119 jobs found

Associate Director Of Strategic Initiatives The Associate Director of Strategic Initiatives plays a pivotal role in advancing the work of the Vice Chancellor for Medical Advancement by supporting high-priority projects, overseeing executive communications, portfolio management, and coordinating efforts with key donors and partners. This position blends writing, systems management, and project executionhelping to ensure that the Vice Chancellor's and the Dean of WashU Medicine's priorities are advanced efficiently and effectively. This role offers a unique professional development opportunity for a high-potential advancement professional seeking to deepen experience in executive-level operations, strategy, project management and donor engagement within a leading academic medical center. The Associate Director works closely with the Vice Chancellor, Medical Advancement Senior Leadership team, and the Principal Gifts team to manage communications, track next steps from key...

A leading acute care hospital located in western Illinois is now seeking an experienced Nurse Supervisor Medical Oncology to join their award-winning healthcare team! Located in a thriving community, this leading healthcare facility stands out with its comprehensive range of services, including state-of-the-art emergency care, advanced surgical procedures, expert cancer treatments, and specialized heart and vascular care. With a deep commitment to quality healthcare, this award-winning institution is renowned for its exceptional patient outcomes and dedication to compassionate care. Its team of highly skilled professionals utilizes the latest medical technologies to provide personalized and innovative treatment options, ensuring the well-being and satisfaction of each patient. Reporting to the Nurse Manager, the Nurse Supervisor will help lead the clinical and administrative functions of a 30-bed inpatient Medical Oncology unit. This unit provides care for oncology patients...

A healthcare provider in Jefferson City is seeking a Reimbursement Assistant for its Therapy Services team. The role involves billing data extraction, coordinating with external agencies, and ensuring accurate claims through strong knowledge of healthcare documentation. Qualifications include an Associate’s degree in a relevant field and knowledge of medical terminology, making this an excellent opportunity for individuals with a passion for healthcare administration. Employee benefits include health insurance, paid leave, and tuition assistance. #J-18808-Ljbffr

A healthcare company is seeking a Nurse Auditor 2 for a remote position that involves clinical audit and validation of medical records to ensure compliance and accuracy. The ideal candidate holds an active RN license and has a minimum of 2 years of experience in an acute inpatient setting, with advanced knowledge in diagnoses and MS Office. This role includes occasional travel to the office for training and meetings, with a competitive salary range and comprehensive benefits package. #J-18808-Ljbffr

Welbehealth Pace Coding Auditor And Educator WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews...

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, 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,...

Be Part of an Extraordinary Team 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. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **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. Alternate locations may be considered if candidates...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Qualifications : Urgent Care coding experience is required. Come join us as a Coder, Hospital Outpatient at SSM Health! Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Remote work : This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. * Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Assigns...

DRG Coding Auditor Principal _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. 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 medical records on claims paid based on Diagnostic Relation Group...

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....

RN Clinical Supervisor, Full-Time, Nights Find your calling at Mercy! Overview: Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Medical Surgical Supervisor Location: Mercy Hospital South - 10010 Kennerly Rd, St. Louis, Missouri 63128 Schedule:  Full-Time | 36 hours/week Shift:  Night Shift | 7:00PM-7:30AM Qualifications Education:  Graduate of an accredited school of nursing with one of the following: Associate Degree in Nursing Nursing Diploma Bachelor of Science in Nursing (BSN) Licensure:...

MU Health Care Leadership Opportunity MU Health Care is looking for a passionate, proactive, and people-centered leader to join our Air Medical Services team. The ideal candidate is a dynamic problem-solver and relationship-builder who thrives in a fast-paced environment and is driven to make a difference in patient outcomes. We're seeking someone with a strong commitment to excellence, who values collaboration, accountability, and continuous improvement. If you're motivated by purpose, take pride in developing others, and lead with integrity and empathy, you'll find a meaningful career with us. At MU Health Care, you'll have the opportunity to grow professionally while making a profound impact on the communities we serve. Join a team where your leadership elevates care, strengthens teams, and shapes the future of emergency medical services. MU Health Care is proud to be named one of Forbes Best-in-State Employers seven years in a row, and that's largely a result of the...

A leading healthcare organization seeks a Coder Trainer I to develop and conduct training for the Payment Integrity department. This fully remote role involves analyzing training needs, developing training programs, evaluating training effectiveness, and assisting with audits. Ideal candidates should possess coding experience and training skills, along with a bachelor's degree or equivalent experience. Competitive benefits are offered, including health insurance, retirement plans, and flexible work schedules. #J-18808-Ljbffr

A global healthcare leader is seeking an Associate Supervisor for its Cardiac Rhythm Management division in Sylmar, California. The position entails overseeing daily production activities, ensuring compliance with safety and quality standards, and providing guidance to team members. Candidates should have an Associates Degree and at least one year of relevant experience in a production environment. The role emphasizes mentoring and developmental opportunities, fostering a continuous growth culture in line management. #J-18808-Ljbffr

Coder Trainer I page is loaded## Coder Trainer Ilocations: Remote-MOtime type: Full timeposted on: Posted Todayjob requisition id: 1609774You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.**Position Purpose:** Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department.\*\*\*The Coder Trainer I is fully remote. Candidates will be considered nationally.\*\*\***Responsibilities:*** Conduct training needs analyses to determine specific training needs for Payment Integrity department staff* Identify, select, and develop appropriate training programs, including the selection or design of appropriate training aids* Evaluate effectiveness of training programs, including cost and...

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...

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

Job Description Job Description Description: Why you’ll want to work at nimble! Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle....

Job Posting We are dedicated to providing exceptional care to every patient, every time. 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 for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades. Position Summary: Responsible for overseeing medical coding for St. Luke's Medical Group practices, and ensuring compliance with federal and state regulations. Assign and sequence codes for medical services rendered in assigned practices. Conduct audits and coding reviews to ensure documentation is accurate and precise across all practices, and review audit results with...

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...

Job Description Saint Luke'sin Kansas City is seeking a Patient Accounts Representative and Certified Coder to join our team. You will perform a variety of functions related to managing accounts, coding, and charge reviews. Shift Details: Monday- Friday Flexible Hours Perform billing and collections to manage accounts receivable for the SLHS Physician Enterprise Central Billing Office (CBO) Focus on charge review edits and provide coding support to the Physician Enterprise CBO Charge review Account follow-up and reconciliation Resolving issues with payers Identifying and reporting trends in billing or collections This position requires a Certified Processional Coder certification Why Saint Luke's? We believe in creating a collaborative environment, while looking for innovative ways to improve. We offer competitive salaries and benefits packages to all eligible employees: Medical health plans Tuition reimbursement Leave...

Axes Physical Therapy is continuing to grow, and we're excited to welcome a Medical Front Office Supervisor to our St Louis City clinic! This is a great opportunity to make a meaningful impact while supporting patients, clinicians, and the overall success of our team. Axes Physical Therapy is Patient Centered • Employee Centered • Client Centered About the Role The Medical Front Office Supervisor oversees the daily operations of our fast-paced outpatient physical therapy front office. This position plays a key role in ensuring an exceptional patient and client experience through warm, professional communication, efficient scheduling, and accurate collection of patient and insurance information. You'll serve as a supportive resource for the clinical team and collaborate closely with the clinic director and billing departments to ensure proper insurance verification, authorization, and account management. Essential Responsibilities Uphold and model Axes' core values in all...