- Elevance Health (St. Louis, MO)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
- Elevance Health (St. Louis, MO)
- ** Clinical Provider Auditor I** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** is responsible for identifying… more
- Actalent (St. Louis, MO)
- … documentation, and modify business processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews. ... Quality Improvement Auditor (RN) Position Purpose: Lead medical record audits,...* Lead clinical audits for provider medical records both remotely via electronic medical records… more
- Actalent (St. Louis, MO)
- …processes to measure member outcomes. They will also be responsible for assessing provider performance and quality of care through clinical case reviews. Other ... The Quality Improvement Auditor RN will be responsible for leading medical...quality services + Leading case reviews to assess the clinical performance provided in the provider network,… more
- Elevance Health (St. Louis, MO)
- **DRG (DIAGNOSTIC RELATED GROUP) CODING AUDITOR ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 ... our Elevance Health PulsePoint locations. The **DIAGNOSTIC RELATED GROUP CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high… more