• Clinical Audit and Appeals

    Intermountain Health (Jefferson City, MO)
    **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The ... Audit / Appeals RN Consultant will execute clinical audits of medical records on behalf of Intermountain hospitals and clinics for denials review, defense… more
    Intermountain Health (09/08/25)
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  • Medical Management Auditor

    Centene Corporation (Jefferson City, MO)
    …to clinical systems entry and/or processes + Develop and maintain the audit process and tools related to: authorizations, appeals , quality events, and case ... into the credentialing subsystem + Develop and maintain the audit schedule + Audit staff as outlined...compliance with the auditing process + Act as a consultant related to system auditing to others in the… more
    Centene Corporation (09/12/25)
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