- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (St. Paul, MN)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Elevance Health (Mendota Heights, MN)
- **Be Part of an Extraordinary Team** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly ... Payment Integrity , is determined to recover, eliminate...the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _… more
- Elevance Health (Mendota Heights, MN)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Program Integrity Analyst/Investigator Associate Location: Hybrid | Eagan, Minnesota Career Area: Legal ... claims and assisting in initial development of fraud, waste, abuse and over- payment recovery cases. This includes learning to gather, analyze and interpret data… more
- Humana (St. Paul, MN)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Travelers Insurance Company (St. Paul, MN)
- …inquisitive and detail-oriented with a passion for continuous learning and improving the integrity and usability of data assets. This individual will act as a data ... Governance processes. Ability to do basic SQL and Python coding is a plus for this role. **What Will...Assist in the process of managing the availability, usability, integrity security and privacy of the data. + Implement… more
- Nelnet (St. Paul, MN)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more
- Travelers Insurance Company (St. Paul, MN)
- …the Opportunity?** Travelers is seeking a network and operationally minded security professional with developer capabilities and a passion to help protect a Fortune ... to move quickly. This includes but is not limited to someone with coding language experience to assist with modernizing our current processes through automation and… more