206 jobs found in Missouri

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Purpose Statement The Certified Coder will play a key role in converting diagnoses and treatment procedures into ICD-10, CPT and HCPCS codes. The Coder will review and accurately code office and hospital procedures for reimbursement. Job Type Full-time Description The Certified Coder will be responsible for coding patient encounters, abstracting diagnostic and procedural information, and ensuring accurate reimbursement based on clinical documentation. Essential Functions Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information. Audits clinical...

Inpatient Coder II Remote opportunity available in the following states: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed, and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic knowledge, clinical disease processes, and treatments. This position completes analysis and follow-up record reviews. Responsibilities: Codes complex diseases, procedures, and diagnoses using the ICD-10-CM/PCS classification systems in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines, and organizational compliance standards. Assumes responsibility for professional development by participating in workshops,...

Serco Inc. seeks a Medical Coding Auditing Specialist to support the DHA Medical Coding Program Branch (MCPB). You will audit DHA Markets’ MTFs and dental clinics to ensure compliance with coding standards, assist in developing annual audit plans, and perform targeted audits as required. This role involves CONUS/OCONUS travel and onsite visits. The ideal candidate has seven years in medical coding/auditing across multiple specialties, plus professional/institutional coding certifications and #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

A leading healthcare company is seeking an experienced Inpatient Medical Coding Auditor to work remotely, reviewing inpatient hospital claims for proper reimbursement and ensuring accurate coding. Responsibilities include analyzing medical records and contributing to overall cost reduction. Candidates should have certification in RHIA, RHIT, or CCS with at least four years of experience, and must be detail-oriented and skilled in Microsoft Office. This position offers a competitive salary and great benefits. #J-18808-Ljbffr

Baylor Scott & White Health in Missouri is seeking a Coding Auditor I to perform coding quality reviews across ICD-10-CM/PCS, HCPCS, CPT and related references. You will collaborate with Clinical Documentation Specialists and coders to ensure accurate and compliant documentation and data abstraction. The role requires strong knowledge of coding rules, HIPAA compliance, and the ability to identify opportunities for improvement. #J-18808-Ljbffr

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, facilities,...

HEALTHY COMMUNITIES. COMPASSIONATE CARE. Ozarks Community Hospital (OCH), located in Springfield, Missouri is seeking a Medical Billing Specialist to join our Patient Finance department . Optional remote work after training. Our Mission Ozarks Community Hospital and clinics are dedicated to providing exceptional healthcare and preventive services to all patients in an atmosphere of compassion, respect, and dignity, with a commitment to care for the underserved and to improve access to care. Under the Direction of the Revenue Cycle Manager, responsible for billing and/or collections of a specific area of Accounts Receivable, and other duties as assigned. Benefits Eligibility for health, dental, and vision coverage; 401(k) plan; life insurance; short-term disability; flexible spending accounts; and many other elective benefits subject to plan terms. Paid time off (PTO) earned on an accrual basis starting first day of employment, up to 3.5 weeks per year based on a 40-hour work...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Burrell Behavioral Health is seeking an Insurance Billing Specialist in St. Louis, MO to join our Client Access team. You will manage private insurance claims, audit documentation for accuracy, and monitor reimbursements and denials to ensure timely payments. The role emphasizes strong communication, accuracy, and customer service while supporting revenue cycle operations and system improvements. A background in healthcare billing and two years of insurance billing is preferred. #J-18808-Ljbffr

Inpatient II Coder BJC is hiring for an Inpatient II Coder. We are looking for 2 years of Inpatient Hospital Coding experience. Must have one of the following certifications: CCS, RHIA, or RHIT. This is a remote position. Eligible remote states: Alabama, Kentucky, Oklahoma; Arkansas, Louisiana, South Carolina; Florida, Mississippi, Tennessee; Georgia, Louisiana, Texas; Indiana, North Carolina, Wisconsin; Iowa, Ohio. 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 $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health,...

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:...

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...

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.

Join our team at The Emerge Center as a Temporary Medical Billing Specialist! This exciting opportunity in Baton Rouge will allow you to actively contribute to our mission of providing exceptional care to individuals with autism. As an integral part of our team, you will have the chance to apply your skills and knowledge in a supportive and dynamic work environment. Your role will involve handling administrative tasks, scheduling appointments, and supporting our medical staff in delivering top-notch services to our patients. A little about us Emerge empowers children with autism and individuals with communication challenges to achieve independence through an interdisciplinary therapy program within an innovative educational model. Support from the community facilitates broad access to our services, expands our impact, and enriches our unique learning environment. Medical Billing Specialist Processed Speech Therapy, ABA, and Occupational Therapy billing packets to ensure accurate...

The Emerge Center in Baton Rouge seeks a Temporary Medical Billing Specialist to support billing processes and administration. You will process billing packets for Speech Therapy, ABA, and Occupational Therapy, verify data accuracy, and monitor claims using billing software and EMR systems. You will collaborate with clinical and administrative staff to ensure timely submissions, maintain documentation, and support scheduling operations while upholding confidentiality and regulatory compliance. #J-18808-Ljbffr

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...

Washington University in St. Louis is seeking a Medical Coding professional to review medical records for accurate CPT/ICD-9 coding, meet with physicians to validate documentation and secure signatures, and support coders and staff with terminology and policy interpretation. The role supports remote work within the United States. Responsibilities include preparing case reports and following up on billing processes, with a focus on ICD-10 and CPT coding knowledge. #J-18808-Ljbffr