• Senior Special Investigations

    CVS Health (Jefferson City, MO)
    …strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a ... team of coding /nursing professionals who conduct reviews of medical records and...coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of… more
    CVS Health (05/24/25)
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  • Sr. Compliance Coordinator-Billing & Coding

    BJC HealthCare (St. Louis, MO)
    …plan and/or trends identified based upon internal reviews or requests from senior leadership; performs special projects as requested/assigned by management; ... in Town & Country, MO. **Preferred Qualifications** **Role Purpose** The Senior Compliance Coordinator conducts and coordinates reviews of BJCMG specialty provider… more
    BJC HealthCare (05/02/25)
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