Minnesota Licensed Clinical Investigator
virtual vocationsDenver (CO)
Minnesota Licensed Clinical Investigator
Posted today
virtual vocationsDenver (CO)
Health Information Technologists and Medical RegistrarsAll Other Miscellaneous Ambulatory Health Care Services
SENIORITY
Senior
About the role
To ensure compliance and accuracy in medical billing, the Minnesota Licensed Clinical Investigator will perform quality audits of clinical review cases, analyze claims against medical records, and provide coding expertise while working remotely in a full-time capacity.
Key responsibilities:
Conducts quality audits of clinical review cases for CPT, HCPCS, and modifiers in a telecommuting environment
Determines the accuracy of medical coding and provides payment recommendations for pre-payment claims
Identifies billing patterns and trends, ensuring adherence to compliance policies and managing daily case review assignments
Required qualifications:
High School Diploma/GED
Certified Coder (AHIMA or AAPC) or licensed Nurse (RN, LPN) with medical record auditing and coding/billing experience
2+ years of experience as a certified coder with CPT/HCPCS/ICD coding experience or as a licensed nurse with relevant experience
1+ years of experience in a metric-driven team environment
Intermediate to advanced knowledge of health insurance business and regulatory guidelines
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.