- CVS Health (MO)
- …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
- HCA Healthcare (Kansas City, MO)
- …of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from ... may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our...stated in current Company policy + Reviews all official data quality standards, coding guidelines,… more
- Humana (Jefferson City, MO)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where… more
- Highmark Health (Jefferson City, MO)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Datavant (Jefferson City, MO)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical… more
- SSM Health (MO)
- …**Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor Senior role SSM Health! Preferred RN background is a plus. ... the medical record and/or billing information. Tracks assigned cases and enters data of audit related information into web-based audit tracking tool. Supports staff… more
- BJC HealthCare (St. Louis, MO)
- …will reside in the Greater St. Louis area. + Experience with analyzing provider data and training on current billing guidelines to identify trends is a plus! + ... Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the… more
- Elevance Health (St. Louis, MO)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... accommodation is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service ...you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as… more
- HCA Healthcare (Kansas City, MO)
- …Manager with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data , creating and presenting ... services + Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/ auditor...the monthly random, focus, prebill review, and Ad Hoc quality review process + Submits and reviews coding… more
- Coinbase (Jefferson City, MO)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... * Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written and verbal communication… more
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