Jobs | Healthcare Careers

Full Time

Medical Coding & Appeals Specialist (HYBRID)

Washington University in St. Louis Hybrid (St. Louis, MO)

Champion Accurate Coding. Win Appeals. Make an Impact. Primarily Remote | Monthly Onsite Love the challenge of proving you’re right? This role is for coders who don’t just assign codes — they defend them. You’ll be part of a team that ensures providers are paid accurately for the care they deliver. When a payer says no, you build the case that turns it into yes. Your coding expertise, clinical insight, and persistence directly impact reimbursement and provider success. What makes this role exciting You’ll advocate for correct payment, not just code charts Your work directly reverses denials and underpayments You’ll collaborate with physicians, payers, and fellow coding experts Every appeal you win is a tangible victory What you’ll do Review medical records to validate accurate ICD‑10, CPT, and HCPCS coding Identify documentation or coding issues that impact reimbursement Build, submit, and follow payer...

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Vendor Compliance Auditor

Capstone Logistics LLC Berkeley, MO

Berkeley, MO Pay: $19 / hourly 1st shift | Sunday-Thursday schedule Vendor Compliance Auditor JOB SUMMARY: 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 #CB

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Remote Certified Medical Coder – ICD-10/CPT Specialist

Phelps Health Rolla, MO

Phelps Health in Rolla is seeking a Medical Coder responsible for ensuring accurate billing according to AMA and CMS guidelines. The role includes coding medical documentation and maintaining compliance standards. Ideal candidates should possess a high school diploma and at least one year of medical coding experience. Certification through AAPC or AHIMA is required. This position operates under remote conditions with provided equipment. #J-18808-Ljbffr

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MEDICAL CODING SPECIALIST

Family Care Health Centers St. Louis, MO

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. •...

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Medical Billing Specialist

Addison Group St. Louis, MO

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...

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Medical Biller and EVV

At Home Care Missouri 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...

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Risk Adjustment Coder

Humana Jefferson City, MO

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

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Medical Billing Specialist

Addison Group St. Louis, MO

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 problem-solving....

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Risk Adjustment Compliance Auditor (Remote)

E2E Alignment Healthcare USA, LLC California, MO

Company Overview Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast‑growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Job Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related to risk adjustment data submitted to CMS. In this role, you will conduct provider and coder‑level audits, review medical record documentation and coding accuracy, identify compliance risks and...

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Associate Director, Medical Affairs - Content Studio Technology Lead

Scorpion Therapeutics California, MO

Responsibilities Own and operate the Medical Affairs content production function as a managed service (email content, web assets, dynamic HTML interactive content, and multi-format deliverables). Manage intake, prioritization, and capacity planning across therapeutic areas; deliver on time and to quality standards. Define production standards, quality gates, and review processes to meet brand/regulatory/compliance requirements. Build and maintain SLAs, turnaround benchmarks, and throughput/quality dashboards. Lead the content production team; manage HTML authoring, email builds, interactive content development, and asset adaptation. Partner with design agencies to translate briefs/mockups into compliant, production‑ready digital content; manage creative‑to‑build handoff. Evaluate/implement AI‑powered content authoring and production tools; operationalize AI workflows to speed production and reduce manual effort. Own content authoring platforms and production infrastructure (HTML...

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Gaming Compliance Auditor

Soboba Nsn California, MO

Soboba Nsn in California is seeking a full-time Compliance Officer to ensure adherence to federal, state, and Tribal gaming laws. The role involves conducting audits and compliance assessments, maintaining integrity in gaming operations, and ensuring all regulations are met. The ideal candidate will possess strong communication skills, a background in law enforcement or compliance, and the ability to learn and apply complex regulations. This position offers the opportunity to work in a dynamic gaming environment with physical demands including standing for long periods. #J-18808-Ljbffr

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MRA Coding Auditor - Remote

E2E Alignment Healthcare USA, LLC California, MO

Alignment Health is a remote company focused on senior care. The Medical Risk Adjustment (MRA) Coding Auditor role supports departmental quality assessment audits of internal coding analysts and vendors to ensure accurate and complete data submission to CMS. General Duties / Responsibilities Supports regular quality assurance audits of the internal Coding Analyst Team to validate and confirm coding & abstracting quality (95% HCC accuracy), ensuring coding quality and performance improvement standards are maintained. Tracks and reports progress of QA audits performed on coding vendors to verify coding accuracy and quality of data submitted to AHP for CMS submission. Works with Risk Adjustment Management on any MRA data validation or coding audit to ensure completeness and coding accuracy of all CMS submissions; this may include data reconciliation, data flow integrity, UAT testing, review of high‑cost/low‑risk score members, retrospective chart reviews, or other related data...

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Associate Director of Medical Operations

VCA Seaside Animal Hospital California, MO

Job Title: Associate Director of Medical Operations (ADMO) Location: Multi-site (Regional) Reports To: Director of Medical Operations Position Summary The Associate Director of Medical Operations (ADMO) is a strategic and medical leadership role responsible for the medical quality, performance, development, and engagement of the DVM teams across a portfolio of hospitals. The ADMO will report to the Director of Medical Operations and will act as the direct link from Ethos medical leadership to the local medical teams. The ADMO partners with the Sr. Division Leader, Operational Support Manager, Hospital Directors, and local Medical Directors to drive financial success through operational efficiencies and high-quality medicine. The ADMO supports Medical Directors in the region to ensure delivery of high-quality, evidence-based medicine while aligning medical initiatives with organizational goals. The ADMO serves as a coach, mentor, and resource for hospital-level MDs and is...

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Certified US Registered Nurse (USRN) Medical Coder - Remote Opportunity in

TryApplyNow California, MO

# Certified US Registered Nurse (USRN) Medical Coder - Remote Opportunity inConfidential Healthcare EmployerFull TimejuniorCAPosted Yesterday## Role OverviewConfidential Healthcare Employer is hiring a entry-level Certified US Registered Nurse (USRN) Medical Coder - Remote Opportunity in. This is a full-time role in CA. Part of Confidential Healthcare Employer's Nursing hiring, posted yesterday. Full responsibilities, required qualifications, and the apply link are listed in the description below.## Resume Keywords to IncludeMake sure these keywords appear in your resume to improve ATS scoringCPCEHREpicCernerHIPAAICD-10CPTORSign up free to auto-tailor your resume with all these keywords and get a higher ATS score## Job descriptionJoin our dynamic healthcare team as a Certified US Registered Nurse (USRN) Medical Coder and play a pivotal role in ensuring accurate medical billing and compliance for US-based healthcare providers. This fully remote position offers the flexibility to...

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Healthcare Compliance Auditor: Risk & Audit Excellence

Molina Healthcare California, MO

Molina Healthcare is seeking a Compliance Auditor to support compliance auditing activities. The role involves evaluating adherence to regulatory requirements, identifying compliance gaps, and recommending improvements to mitigate risks related to fraudulent practices. Qualified candidates will have at least 2 years of auditing experience, knowledge of regulatory frameworks, and strong analytical skills. The position offers a competitive pay range of $54,922 - $107,099 annually based on experience and location. #J-18808-Ljbffr

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Senior Associate Director, Medical Device Manufacturing

Barrington James California, MO

Barrington James is seeking an experienced Manufacturing Engineering Leader to drive hands-on design, testing, and improvement of manufacturing processes for a medical device company. You will lead a team to connect new product development with mass production, ensure scalable, compliant operations, and manage contract manufacturing with site visits. The role focuses on manufacturing design-for-manufacturing, process validation (IQ/OQ/PQ), and coordination with Quality and Regulatory teams to #J-18808-Ljbffr

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Remote USRN Medical Coder: ICD-10/CPT Expert

TryApplyNow California, MO

TryApplyNow is seeking a Certified US Registered Nurse (USRN) Medical Coder for a fully remote position. The ideal candidate will leverage clinical expertise to ensure accurate medical coding and compliance for healthcare providers. This entry-level role offers competitive compensation, remote work flexibility, and opportunities for professional development. You'll play a key role in ensuring healthcare documentation integrity and compliance with coding guidelines. #J-18808-Ljbffr

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Medical Biller - P/T or F/T - O'Fallon, MO - Gateway Asthma & Allergy

Esse Health O'Fallon, MO

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 Outpatient...

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Certified Coder (PRN)

Jefferson City Medical Group Kansas City, MO

About the Position Jefferson City Medical Group is looking to fill a PRN/Seasonal position with no benefits. Job Specific Competencies Performs all functions essential in the billing of providers and ancillary services. Organizes workflow and communication with the clinics and providers for accurate billing information. Effectively communicates within the organization and with the public consistent with the clinic philosophy, vision and mission. Appropriately uses facility communication, information systems and equipment. JCMG Core Competencies Strives for continuous quality improvement. Participates in educational experiences designed to maintain and/or improve professional competence. Maintains high work ethic standards. Provides quality customer service to staff, patients and visitors always. Minimum Qualifications Education High school diploma or GED Associate degree preferred Experience Minimum two years in a Physician Coding environment Certification/License...

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Remote Medical Billing Specialist Claims & A/R

Summit BHC Lee's Summit, MO

Summit BHC is seeking a Billing Specialist responsible for daily billing operations under the supervision of the Manager‑Billing. This role involves billing claims, managing daily reports, and ensuring timely uploads to the clearing house. The ideal candidate should have a high school diploma or GED and at least three years of computerized medical billing experience. Knowledge of billing forms and Medicare/Medicaid guidelines is preferred. This position is remote and comes with a competitive salary based on experience. #J-18808-Ljbffr

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Remote Medical Billing Specialist (Revenue Cycle Management) Non Remote

GrabJobs Kansas City, MO

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

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Microbiology Supervisor - Microbiology Lab - UH Truman Medical Center (5 days per week; 8:00a-5:00p; Mon-Fri)

University Health Kansas City, MO

Microbiology Supervisor - Microbiology Lab - UH Truman Medical Center University Health Truman Medical Center Kansas City, Missouri General Lab UHTMC Full time 8:00AM - 5:00PM 40 hours per week Clinical Laboratory Supervisor (MLS, ASCP) Lead with precision. Elevate care through science. At University Health, we believe accurate diagnostics are the backbone of excellent patient care. As a Clinical Laboratory Supervisor, you'll guide a team of skilled lab professionals while ensuring quality, accuracy, and timely reporting in a high-complexity lab environment. This leadership role offers the opportunity to shape processes, mentor staff, and contribute to a culture of clinical excellence. Key Responsibilities: Supervise daily operations and workflow across multiple lab disciplines Direct and support the work of Medical Technicians, Medical Laboratory Scientists (MLS), and assigned staff Ensure the accuracy and timeliness of test results Maintain supply inventory,...

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Professional Billing Coder II (Remote)

University Health MO

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.Please log into to search for positions and apply.Professional Billing Coder II (Remote)101 Truman Medical CenterJob LocationUniversity Health 4 (UH4)Kansas City, MissouriDepartmentCorporate Professional BillingPosition TypeFull timeWork Schedule7 :00AM - 3 :30PMHours Per WeekJob DescriptionThe Coder II position is responsible for accurate coding of professional services from medical record documentation.Reviews, codes and assigns correct ICD-10-CM diagnosis codes, procedure codes, and E / M level codes for professional services across multiple specialties according to AMA / CMS coding guidelines.This is a fully remote position following the initial probation period.The coder may be asked to come on site for special assignments or training as needed after this period.Minimum RequirementsAssociates degree or equivalent in education...

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2nd shift Quality/Compliance Auditor: 4-10's

BlueGreen Alliance Inc Montague, MO

If you have an eye for detail, a passion for compliance, and a commitment to quality excellence, we'd like to meet you. Join a team where your expertise in GMP compliance, auditing, and quality systems directly contributes to product safety and regulatory success. We are looking for someone to join our 2nd shift team! The hours are Monday-Thursday, 3:00 PM-1:00 AM. POSITION SUMMARY Responsible for the enforcement of Tower Laboratories, Ltd. quality system. Conduct audits related to all aspects involved in the production of drugs, medical devices, and non-drug products manufactured at Tower Laboratories to ensure cGMP compliance and production of quality product. ESSENTIAL FUNCTIONS Perform product manufacturing audits throughout process through observation and by conducting in-process testing to ensure product meets specifications. Conduct packaging audit ensuring final product meets packaging specifications and is within the allowed accepted quality limits (AQL); inspect all...

167 jobs found