- CVS Health (St. Paul, MN)
- …each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
- Fairview Health Services (St. Paul, MN)
- …pertaining to billing, coding, and documentation. The Inpatient Coding Denials Specialist will also handle audit -related and compliance responsibilities. ... reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses… more
- State of Minnesota (St. Paul, MN)
- …tax, property tax refund, and withholding tax returns for potential fraudulent claims . You will independently perform audit examinations, research third party ... **Working Title: Tax Fraud Auditor** **Job Class: Revenue Tax Specialist , Intermediate** **Agency: Revenue Department** + **Job ID** : 89315 + **Location** : St.… more
- Presbyterian Homes and Services (Roseville, MN)
- …of training and demonstrated performance. Responsibilities The Care Center Billing Specialist performs a variety of general tasks including preparing Skilled Nursing ... + Bill all Skilled Nursing charges timely and correctly. Audit all assigned accounts to assure appropriate charges for...Provide timely follow up with insurance companies on unpaid claims . + Provide timely follow up with residents on… more
- Elevance Health (Mendota Heights, MN)
- …letters. + Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside… more
- Elevance Health (Mendota Heights, MN)
- …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise,...Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation… more
- Acosta Group (Maple Grove, MN)
- …The Retail Supervisor-Events is responsible for the management of effective, efficient and quality event execution in a designated location. They are to audit , ... on company processes, policies, procedures, and position responsibilities. + Ensure quality execution by conducting audits and work-withs of Event Specialists and… more