NewMedical Records Specialist CenterPointe HospitalMedical Records SpecialistSt. Charles, MissouriFull timeMedical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records. · Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
Medical Records Specialist DiPasquale MooreMedical Records SpecialistKansas City, MOFull timeKey Responsibilities: Keep cases moving forward by tracking requests, following up on outstanding records, verifying information is complete and accurate, and maintaining organized case documentation. The Medical Records Specialist plays an important role in supporting the firm's personal injury practice by requesting, receiving, reviewing, and organizing medical records and related documentation throughout the life of a case.
Registered Nurse â Medical Review Specialist Hospitality SpotlightRegistered Nurse â Medical Review SpecialistSpringfield, MissouriA Hospitality Spotlight client supporting a federal agency is seeking a Registered Nurse to assist with medical case reviews and occupational health assessments. If you're looking for a meaningful nursing opportunity that combines clinical knowledge, case review, and federal program support, we'd love to connect.
Billing/Scheduling Associate II (Hybrid) - Department of Medicine - Patient Access Center/Medical Records Washington University in St LouisBilling/Scheduling Associate II (Hybrid) - Department of Medicine - Patient Access Center/Medical RecordsSt. Louis, MO$17.87–$27.06 / hourSkills: Billing Systems, Customer Service, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Medical Office Support, Microsoft Excel, Microsoft Office, Microsoft Word, Organizing, Prioritization, Scheduling, Third Party Claims. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Clinical Service Representative II - Department of Medicine - Medical Records Washington University in St LouisClinical Service Representative II - Department of Medicine - Medical RecordsSt. Louis, MO$17.34–$25.40 / hourThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
Billing/Scheduling Associate II - CAM - Patient Access Center/Medical Records Washington University in St LouisBilling/Scheduling Associate II - CAM - Patient Access Center/Medical RecordsSt. Louis, MO$17.87–$27.06 / hourSkills: Billing Systems, Customer Service, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Medical Office Support, Microsoft Excel, Microsoft Office, Microsoft Word, Organizing, Prioritization, Scheduling, Third Party Claims. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Medical Review Officer (MRO) - Bid MaximusMedical Review Officer (MRO) - BidSt. Louis, MOFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) U.S. Department of Veterans AffairsMedical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient))Kansas City, MO$62,729–$81,553 / yearGS-9 Experience Requirement: In addition to the basic requirements, you must possess the following: One year of creditable experience equivalent to the journey grade level (GS-8) of a MRT (Coder-Outpatient and Inpatient); OR, An associates degree or higher and three years of experience in clinical documentation improvement (candidates must also have successfully completed coursework in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement; OR, Clinical experience, such as Registered Nurse (RN), Medical Doctor (M.D.), or Doctor of Osteopathy (DO), and one year of experience in clinical documentation improvement. The Medical Records Technician (Clinical Documentation Improvement Specialist) (CDIS) is located within the Health Information Management Section (HIMS) of the Business Operations Service (BOS) at the Kansas City VA Medical Center (KCVAMC).Incumbent provides quantitative and qualitative review and analysis of medical records and encounter forms of both inpatient and outpatient encounters to ensure all diagnoses and conditions for which care is being rendered are documented by the provider in the proper sequence, and procedures have been documented and/or evaluation and management services.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadKansas City, MORemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Supervisor, Clinical Quality Review Medica Health Plans IncSupervisor, Clinical Quality ReviewMO$78,700–$118,020 / yearTranslates regulatory and coding requirements into practical guidance for internal teams and external partners Serves as a clinical subject matter resource during internal, vendor, or provider discussions Assists Director and Manager as needed to develop, introduce and support overall goals Develops linkages with specific departments on behalf of the Clinical Review area such as Data Management, Legal, Network Management, Compliance, Pharmacy and Complementary Networks. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
Supervisor Maintenance Control Records Global Medical Response IncSupervisor Maintenance Control RecordsO'Fallon, MO$40,000–$70,000 / yearGMR's Core Behaviors-keep care at the center, raise your hand, seek to understand, find a way together and be accountable-unite our teams and set us apart in emergency medical services. Collaborate with the Maintenance Records Specialist to complete the records review and conformity inspection process for aircraft being added to the Company operating certificate.
Records Coordinator SevitaRecords CoordinatorSt. Louis, MOMaintain files and individual records by updating and filing data upon receipt of information Initiate records for new individuals served and create a computer index. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.
NewClinical Review Clinician - Appeals Centene Corporation GroupClinical Review Clinician - AppealsMORemote$27.02–$48.55 / hourEducation/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2 - 4 years of related experience. Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices.
NewCredentialed Inpatient Auditor (Coding Quality Review / Educator) OU HealthCredentialed Inpatient Auditor (Coding Quality Review / Educator)Kansas City, MOResponds to coding-related questions from HSC coding staffLeads, coordinates and performs all functions of quality reviews (routine, pre‑bill, policy driven and incentive plan driven) for inpatient coding across OUMSProvides Coding Integrity Specialist (CIS) and CQR education as neededInitiates the rebilling process as required per policy on special projectsResearches coding opportunities and escalates as neededAssists in the review, improvement of processes, education, troubleshooting and recommends prioritization of issues. Communicates outcomes to the coding team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.
Lead Reviewing Physician Consultant (Bid) MaximusLead Reviewing Physician Consultant (Bid)Springfield, MOFull timeAfter completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Mental Health Reviewing Consultant (Bid) MaximusMental Health Reviewing Consultant (Bid)St. Louis, MOFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Alternate Vision Reviewing Physician Consultant (BID) MaximusAlternate Vision Reviewing Physician Consultant (BID)St. Louis, MOFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Maintain working knowledge of Office of Personnel Management (OPM) medical and suitability policies and ensure all consultations reflect current clinical best practices, regulatory requirements, and program objectives.
Insurance Company Collateral Review Manager Federal Home Loan Bank Of Des MoinesInsurance Company Collateral Review ManagerMO$114,474–$135,938 / yearResponsible for managing the Bank's Member Collateral Verification (MCV) loan review program for Non-Depository members, including verifying the existence, quality and eligibility of pledged loan collateral, validating pledge data accuracy and providing member collateral education. Accountabilities: Responsibilities/Duties/Function/Tasks: Select, manage and develop high-performing employees that apply critical analysis, proactive risk management and thoughtful member support through the MCV program of pledged loan collateral reviews.
FQ Medical Director BrightliFQ Medical DirectorHannibal, MissouriWe support the medical providers who deliver integrated health services across the organizations under Centerstone, including psychiatry, medication-assisted treatment for addiction, crisis stabilization, primary care, home health care, pharmacy, integrated health, and a wide range of specialty care. A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
FQ Medical Director Burrell Behavioral HealthFQ Medical DirectorMOWe support the medical providers who deliver integrated health services across the organizations under Centerstone, including psychiatry, medication-assisted treatment for addiction, crisis stabilization, primary care, home health care, pharmacy, integrated health, and a wide range of specialty care. Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
Medical Scribe CVS Health CorpMedical ScribeKansas City, MO$17–$28.46 / hourResponsibilities: Documenting Patient Encounters ~ 80% • Joining the provider in the exam room to observe patient visits • Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam • Assigning appropriate CPT and ICD-10 codes • Preparing After Visit Summaries • Consulting with provider to ensure accurate and specific documentation • Clinical Documentation Improvement ~ 10% • Requesting and reviewing medical records • Leveraging Oak Streets population health tools to support clinical documentation improvement • Preparing for and supporting Daily Huddles and Clinical Documentation Reviews • Consulting with provider on clinical documentation opportunities • Administrative support for your provider and care team ~ 10% • Placing orders and referrals • Addressing tasks • Supporting the care team with additional responsibilities related to clinical documentation Other duties as assigned. What we're looking for: Knowledge: • Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required] • Prior clinical experience, including shadowing and/or volunteering [strongly preferred] • Prior scribe or transcription experience [preferred but not required].
NewClinical Quality Nurse Consultant Blue Cross and Blue Shield of KansasClinical Quality Nurse ConsultantMissouriThe Clinical Quality Nurse Consultant serves as a clinical liaison between Blue Cross Blue Shield of Kansas (BCBSKS), providers, and members to support quality improvement, care coordination, and value-based care initiatives across all lines of business. Support clinical quality improvement and value-based care initiatives by partnering with providers and internal teams to improve quality outcomes across assigned populations and lines of business.
Quality Initiatives Specialist MA or LPN Northland Family CareQuality Initiatives Specialist MA or LPNKansas City, MissouriThis on-site role focuses on care gap closure, preventive care coordination, patient outreach, and collaboration with payers and clinical staff to improve patient outcomes and quality performance. Founded in 1935 by Dr. Glenn Hendren and continued on by the late Dr. Richard Bowles, Northland Family Care has been serving Liberty and the surrounding area for over 83 years; we have a deep commitment to our patients and our community.
NewManager Clinical Performance & Quality (Nurse Practitioner/Physician Assistant) Elevance Health IncManager Clinical Performance & Quality (Nurse Practitioner/Physician Assistant)St. Louis, MODevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Lebanon, Missouri$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.