121 jobs found in Missouri

A national healthcare organization is seeking a Coder Trainer I who will develop and conduct training programs for the Payment Integrity department. The role is fully remote and offers competitive pay ranging from $56,200 to $101,000 annually. Ideal candidates will have a bachelor's degree, coding experience, and prior training in virtual environments. The organization emphasizes workplace flexibility with various work schedules. Comprehensive benefits, including health insurance and tuition reimbursement, are also provided. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

A healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure coding accuracy. The role involves verifying procedure codes and reviewing clinical indicators. The candidate should have at least 3 years of certification experience and strong knowledge of CPT/HCPCS coding. This full-time position offers remote work, typical hours from Monday to Friday, and a salary ranging from $59,300 to $80,900 per year, along with competitive benefits. #J-18808-Ljbffr

You 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 benefit analyses Research, analyze and recommend external training programs Maintain records of training activities and employee progress Assist in auditing...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal...

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...

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 partner company is seeking a Senior Quality System Compliance Auditor to ensure quality standards across multiple business units. This remote position requires strong experience in quality assurance and auditing, particularly in the aerospace and defense sectors. Responsibilities include conducting audits, issuing reports, and collaborating with stakeholders to enhance quality processes. The ideal candidate has a relevant degree, significant experience in QMS auditing, and holds an AATT Certification. Comprehensive benefits and flexible work schedules are offered. #J-18808-Ljbffr

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Quality System Compliance Auditor - REMOTE. In this role, you will be instrumental in ensuring quality standards across multiple business units through conducting thorough audits. You will identify opportunities for improvement, ensure compliance with industry standards, and work closely with various stakeholders to enhance quality processes. Your expertise will directly impact the organization’s ability to maintain high-quality practices that align with regulatory and company policies. This role offers the chance to make significant contributions to our partner's mission in the aerospace and defense sectors. Accountabilities Plan and conduct second-party QMS audits for compliance with standards and regulations. Perform lead auditor responsibilities, including audit planning and representation to site leadership. Ensure compliance of processes, products, and services with...

A recruiting agency is looking for a Senior Quality System Compliance Auditor to ensure quality standards through thorough audits. The candidate will have at least 8 years of experience in quality assurance, particularly in QMS auditing in the aerospace or defense sectors. This role involves planning audits, ensuring compliance with ISO9001 standards, and issuing detailed reports. Benefits include flexible work schedules, healthcare plans, and opportunities for career development. This position is remote, allowing for a work-life balance. #J-18808-Ljbffr

A global healthcare leader in California is seeking a Quality Supervisor to provide leadership for inspectors and technicians. The candidate will ensure compliance with FDA regulations and support continuous improvement within the quality management systems. Required qualifications include a relevant degree and at least 5 years of supervisory experience in quality, preferably in the medical industry. The position offers a competitive salary range from $81,500 to $141,300 per year, dependent on experience. #J-18808-Ljbffr

Axes Physical Therapy is continuing to grow, and we're excited to welcome a Medical Front Office Supervisor to our Ballwin 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...

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...

divh2US Healthcare Medical Biller for Athena - WFH/Remote Job/h2pLocation: Remote (Philippines-based) Employment Type: Full-time, Mid-level/ppAre you an experienced Medical Biller with a strong command of the Athena platform? Do you thrive in a remote work environment and are looking for a role where your expertise directly impacts healthcare revenue cycles? Neolytix is looking for a dedicated Athena Medical Biller to join our growing team!/ppAt Neolytix, we specialize in comprehensive revenue cycle management, helping healthcare providers maximize reimbursements and maintain compliance. We pride ourselves on our commitment to efficiency, accuracy, and client satisfaction. If youre passionate about medical billing and ready to contribute to a dynamic, diverse team, we want to hear from you!/ppWhat Youll Do:/ppAs an Athena Medical Biller, you will be a crucial part of our operations, ensuring seamless financial processes for our US healthcare clients. Your responsibilities will...

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 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: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for...

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...