- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- 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...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Elevance Health (Mendota Heights, MN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is ... **DRG Coding Auditor Principal** **_Virtual: _** _...**DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...business, and its clients. Specializes in review of DRG coding via medical record and attending physician's… more
- WelbeHealth (St. Paul, MN)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole… more
- Elevance Health (Mendota Heights, MN)
- …Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the ... **Claims Auditor I, II and Senior** **Location :** This...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- St Croix Hospice (Mendota Heights, MN)
- … Specialist (CBCS) + Certified Professional Coder (CPC) + Certified Professional Medical Auditor (CPMA) + Certified Compliance and Ethics Professional (CCEP) ... of caregivers, then come work where you matter. Compliance Auditor (Clinical) Position Overview The Compliance Auditor ...as Legal, Human Resources, Finance, IT, Quality, Billing and Coding to enhance internal controls and address and remediate… more
- Humana (St. Paul, MN)
- …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more
- Elevance Health (Mendota Heights, MN)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Essentia Health (Duluth, MN)
- **Job Description:** The Registered Nurse - Charge Auditor plans, conducts, and performs charge audits, based on clinical documentation and billing practices for ... of technical and professional services rendered by the department providers against medical record to ensure charges posted/billed for accurate charge capture +… more
- Datavant (St. Paul, MN)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Datavant (St. Paul, MN)
- …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Coinbase (St. Paul, MN)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more