- Centene Corporation (Jefferson City, MO)
- …process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into ... the credentialing subsystem + Develop and maintain the audit schedule + Audit staff as outlined in the system auditing policies + Train audit staff at the health plan in the use of audit process and tools + Facilitate compliance with the auditing process + Act… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments.… more
- Ameren (Steedman, MO)
- …of electricity for Ameren Missouri's 1.2 million customers. **Our benefits include:** + Medical coverage on date of hire + 100% employer paid cash balance pension ... conducted in compliance with the Operating Quality Assurance Program (OQAP). NOS Auditor positions provide this verification through assessment of the adequacy of… more
- Ameren (St. Louis, MO)
- …employees. The Auditor II works closely with all levels of management to perform audits of the Company's operations and projects, focusing on those that ... customers, shareholders and the environment. **Our benefits include:** + Medical coverage on date of hire + 100% employer...support strategic initiatives and business plans. The Auditor assesses the effectiveness of business processes and internal… more
- HCA Healthcare (Kansas City, MO)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue… more
- Sedgwick (Kansas City, MO)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K and PTO. + Wellness benefits… more
- Elevance Health (St. Louis, MO)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- CAI (Jefferson City, MO)
- Import/Export Compliance Auditor **Req number:** R6613 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology ... in bringing neurodiversity to the enterprise. **Job Summary** As the Compliance Auditor , you will focus on trade compliance operations, ensuring timely and lawful… more
- Humana (Jefferson City, MO)
- …achievement of Humana's strategic and financial objectives. The Senior Internal Auditor provides value-added service by evaluating the efficiency and effectiveness ... of Humana's operational processes. The Senior Internal Auditor owns audit engagements by leading walkthrough discussions, performing detail reviews, and identifying… more
- Cognizant (Jefferson City, MO)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... compliance + Perform Peer Reviews of Company Health Information Management coding auditors and coders + Assure that services...Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to… more
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