- Elevance Health (Mendota Heights, MN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
- Highmark Health (St. Paul, MN)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
- CVS Health (St. Paul, MN)
- …Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Completion ... every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
- Datavant (St. Paul, MN)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Humana (St. Paul, MN)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Elevance Health (Mendota Heights, MN)
- …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- ManpowerGroup (St. Paul, MN)
- …convert to FTE **What's the Job?** + Participate in auditing tasks of medical record coding , documentation, compliance, and DRG assignment. + Demonstrate ... Our client, a leader in healthcare innovations, is seeking an Inpatient Auditor to join their team. As an Inpatient Auditor , you will be part of the Consulting… more
- Datavant (St. Paul, MN)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- Elevance Health (Mendota Heights, MN)
- …is granted as required by law. The **Business Analyst II- Pharmacy Benefit Auditor ** is responsible for analyzing pharmacy benefit coding systems against ... pharmacy care._ **Title** : **Business Analyst II- Pharmacy Benefit Auditor ** **Hybrid** - This role requires associates to be...Experiences:** + CPhT is preferred. + Pharmacy plan benefit coding and/or pharmacy plan quality review experience… more
- State of Minnesota (Vadnais Heights, MN)
- …beginning and ending month and year._** Active certification as a Certified Professional Medical Auditor (CPMA) **AND** Three (3) years of experience in revenue ... **Working Title: DCT Revenue Cycle Quality Assurance Analyst** **Job Class: Management Analyst 4**...assessing key areas of the revenue cycle, including billing, coding , insurance verification, and claims processing. The goal is… more