42 jobs found in Springfield

Join Datavant, the leading data collaboration platform in healthcare. Our mission is to make health data secure, accessible, and actionable, providing vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. Whether it’s managing a patient’s medical records or advancing AI in healthcare, our collaborative team is dedicated to significantly transforming the industry. We are seeking experienced and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a comprehensive understanding of medical terminology. Enjoy the flexibility of this fully remote role while helping to shape the future of healthcare! Preferred: Outpatient coder specializing in Cath coding, Endo, Observation coding, and OP Surgery is highly desired. Experience with Cerner/3M is a plus. Key Responsibilities: Review medical records and accurately assign codes for diagnoses and...

Your Future Evolves Here Evolent is dedicated to transforming health care by partnering with health plans and providers to improve outcomes for individuals with complex and high-cost health conditions. We aim to bridge the gaps in the fragmented health care system, ensuring every person receives the compassionate care we would wish for our own loved ones. At Evolent, we prioritize work/life balance and provide the flexibility to allow our employees to tailor their work to fit their lives. We believe that the best work happens in an environment that supports personal well-being and encourages authenticity. This commitment to diversity and inclusion is at the heart of our organization. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Medical Coder - FWA Auditor plays a vital role in ensuring the accuracy of complex claim reviews, coding, and billing in alignment with the Plans' provider agreements and National Healthcare...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: Join our dynamic team as a Coding Auditor Instructor, where you will play a critical role in ensuring the accuracy and compliance of coding, billing, and medical documentation. You will conduct comprehensive audits on medical records relating to DRGs, APCs, CPTs, and HCPCS Level II codes. Your expertise will help us optimize reimbursement strategies and improve data quality while adhering to regulatory requirements. ESSENTIAL RESPONSIBILITIES: Lead audits and assess the documentation, coding, and billing practices across various AHN entities. Develop and implement training programs tailored to address deficiencies discovered during audits, ensuring compliance with regulatory standards. Work closely with management on external audit findings and participate in strategic discussions to resolve issues. (20%) Create detailed audit reports to highlight coding, documentation, and financial...

Datavant is the premier data collaboration platform in healthcare. Our mission is to ensure that the world’s health data is secure, accessible, and actionable, providing vital data solutions for various healthcare organizations, including providers, health plans, researchers, and life sciences companies. At Datavant, we are revolutionizing how data is interconnected and utilized to enhance health outcomes. By joining Datavant, you will be part of a dynamic and collaborative team dedicated to effecting transformative change in the healthcare landscape. What We're Excited About: We seek a Profee Coding Lead with a solid orthopedic background, specializing in spinal procedures. The ideal candidate will efficiently monitor and report on work queue volumes, address coding queries from physicians and staff daily, and effectively communicate between the client and the coding team. Key Responsibilities: Review medical record documentation to accurately identify diagnoses...

Facility CoxHealth South: 3801 S National Ave, Springfield, MO, 65807 Department 1686 Audit and Compliance Scheduled Weekly Hours 40 Hours 8:00 AM - 4:30 PM Work Shift Day Shift (United States of America) About CoxHealth CoxHealth Is a Leading Healthcare System Serving 25 Counties Across Southwest Missouri And Northern Arkansas. The Organization Includes Six Hospitals, 5 ERs, And Over 80 Clinics. CoxHealth Has Earned The Following Honors For Workplace Excellence Named one of Modern Healthcare’s Best Places to work five times. Named one of America’s Greatest Workplaces by Newsweek. Recognized as a Greatest Workplace for Women in both 2023 and 2024. Listed as one of the Greatest Workplaces for Diversity in 2024. Acknowledged by Forbes as one of the Best Employers for New Grads. Ranked among the Best Employers by State for Missouri. Healthcare Innovation's Top Companies to Work for in Healthcare in 2025. Benefits Medical, Vision, Dental, Retirement Plan with employer...

I. Job Summary Under minimal supervision, plans and conducts environmental compliance audits of various entities to determine compliance with Federal and State regulatory requirements, programs and internal policies with a focus environmental regulations and capacity. II. Essential Duties and Responsibilities To perform this job successfully, an individual must be able to perform each of the following essential duties satisfactorily. Other minor duties may be assigned. Plan and conduct internal audits to determine compliance with Federal and State regulations. Review facility operations and records to ensure adequacy of internal controls, compliance with procedures, consistency with established laws, rules and regulations and guidelines applicable to overall compliance for the operation. Prepare audit reports, and implement administrative and technical audit procedures for audit program activities. Review and verify audit corrective actions and...

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians, facilities,...

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Nights (United States of America) Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient's problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment and evaluates treatment effectiveness; administers medications in a safe manner consistent with the State of Practice and organization policies and procedures; serves as point of contact for patients' care coordination throughout hospital departments. Acts as a patient safety advocate...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment and evaluates treatment effectiveness; administers medications in a safe manner consistent with the State of Practice and organization policies and procedures; serves as point of contact for patients'...

Coder IP/OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family - our community. Position Details: Hourly Base Rate: $29.54 - $37.60 Shift Hours Per Week: 40 hours SEIU Local 49 represented position Date Posted: 09/16/2025 Job Summary: Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Relies on limited experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works under general supervision. Reports to the Director of Health Information Management. Qualifications: Minimum, high School...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family - our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Date Posted: 02/20/2026 Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of 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 according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 10/02/2025 Closing Date: 3/9/2026 2:00 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. #IND1 Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to Athena IDX,...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or AAPC Coding Certification...

Join Datavant, the trusted data collaboration platform for healthcare. Our mission is to make health data secure, accessible, and actionable. We provide vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. From assisting with individual patient requests to advancing AI in healthcare, our team is dedicated to shaping the future of health data. By becoming a Datavanter, you will be part of a dynamic and collaborative team committed to transformative change in the healthcare landscape. What We’re Looking For We are seeking experienced and certified inpatient coders to join our team. The ideal candidate will have exceptional attention to detail and a solid understanding of medical terminology. This fully remote position offers a flexible schedule, allowing you to influence the future of healthcare from wherever you work best! Key Responsibilities: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS...

Description HEALTHY COMMUNITIES. COMPASSIONATE CARE. Ozarks Community Hospital in Springfield, MO is looking for a full-time Medical Billing Specialist to become a valuable member of our team. Position Overview: Under the Direction of the Revenue Cycle Manager, responsible for billing and/or collections of a specific area of Accounts Receivable, and other duties as assigned. About our health system: Ozarks Community Hospital is a safety-net healthcare provider headquartered in Gravette, Arkansas, serving both urban and rural communities throughout the Ozarks. Our facilities include a hospital located in Gravette, Arkansas and a number of satellite clinics located in Southwest Missouri and Northwest Arkansas. Our Mission: Ozarks Community Hospital and clinics are dedicated to providing exceptional healthcare and preventive services to all patients in an atmosphere of compassion, respect, and dignity, with a commitment to care for the underserved and to improve...

Mattax Neu Prater Eye Center is a premier provider of advanced laser vision correction, such as LASIK, cataract correction, and advanced technology replacement lenses in Springfield, Missouri. We have the experienced doctors you can trust, the specialized vision services you need, and the advanced technology proven to provide each patient’s best possible results. Mattax Neu Prater Eye Center is seeking a full-time Medical Billing Specialist to join our team. This individual must have the ability to multi-task, be extremely accurate with strong organizational skills. They should also be able to work well with a team or independently. Customer service skills and the ability to communicate effectively with Revenue Cycle Manager, co-workers, providers, and patients will be required to perform the job successfully. Previous experience in the medical field and with billing experience is required. Knowledge of Medicare criteria and medical coding is preferred. This hybrid position will...

A non-profit organization in Columbus, OH, is seeking a Quality Review Specialist to ensure healthcare compliance and support quality improvement initiatives. This role involves auditing medical records, monitoring KPIs, and training staff on documentation practices. Candidates should have a relevant healthcare background and excellent analytical skills. This is a full-time position with an on-call rotation requirement. #J-18808-Ljbffr

A community medical provider in the Springfield area is seeking a Certified Coder to manage coding in various specialties, including cardiology and general surgery. This role demands a solid understanding of medical coding principles and the ability to work independently. The position offers a competitive salary, opportunities for professional development, and a supportive work environment. Ideal candidates will have recent coding experience and a desire to advance in their careers. #J-18808-Ljbffr