- The Cigna Group (St. Louis, MO)
- **Job Summary:** The Medicare Coding Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality ... is broadened. + Plans, develops, implements, and monitors Cigna's Medicare 's QA of coding projects. + Monitors...as designed + Works closely with Quality Review Audit Advisor to ensure Risk Adjustment coding… more
- Elevance Health (St. Louis, MO)
- …a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid ... of Care, trend management, value-based care support for STARS/HEDIS and correct coding initiatives with providers as well as strategic growth and innovation… more
- SSM Health (St. Louis, MO)
- …of today's changing practice environment. They are exposed to the basics of quality improvement, patient safety, peer review , high value care and ethical, ... fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance. + Responsible for after-hours… more
- SSM Health (St. Louis, MO)
- …fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance. + Responsible for after-hours ... special clinical programs as reasonably requested. + Responsible for all risk management, coding compliance and quality assurance activities and functions in and… more
- SSM Health (St. Louis, MO)
- …fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance. + Responsible for after-hours ... special clinical programs as reasonably requested. + Responsible for all risk management, coding compliance and quality assurance activities and functions in and… more
- SSM Health (St. Louis, MO)
- …fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance. + Responsible for after-hours ... special clinical programs as reasonably requested. + Responsible for all risk management, coding compliance and quality assurance activities and functions in and… more
- SSM Health (St. Louis, MO)
- …fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance. + Responsible for after-hours ... special clinical programs as reasonably requested. + Responsible for all risk management, coding compliance and quality assurance activities and functions in and… more
- SSM Health (St. Louis, MO)
- …fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance. + Responsible for after-hours ... special clinical programs as reasonably requested. + Responsible for all risk management, coding compliance and quality assurance activities and functions in and… more
- Sedgwick (St. Louis, MO)
- …claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period ... filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and… more