• Medical Director - Medicaid ( remote )

    Humana (St. Paul, MN)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... outpatient services and equipment, within their scope. The Medical...or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (12/07/25)
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  • Coder 2

    Fairview Health Services (St. Paul, MN)
    …and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated ... a Coder 2 to join our **Hospital Based ED coding team!** This is a fully remote ...Professional (CCS-P) or Professional Coder- Hospital (CPC-H) or Certified Outpatient Coding (COC) or AAPC specialty certifications… more
    Fairview Health Services (12/11/25)
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  • ProFee Audit Specialist FT- 2,500 Sign on Bonus

    Datavant (St. Paul, MN)
    …RHIA credentials. + Recent experience in academic/level 1 trauma centers + Experience coding and auditing inpatient and outpatient records for various facilities ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (11/05/25)
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  • Lead - CDI Specialist

    Mayo Clinic (Rochester, MN)
    …quality metrics and hospital ratings and rankings Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness. ... that clinical documentation supports medical necessity of services and accurate coding . Ensures documentation reflects patient's clinical status, risk of mortality,… more
    Mayo Clinic (10/30/25)
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  • Nurse Auditor 2

    Humana (St. Paul, MN)
    …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to...**Use your skills to make an impact** **WORK STYLE:** Remote /Work at Home. While this is a remote more
    Humana (12/11/25)
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  • Medical Director - Medicaid N. Central

    Humana (St. Paul, MN)
    …possible participation in care management. The clinical scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes...which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a Medicaid… more
    Humana (10/25/25)
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  • Medical Director-Payment Integrity

    Humana (St. Paul, MN)
    …scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing peer-to-peer discussions with an external ... provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and… more
    Humana (12/11/25)
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  • Medical Director - IP Claims Management

    Humana (St. Paul, MN)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... outpatient services and equipment, within their scope. The Medical...or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (12/11/25)
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  • PRN Fam Med Physician

    Catholic Health Initiatives (Baudette, MN)
    …to the creation of healthier communities + This practice model supports outpatient clinic operations **Responsibilities** + Patient Care: Diagnose and treat medical ... + Documentation: Maintain accurate patient records and ensure compliance with coding and billing regulations. + Team Collaboration: Work with healthcare… more
    Catholic Health Initiatives (11/12/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (St. Paul, MN)
    …resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... on project teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    CenterWell (11/06/25)
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