34 jobs found in St. Louis, MO

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...

Coder-1 Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Records Hours: Full-Time, 40 hours Required: AS Degree, Certified Professional Coder preferred Pay: Based on experience, starting at $22.17 Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and ancillary staff members about documentation needed for coding process. Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter, Assists with training new coding staff as requested. Codes all types of encounters as assigned and assists coworkers as needed....

Ceris Certified Coder I Ceris is seeking a certified coder. The Ceris certified coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential functions and responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge and skills: Ability to learn rapidly to develop knowledge and understanding of...

A leading healthcare organization in St. Louis is seeking a Senior Compliance Coordinator to ensure the accuracy of billing documentation and develop training for providers. This position requires strong analytical skills and a commitment to compliance with regulatory standards. Ideal candidates will have a background in auditing and relevant certifications. This role offers a comprehensive benefits package and a supportive work environment. #J-18808-Ljbffr

Anticipated End Date: 2025-12-26 Position Title: DRG Coding Auditor Job Description Virtual : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless 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 medical-expense spending. DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...

Anticipated End Date 2025-12-19 Position Title DRG Coding Auditor Principal Job Description DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless 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 medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient...

A healthcare company is seeking a DRG Coding Auditor Principal with extensive experience in auditing inpatient medical records using DRG methodology. This role offers flexibility to work virtually full-time with a strong emphasis on integrity and accuracy in coding. The ideal candidate possesses significant expertise in ICD-10 coding and claims auditing. Salary ranges from $119,760 to $206,586 based on location and experience. Comprehensive benefits are provided, along with growth opportunities within the organization. #J-18808-Ljbffr

A prestigious academic institution in St. Louis seeks a coding specialist to perform advanced coding and appeal activities. Responsibilities include reviewing documentation for proper coding, handling appeals to insurers, and assisting with physician education on documentation. An associate degree in Medical Coding & Billing is preferred, along with various coding credentials. The position offers competitive hourly pay of $25.30 - $37.94 and requires some remote work flexibility. #J-18808-Ljbffr

A prominent health company is seeking a skilled DRG Coding Auditor to work virtually with occasional in-person training. Responsibilities include auditing inpatient medical records and ensuring accuracy in coding and billing. The ideal candidate will hold relevant certifications and have extensive experience in claims auditing. The role offers a salary range of $95,172 to $149,556 depending on qualifications and experience, along with a comprehensive benefits package. #J-18808-Ljbffr

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

Professional Medical Coder I (Remote Position, Must Reside in South Carolina) Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: $5,000.00 Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina's first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and...

Professional Medical Coder II CCG Talent Management is not only a business solutions company but a company that believes success starts with the individual. CCG Business Solutions has been consulting and providing talent placement services since 2007. Our team understands the principles of connecting purpose to business. We are currently recruiting for a Professional Medical Coder II. Job Description Remote Role - Must be located in the Portland, OR Metro Area. The Professional Medical Coder II will focus on review of documentation and coding. The Professional Medical Coder II will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that coding and documentation meets regulatory...

Coder Vi Specialist - Hospital Inpatient The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. What You Can Expect Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production...

Inpatient II Role BJC is hiring for an Inpatient II. We are looking for 2-5 years of experience. Must have one of the following certifications: CCS, RHIA, or RHIT Eligible states for remote: Alabama, Iowa, North Carolina, Wisconsin Arkansas, Kansas, Ohio Florida, Kentucky, Oklahoma Georgia, Louisiana, South Carolina Illinois, Mississippi, Tennessee Indiana, Missouri, Texas 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 and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation,...

Join Our Extraordinary Team Carelon Payment Integrity, a proud member of the Elevance Health family, is committed to recovering, eliminating, and preventing unnecessary medical-expense spending. Build the possibilities. Make an extraordinary impact. Title: DRG Coding Auditor Virtual: This role allows associates to work virtually full-time, with required in-person training sessions, promoting productivity and work-life integration. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of the company and its clients. This role also involves performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Primary duties include: Analyzing and auditing claims by integrating medical chart coding principles, clinical guidelines, and objectivity. Drawing on advanced ICD-10 coding expertise, clinical guidelines, and industry...

Overview Join to apply for the COMPLIANCE AUDITOR role at CareSTL Health . Position POSITION TITLE: Compliance Auditor REPORTS TO: Director of Compliance CLASSIFICATION: Non-Exempt Responsibilities Develop compliance auditing plans based on thorough research on studies conducted by government agencies and professional organizations. Conduct, manage, and oversee external and internal audits for clinical departments. Audit departments and policies for those departments to ensure adherence to regulations by reviewing programs, activities, records, reports, and software. Compile reports on audit results and present findings to relevant supervisors and department heads. Assist with and implement changes in departments to address procedures and practices that are not compliant with industry regulations. Other Functions Attend educational and professional development programs to improve job knowledge and enhance the compliance department's reputation. Analyze potential risks...

Overview Associate Director, Community Fundraising, Medical Advancement - University Advancement at Washington University in St. Louis. The role supports the growth of the Siteman Cancer Center and WashU Medicine’s community fundraising program by managing a portfolio of community fundraising donors and the program’s peer-to-peer platform. This position conceptualizes and produces collateral materials for the program and assists with the development and implementation of a robust communication strategy for community fundraising donors. Successful collaboration and an appreciation of complex organizations are critical, as the associate director will work closely with colleagues across Siteman Cancer Center, WashU Medicine, and University Advancement to accomplish the primary duties and responsibilities. Primary Duties and Responsibilities Identify, cultivate, and steward community fundraising donors and prospects at the $1,000 - $250,000 gift range along with donors assigned by...

Certified Coder – Neurosurgery Join to apply for the Certified Coder – Neurosurgery role at Washington University in St. Louis . Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Scheduled Hours 40 Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and...

Job Description Medical Billing Specialist job at Kelly. Saint Louis, MO. Medical Billing Specialist Overview We are seeking a detail-oriented Medical Billing Specialist in St. Louis, MO specializing in writing appeals and requesting medical records. The ideal candidate will possess strong analytical skills, exceptional communication abilities, and a thorough understanding of medical billing processes and insurance guidelines. This is a contract position. Responsibilities Medical Billing & Coding : Accurately enter patient information, diagnosis codes, and procedure codes into billing systems. Appeals Writing : Craft detailed and articulate appeal letters for denied claims, ensuring compliance with insurance protocols and maximizing reimbursement. Medical Records Management : Request, review, and organize medical records from healthcare providers, ensuring all documentation supports billable services. Insurance Verification : Confirm patient insurance coverage and...

Certified Coder (Remote) - Neurology Appeals Join to apply for the Certified Coder (Remote) - Neurology Appeals role at Washington University in St. Louis . Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Scheduled Hours 40 hours per week. Job Description Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as...

Scheduled Hours 40 Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Medical Coder Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB SUMMARY: The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement. Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and...