- Elevance Health (Mendota Heights, MN)
- ** Audit & Reimbursement Senior ** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… more
- Presbyterian Homes and Services (Roseville, MN)
- …resident's stay. + Audit RUG grouper/MDS end splits, review all expedited appeals and ALJ level appeals . Perform concurrent MDS review to assure appropriate ... working knowledge of the RAI process + Experience with MDS completion, reimbursement , clinical resource utilization and/or case management + Ability to work flexible… more