- Elevance Health (St. Louis, MO)
- ** Clinical Provider Auditor II ** **Hybrid 1:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** CLINICAL PROVIDER AUDITOR II ** is responsible for… more
- Highmark Health (Jefferson City, MO)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more