- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Payment Quality Assurance & Improvement Analyst** **Job Class: Human Services Program Representative 2** **Agency: Human ... Central Office + **Division/Unit** : Health Care Administration / Medicaid Payment and Provider Services + **Work...essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of… more
- Humana (St. Paul, MN)
- …requirements development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + ... MS-DRG, etc). This role is within the Integrated Network Payment Solutions (INPS) department which falls under the Provider...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- State of Minnesota (Vadnais Heights, MN)
- …related to billing, coding, and documentation standards as well as managing the quality assurance processes to ensure accurate and timely billings. Primary ... all rules and regulations. + Reviewing coding and billing strategies while implementing quality assurance processes. + Understand charge master set up and manage… more
- CenterWell (St. Paul, MN)
- …us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... . + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling… more
- Humana (St. Paul, MN)
- …+ Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance , and compliance + Determine root causes driving issues ... + Researching and maintaining expertise in Medicare Outpatient Prospective Payment System reimbursement methodologies (OPPS, ASC, FQHC, etc.) +...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Humana (St. Paul, MN)
- …high- quality technology solutions. The Senior Software Engineer standardizes the quality assurance procedure for software. Oversees testing and debugging and ... Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Mayo Clinic (Rochester, MN)
- …and following their treatment at Mayo Clinic. This role requires adherence to quality assurance guidelines as well as established productivity standards to ... and co-insurance. In addition, the counselors may assist patients with Medicaid , Third Party eligibility and Charity Care applications and processing. Responsible… more
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