72 jobs found in O'Fallon, MO

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

Medical Biller - P/T or F/T - O'Fallon, MO - Gateway Asthma & Allergy Esse Health is the largest independent physician practice in the St. Louis Metropolitan area with over 100+ physicians, in 35+ locations, serving nearly 130,000 patients. We are leading the healthcare community by placing patients and their physicians at the center of health decisions. Esse Health is more than a healthcare provider - it's a place where medicine is a calling and not just a profession. It's a team of extraordinary medical professionals with the latest ideas for keeping patients healthier. We are searching for a part-time Medical Biller for our Gateway Asthma & Allergy office located in O'Fallon! Opportunity: Part-time or Full-time - we are open to hearing the schedule you desire! Let us know what days and hours you would like work (during regular business hours, Monday - Friday)! This position also shares in rotating coverage of a Saturday morning shift No nights or holidays...

Jacobs is seeking an Intermediate Environmental, Health & Safety Auditor dedicated to creating cleaner, safer communities through rigorous audits. The role involves planning and reporting audits, preparing high-quality reports, and supporting continuous improvement initiatives. The ideal candidate holds a Bachelor’s degree in a related field, has experience in EHS auditing, and possesses strong communication and organizational skills. Employees enjoy a comprehensive benefits package including medical, dental, and a personalized paid time off policy. #J-18808-Ljbffr

Jacobs is seeking an Intermediate Environmental, Health & Safety Auditor dedicated to creating cleaner, safer communities through rigorous audits. The role involves planning and reporting audits, preparing high-quality reports, and supporting continuous improvement initiatives. The ideal candidate holds a Bachelor’s degree in a related field, has experience in EHS auditing, and possesses strong communication and organizational skills. Employees enjoy a comprehensive benefits package including medical, dental, and a personalized paid time off policy. #J-18808-Ljbffr

Coding Auditor The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written report as needed. Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-10 from medical records as...

Coding Auditor Department: SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a professional auditing role designed for a certified professional coder. Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine coding reviews to ensure health records align accurately with billed ICD-10-CM, CPT, HCPCS, Revenue codes. The ideal candidate has a strong foundation in primary medical coding and a keen eye for detail, eager to learn complex audit frameworks, regulatory policies, and documentation validation. Key Responsibilities Compare the procedures and codes billed on a claim to a medical record. Compare information submitted on the claims in order to determine amount and nature of billable services as needed. Determines appropriateness of billing and reimbursement as needed. Documents findings for each claim line in a spreadsheet as needed. Summarize findings in a written...

St. Luke’s Hospital St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship, St. Luke’s Hospital has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary The Coding Specialist III will abstract clinical data from inpatient records to facilitate reimbursement and data collection activities. It involves abstracting pertinent information to assign ICD-10-CM and HCPCS codes in compliance with all regulatory mandates and outpatient reporting requirements, and accurately entering this information into the hospital’s abstracting software. The role promotes teamwork with all members of the healthcare team and...

Anders is seeking a Payroll Compliance Associate in a role focused on supporting its payroll compliance audit function, ensuring alignment with union agreements and contractual contributions. The candidate will analyze payroll, accounting, and employment records using Excel and other tools, communicate findings to employers and fund representatives, and prepare audit reports while handling multiple examinations with deadlines. #J-18808-Ljbffr

RadNet, Inc. in Hazelwood, MO is seeking a quality auditor to review incoming loads for quality and compliance. You will audit loads on arrival and identify deviations to drive process improvements. Responsibilities include reviewing loads for violations, documenting root causes, and communicating violations with up to 30 photographs taken from multiple angles. You will validate information prior to reporting violations and help uphold shipment quality. #J-18808-Ljbffr

This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. Supervisory Responsibilities None Essential Functions Responsibilities Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We endeavor to make this site accessible to any and all users. #J-18808-Ljbffr

Experienced Home Care/Home Health Care Biller Join our fun and winning team! We offer our At Home Care family: Medical, vision, dental, and life insurance Direct deposit Top pay wage scale Paid time off and holiday pay Paid travel Job Purpose: The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments, and adjustments, and interprets Explanation of Benefits (EOB) documentation. Job Description: Prepares and submits clean claims to various insurance companies either electronically through EMOMED or the payer portal. Aides in the use of the Electronic Visit Verification (EVV) system Processes medical claims by a billing clearinghouse or by paper. Work with the Revenue Cycle Management team to...

Job Title: Compliance Auditor (Part 145) Location: Lasham Employment Type: Permanent (Mon-Fri) Benefits 25 days holiday per year plus bank holidays Free parking Employee Assistance Programme Excellent paid training and development opportunities Company events and social activities Sick pay Cycle to Work Health Cash Plan Life Insurance About the Role On behalf of our client, a leading UK MRO, we are recruiting for a Compliance Auditor to perform independent compliance audits to support the Compliance Monitoring Plan, as well as assessing and auditing contracting and sub-contracting organisations for suitability to work under the Engineering Management System. Key Responsibilities Perform independent compliance audits to support the Compliance Monitoring Plan. Assess and audit contracting and sub-contracting organisations for suitability to work under the company’s Management System. Support the Compliance Monitoring Manager with compliance matters and regulatory...

Aviation Links is seeking a Compliance Auditor to perform independent audits that support the Compliance Monitoring Plan and assess contracting organizations for suitability. The role requires experience in a CAA/EASA environment and strong communication skills. As a Compliance Auditor, you will investigate findings from customers or authorities, prepare compliance reports, and deliver training to ensure regulatory adherence. The position offers a permanent contract with appealing benefits. #J-18808-Ljbffr

Experienced Home Care/Home Health Care Biller Join our fun and winning team! We offer our At Home Care family: Medical, vision, dental, and life insurance Direct deposit Top pay wage scale Paid time off and holiday pay Paid travel Job Purpose: The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments, and adjustments, and interprets Explanation of Benefits (EOB) documentation. Job Description: Prepares and submits clean claims to various insurance companies either electronically through EMOMED or the payer portal. Aides in the use of the Electronic Visit Verification (EVV) system Processes medical claims by a billing clearinghouse or by paper. Work with the Revenue Cycle Management team to address visit exceptions, post...

Job Title: Medical Coding Specialist Responsible for correctly coding healthcare claims, in order to obtain reimbursement from insurance companies and government health care programs. Service Standards FCHC Core Demonstrates a commitment to FCHC mission and vision. Demonstrates a positive attitude towards patients, employees, role, and the health center. Demonstrates FCHC core values (accountability, courtesy, excellence, flexibility, integrity, respect). Customer Service and Professionalism Smiles and makes appropriate contact, greets individuals upon entry into building and space. Is customer service oriented to both internal (colleagues) and external (patients, clients, vendors, etc.). Treats patients, customers and colleagues with dignity and respect. Provides timely response to requests, tasks, and inquiries. Demonstrates good service turnaround. Demonstrates good communication skills and communicates in a tactful manner. Exhibits conflict resolution skills to...

Job Description: The ideal candidate for this role will have experience in Healthcare Accounts Receivable (AR) and collections, as well as proficiency in Epic. This individual will be responsible for performing advanced coding and appeals activities, investigating payer issues, ensuring the timely filing of appeals to insurance companies, and managing charge corrections. The successful candidate will demonstrate strong analytical skills, attention to detail, and the ability to resolve complex reimbursement issues effectively. Job Duties: Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Research payer policies and processes....

City/State: Saint Louis, Missouri Categories: Health Information Management Job Status: Full-Time Req ID : 113373 Pay Range: $20.17 - $33.51 / hour (Salary or hourly rate is based on job qualifications and relevant work experience) Additional Information About the Role BJC is hiring for an Inpatient I Coder position. This is an entry level role. Must have one of the following certifications - CCS or CCA or RHIA or RHIT Remote eligible states: Alabama Kentucky Oklahoma Arkansas Louisiana South Carolina Florida Mississippi Tennessee Georgia Louisiana Texas Indiana North Carolina Wisconsin Iowa Ohio Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients...

Scheduled Hours 37.5 Position Summary The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and mission of the University. Results of the compliance audits are critical measures for the University. The Senior Lead Compliance Auditor reports to the Director of Compliance Audit. The Senior Lead Compliance Auditor is...

Job Details Profession: Non-Clinical - Health and Information Management Pay: $1,540.00 to $1,732.00 Weekly Assignment Length: 26 Weeks Schedule: 5x8-Hour 08:00 - 17:00 Openings: 1 Start Date: 08/10/2026 Experience: 1 Year Facility Info: Log in to view details Charting System: Epic Want a job close to home? We've got you! We'll work with you to build the career of your dreams.

Medical Coding Specialist (Remote) *Pay Rate:* $28.00/hour *Primarily Remote Opportunity* *Monday-Friday | Flexible Start Time Between 6:00 AM and 9:00 AM* *6-Month Contract Opportunity* Put Your Coding Expertise to Work We are seeking an experienced *Medical Coding Specialist* to join a dynamic healthcare revenue cycle team. This role is ideal for a certified coding professional with experience in medical appeals, accounts receivable, coding review, and reimbursement analysis. The successful candidate will play a critical role in resolving denied claims, researching payer policies, reviewing clinical documentation, and ensuring accurate coding and reimbursement. If you have strong analytical skills, a passion for problem-solving, and experience working in Epic, we'd love to connect with you. What You'll Do Denials & Appeals Management * Review and appeal denied claims from commercial and government payers * Draft appeal letters and compile supporting documentation *...

Job Description Job Description Salary: $44,000 to $52,000 annually/ DOE Join Our Fun and Winning Team! SEEKING EXPERIENCED HOME CARE/HOME HEALTH CARE BILLER. PLEASE DO NOT APPLY UNLESS YOU HAVE AT LEAST 1 YEAR EXPERIENCE. We offer our At Home Care family: Medical, Vision, Dental and, Life insurance Direct Deposit Top pay wage scale Paid Time off and holiday pay Paid Travel Job Purpose: The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments, and adjustments, and interprets Explanation of Benefits (EOB) documentation. Job Description: Prepares and submits clean claims to various insurance companies either electronically through EMOMED or the payer portal. Aides in the use of the...

Job Description Job Description Job Title: Billing Specialist (AR Follow-Up) Industry: Healthcare Revenue Cycle / Skilled Nursing Location: Brentwood, MO Assignment Type: Contract (3–6 months) Pay: $22 – $25 / hour Work Schedule: Monday – Friday, 8:00 AM – 4:30 PM Benefits: This position is eligible for medical, dental, vision, and 401(k). About The Company: A growing and stable healthcare organization focused on delivering quality services across multiple facilities. The team values transparency, collaboration, and continuous improvement, with leadership committed to coaching and employee development. Job Description: The Billing Specialist will focus on accounts receivable follow-up within a skilled nursing environment, working to resolve outstanding claims and reduce aging balances. This role is ideal for someone who can step in quickly, take ownership of assigned accounts, and help drive backlog reduction through consistent follow-up and...

Job Description Job Description Description: BASIC FUNCTION: JOB DESCRIPTION DEPARTMENT: Finance JOB TITLE: MEDICAL CODING SPECIALIST Responsible for correctly coding healthcare claims, in order to obtain reimbursement from insurance companies and government health care programs. All employees of FCHC must ensure service standards are delivered, including: FCHC Core • Demonstrates a commitment to FCHC mission and vision. • Demonstrates a positive attitude towards patients, employees, role, and the health center. • Demonstrates FCHC core values (accountability, courtesy, excellence, flexibility, integrity, respect). Customer Service and Professionalism • Smiles and makes appropriate contact, greets individuals upon entry into building and space. • Is customer service oriented to both internal (colleagues) and external (patients, clients, vendors, etc.) Customers. Treats patients, customers and colleagues with dignity and respect. •...