Medical Claims Coding & Compliance Specialist

HealthPartners; BLOOMINGTON (MN); On-site; USD 60,000 - 85,000; Full time

Job summary

HealthPartners in Bloomington, MN is seeking a Claims Coding Analyst to ensure coding accuracy and compliance across CPT, HCPCS, ICD-9/10, and related code sets. You will collaborate with internal teams and external vendors to maintain coding system integrity and support reimbursement accuracy.

The role requires at least 2 years of coding experience, a certified Medical Coding program, and knowledge of HIPAA, coding guidelines, and payer rules.

Qualifications

• Completion of Medical Coding Program with certification (AAPC or AHIMA equivalent) or ability to obtain within one year.
• Minimum 2 years of coding experience across multiple patient visit types.
• Experience with claims processing and medical billing in healthcare or insurance settings.
• Knowledge of CPT, HCPCS, ICD-10, and revenue codes; familiarity with 837 formats.

Responsibilities

• Review and evaluate claims for coding accuracy and medical appropriateness.
• Approve or deny claims based on coding guidelines and policy requirements.
• Monitor coding updates from CMS, NUBC, and other regulatory bodies; support testing and validation of updates.
• Analyze coding-related claim issues to identify trends, opportunities, and corrective actions.

Skills

CPC

CCA

CCS

CPT/HCPCS knowledge

ICD-10 knowledge

Claims adjudication

Regulatory knowledge

Microsoft Excel

Education

Medical Coding Program with certification

Bachelor’s degree in related field

Tools

Encoder tools

Coding software

Job description

HealthPartners in Bloomington, MN is seeking a Claims Coding Analyst to ensure coding accuracy and compliance across CPT, HCPCS, ICD-9/10, and related code sets. You will collaborate with internal teams and external vendors to maintain coding system integrity and support reimbursement accuracy.

The role requires at least 2 years of coding experience, a certified Medical Coding program, and knowledge of HIPAA, coding guidelines, and payer rules.