- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Jefferson City, MO)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Elevance Health (St. Louis, MO)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Elevance Health (St. Louis, MO)
- **Be Part of an Extraordinary Team** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly ... Payment Integrity , is determined to recover, eliminate...the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _… more
- Saint Luke's (Kansas City, MO)
- …and conduct audits for focused requests such as internal reviews, program & payment integrity reviews, payor programs. Participate in facilitation of the process ... area due to some travel to area clinics as needed. The Revenue Integrity Analyst is responsible for improving charge capture accuracy through workflow assessments … more
- SSM Health (MO)
- …RESPONSIBILITIES + Reviews clinical records of both clinical documentation integrity and mortality scoring. + Collaborates with others regardingclinical ... and diagnosis review group (DRG) frequency. + Serves as a liaison between coding staff and physicians as appropriate. Identifies and initiates opportunities for new… more
- The Whole Person (Kansas City, MO)
- GENERAL DESCRIPTION This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must have ... as appropriate. + Monitors all past due accounts for payment . + Contributes to a cohesive departmental unit. +...analytic & problem-solving abilities PREFERRED SKILLS + Billing and/or coding education or certification + Personal experience with a… more
- Nelnet (Jefferson City, MO)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more