job Qualifications: Skills: AI Governance, Artificial Intelligence (AI), Generative AI Certifications: None Experience: 5 + years of related experience ship Required: No Job Description: Own your opportunity to turn data into measurable outcomes for our customers' most complex challenges. As

Full-time

USD 119,000.00 - 161,000.00 per year

Encounters Systems Analyst II

Remote or Dayton, Ohio

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Today

Job Summary: The Encounters Systems Analyst II is responsible for performing analysis of Encounters data and understanding the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements are achieved. Essential Functions: Perform analysis of Encounter data. Understand the financial and clinical impact of changes and decisions to the business process to ensure that the Service Level Agreements (SLAs) are achievedSupport for Regulato

Full-time

USD 62,700.00 - 100,400.00 per year

Lead Solutions Engineer, Strategic

Remote or Boston, Massachusetts

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Today

Lead Solutions Engineer, Strategic AcuityMD is the AI platform for MedTech trusted by over 500 MedTech companies - including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology. AcuityMD ranked No. 316

Full-time

USD 140,000.00 - 170,000.00 per year

Fraud Analyst / Healthcare Domain

Remote

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Today

Summary: Validate whether the FWA detection approach surfaces real, actionable fraud/waste/abuse signal, and produce substantiated findings to support FWA product development. Responsibilities: Review claims flagged by detection logic and determine true positive vs. false positiveArticulate the specific billing pattern, code combination, or provider behavior driving each callCarry select flagged leads through to a documented, substantiated findingPartner with product and data science teams to tr

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Contract

$40 - $50

Data Scientist IV - HealthCare preferred

Remote or Dayton, Ohio

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Today

Job Summary: The Data Scientist IV is responsible for leading the design, development, and operationalization of advanced analytics, machine learning, and artificial intelligence solutions that improve healthcare operations, patient outcomes, and organizational performance. This role provides technical leadership across complex initiatives involving predictive modeling, generative AI, Agentic AI, Natural Language Processing (NLP), and large-scale healthcare data science solutions. They influenc

Full-time

USD 113,000.00 - 197,700.00 per year

Cloud Data Architect

Remote

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Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Data Science and Data Engineering Job Qualifications: Skills: Cloud Data Architecture, Database Design, Data Model Design, Data Warehouse Architecture Certifications: None Experience: 8 + years of related experience ship Required: No Job Description: Own your opportunity to turn data into measurable outcomes for our customers

Full-time

USD 140,250.00 - 189,750.00 per year

Healthcare Data Analyst ICD

Edina, Minnesota

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Today

Healthcare Data Analyst Edina, MN(Hybrid, 3 days/week) Must have 3 years of experience with each of the following: 1) Working with large-scale healthcare data systems, including CMS Qualified Entity (QE) claims data, ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT/HCPCS diagnosis and procedure codes, healthcare claims data, insurance adjudication processes, and clinical data management. 2) Developing and maintaining healthcare data warehouses and master datasets using the following: SQL Server, relatio

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Contract, Third Party

Healthcare Claims Processor (Fully Insured)

Remote

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2d ago

Healthcare Claims Processor (Fully Insured)Introduction:Elite Technical Services is partnering with a major healthcare insurance provider to identify motivated, detail-oriented Medical Claims Processors to join their Fully Insured operational team. This specialized track is responsible for establishing the baseline adjudication and processing engine for core commercial health insurance plans. This is a fast-paced, high-volume production environment well-suited for professional processors who pos

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Contract

HCPCS jobs in Eden Prairie, MN, USA