- 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 ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- 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 ... ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied...Associates will work on EST, regardless of where the associate resides. Work hours can vary, slightly, but all… more
- Humana (St. Paul, MN)
- …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 ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- CenterWell (St. Paul, MN)
- …required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …in Eagan, MN. In this role, you will be responsible for ensuring healthcare medical coding and reimbursement policies are implemented and integrated in all ... our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built... coding . The incumbent will also represent the medical coding team on various Blue Cross… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …in Eagan, MN. In this role, you will be responsible for ensuring healthcare medical coding and reimbursement policies are implemented and integrated in all ... our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built... coding . The incumbent will also represent the medical coding team on various Blue Cross… more
- Highmark Health (St. Paul, MN)
- …** EDUCATION ** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
- Humana (St. Paul, MN)
- …for timeliness, compliance and quality. + Will be a SME (Subject Matter Expert) medical coder with in-depth experience in inpatient coding audits (MSDRG/APDRG) + ... health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
- Humana (St. Paul, MN)
- … record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive knowledge of ... of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an … more
- PwC IT Services Co. (Minneapolis, MN)
- …Applicable **Specialism** IFS - Internal Firm Services - Other **Management Level** Senior Associate **Job Description & Summary** At PwC, our people in software and ... contribute to root cause analysis. Participate in architecture decisions, enforce coding standards, and promote development best practices. Required Skills &… more
- Sedgwick (Eden Prairie, MN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate l Liability l Eden Prairie, MN l Hybrid Are you looking for an ... state agency. + Communicates claim action/processing with claimant, client and appropriate medical contact. + Ensures claim files are properly documented and claims … more
- SitusAMC (St. Paul, MN)
- …equivalent from four-year College or technical school or equivalent combination of education and experience + Experienced professional with 5+ years of industry ... and/or relevant experience, typically with 1+ years in an Associate level role or external equivalent. + 5+ years...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- Datavant (St. Paul, MN)
- …academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting software ... for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …for reporting purposes * Report monthly PSI/HAC data to CDI and Inpatient Coding Manager, CDI Supervisor, Medical Director of Clinical Documentation Improvement ... in meetings * Identify documentation trends around PSI/HACs and assist in creating education for coding and clinical documentation staff * Assist the Physician… more
- Datavant (St. Paul, MN)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... Systems: Cerner PowerChart, 3M360.** You Will: + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM,...will bring to the table: + 3+ years experience coding and auditing + Associate or Bachelor's… more
- Datavant (St. Paul, MN)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …on proper coding practices and compliance requirements. * Manage medical coding metrics, performance improvement opportunities, and evaluation of in-home ... our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built...and military experience will be considered. * Experience in medical coding with a focus on Medicare… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more