Minnesota Licensed Coding Analyst

Job Summary

To support accurate claims processing, the remote Minnesota Licensed Coding Analyst will determine the accuracy of claims submitted by providers, analyze medical records, and ensure compliance with state and federal guidelines in a part-time capacity.

Key responsibilities:

• Perform quality audits of clinical review cases for CPT, HCPCS, and modifiers in a telecommuting environment
• Determine the accuracy of medical coding and payment recommendations for pre-payment claims
• Manage daily case review assignments while adhering to quality, utilization, and productivity standards

Required qualifications:

• High School Diploma or GED
• Certified Coder (AHIMA or AAPC) or active Nurse (RN, LPN) certification with medical record auditing experience
• 2+ years of experience as a certified coder or licensed nurse with coding/billing experience
• Intermediate level of experience with medical record review
• Basic experience with Microsoft and Adobe applications