- Actalent (St. Louis, MO)
- Quality Improvement Auditor (RN) Position Purpose: Lead medical record audits, monitor and analyze clinical documentation, and modify business processes ... to measure member outcomes. Assess provider performance and quality of care through clinical case reviews....field or equivalent experience. 3+ years of nursing or quality improvement experience. Licenses/Certifications: Current states RN… more
- Actalent (St. Louis, MO)
- The Quality Improvement Auditor RN...will also be responsible for assessing provider performance and quality of care through clinical case reviews. ... Nursing, related field or equivalent experience 3+ years of nursing or quality improvement experience. Licenses/Certifications Current state's RN license About… more
- Elevance Health (St. Louis, MO)
- …diploma or equivalent and a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Elevance Health (St. Louis, MO)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG (DIAGNOSTIC RELATED GROUP) CODING AUDITOR ** **Location** : This position will work a...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more