NewRapid Response/Code Team Clinical Nurse - Nights BJC HealthcareRapid Response/Code Team Clinical Nurse - NightsShiloh, ILMemorial, offering medical and surgical services plus critical care, is an accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care and is designated as an Acute Stroke Ready Hospital by the Illinois Department of Public Health. Memorial Hospital Shiloh , a 94-bed, all-private suite hospital was recognized with Magnet status in 2018 and provides emergency care, labor & delivery, nursery, medical and surgical services plus critical care.
NewClinical Pharmacist BJC HealthcareClinical PharmacistSaint Louis, MOThe Inpatient Pharmacy at Missouri Baptist Medical Center consists of a Central Pharmacy including a Class 10,000 Clean Room for sterile product preparation and satellite pharmacies in the Operating Room, the Cancer/Infusion Center, and satellites or decentralized pharmacists on several inpatient floors. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services.
NewInpatient Pharmacy Tech 3 BJC HealthcareInpatient Pharmacy Tech 3Saint Louis, MOPerforms multiple technician responsibilities across the pharmacy or assumes primary responsibility for a focus area, which includes training, system maintenance, inventory management, workflow, process improvement, and proficiency in associated electronic/automated systems; focus areas could also include complex sterile or non-sterile compounding, quality assurance inspections, repackaging, system and automation maintenance, and process/policy improvement. The Inpatient Pharmacy at Missouri Baptist Medical Center consists of a Central Pharmacy including a Class 10,000 Clean Room for sterile product preparation and satellite pharmacies in the Operating Room, the Cancer/Infusion Center, and satellites or decentralized pharmacists on several inpatient floors.
NewInpatient Pharmacy Tech 2 BJC HealthcareInpatient Pharmacy Tech 2Saint Louis, MOThe Inpatient Pharmacy at Missouri Baptist Medical Center consists of a Central Pharmacy including a Class 10,000 Clean Room for sterile product preparation and satellite pharmacies in the Operating Room, the Cancer/Infusion Center, and satellites or decentralized pharmacists on several inpatient floors. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services.
NewManager, Payment Integrity- Readmission CenteneManager, Payment Integrity- ReadmissionFlorissant, MO$87,700–$157,800 / yearLicense/Certification: Active Health Information Management or coding credentials required, such as RHIT, RHIA, CCS, CIC, or CCDS or Registered Nurse licensure or higher clinical qualification, in combination with a coding credential, required. Collaborate with Health Plans, Medical Economics, Finance, Compliance, Legal, Provider Relations, and Technology teams to support the design, execution, and ongoing monitoring of readmission and DRG-related Payment Integrity strategies.
Senior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsMO$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
Manager Coding Compliance (Hybrid) - Surgery Washington University in St LouisManager Coding Compliance (Hybrid) - SurgerySt. Louis, MO$68,100–$105,500 / yearThe 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.
Supervisor, Payment Integrity- Coding & Clinical (DRG) Centene Corporation GroupSupervisor, Payment Integrity- Coding & Clinical (DRG)MO$87,700–$157,800 / yearPosition Purpose: Supervise and coordinate the day-to-day activities of the Coding & Clinical Review team within Payment Integrity, ensuring accurate diagnosis-related group assignment, clinical validation, and audit outcomes in alignment with established policies, regulatory requirements, and organizational objectives. The position may oversee diagnosis-related group audit, Quality Assurance, Readmissions, Appeals, or broader operational teams and serves as a subject matter expert for complex coding, clinical validation, and audit-related matters.
Supervisor Coding (Hybrid) - Pediatrics Central Administration Washington University in St LouisSupervisor Coding (Hybrid) - Pediatrics Central AdministrationSt. Louis, MO$64,300–$99,700 / yearCertified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC). Position has direct responsibility for departmental coding; provides direct supervision to coders; approves time, coordinates vacation/leave requests; provides coaching and audits performance; assists divisions in the process of charge capture, compliance, and adherence to billing practices and policies under the direction of the Manager, Coding and Compliance, and the Director of Revenue Cycle and Financial Analysis.
Coding Quality Audit Inpatient Coordinator BJC HealthCareCoding Quality Audit Inpatient CoordinatorSaint Louis, MORemoteQuality audits are inclusive of assessing compliance with federal and state regulatory coding guidelines, focusing on appropriate assignment of all diagnoses, procedures and DRG's to ensure accurate coding for reimbursement and clinical services (Quality Measures, Severity of Illness, Risk of Mortality). In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321St. Louis, MOIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Sr. Compliance Coordinator (Billing & Coding) BJC HealthCareSr. Compliance Coordinator (Billing & Coding)Saint Louis, MORemoteConducts and coordinates routinely scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews consist of ambulatory E&M services and office procedures, as well as hospital admissions, subsequent visits, hospital procedures, and all other services performed by BJCMG specialty providers; reviews medical record documentation to identify under-coded and up-coded services, prepares reports of findings, and meets with providers to provide education and training on accurate coding practices and compliance issues; serves as subject matter expert related to specialty coding. Develops and/or presents educational training material to specialty providers and coders based on findings and trends identified as a result of the reviews; provides general education on coding and documentation rules and regulations, regulatory provisions, and third party payer requirements to new employees and providers to include Employee and Provider New Employee Orientation.
Observation Coding Specialist (w/ I&I) CorroHealth IncObservation Coding Specialist (w/ I&I)MORemoteAccurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
NewOffice Services Representative - Code Enforcement St. Louis County (MO)Office Services Representative - Code EnforcementClayton, MO$16.01–$19.21 / hourThe successful candidate will be interpreting, verifying, updating, recording, and processing information and documents; interacting with the public and County departments providing technical assistance and guidance; this work requires significant typing, data entry, as well as maintaining written and computerized records. Other benefits include: paid life insurance, a credit union, 457 Deferred Compensation Plan, pre-tax premium pay plan, dependent care and medical expense reimbursement plans, and short and long term disability insurance.
Clinical Application Support Specialist Jardogs.aiClinical Application Support SpecialistHillsboro, IllinoisExceptional verbal and written communication skills, with a proven ability to explain complex information clearly and concisely to diverse audiences (including busy healthcare providers). You will be the primary point support contact for users with concerns with medical billing, focusing on explaining the logic behind our AI-driven medical coding suggestions and ensuring a smooth user experience.
Coder Certified (Hybrid) - Physicians Billing Service Washington University in St LouisCoder Certified (Hybrid) - Physicians Billing ServiceMO$26.25–$39.36 / hourCertified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Required Qualifications: Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department).
Billing Coordinator St. Louis South Oral SurgeryBilling CoordinatorSt. Louis, Missouri$18–$30Who We Are: St. Louis South Oral Surgery provides comprehensive oral and maxillofacial surgery services for adults and children in a supportive, patient-focused environment. Patient Billing: Generate accurate statements, collect balances, answer billing questions, and assist patients in understanding charges and payment options.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MO$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Patient Billing/Service Representative II - Obstetrics and Gynecology Washington University in St LouisPatient Billing/Service Representative II - Obstetrics and GynecologyTown and Country, MissouriCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . 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.
Supervisor, Patient Financial Responsibility (Hybrid) - Physicians Billing Service Washington University in St LouisSupervisor, Patient Financial Responsibility (Hybrid) - Physicians Billing ServiceSt. Louis, MO$58,300–$90,400 / yearSkills: Accounting, Accounts Receivable (AR) Analysis, Analytical Thinking, Communication, Confidentiality, Contracts Analysis, Critical Thinking, Cross-Functional Teamwork, Customer Service, Data Analysis, Excel Databases, Finance, Financial Operations, ICD-10 Procedure Coding System, Interpersonal Relationships, Medical Billing, Microsoft Applications, Microsoft Excel, Microsoft Office, Problem Solving, Professional Judgement, Self Motivation, Workday Software, Working Independently. Leads complex reconciliation projects, manages contract settlement frameworks with payers (e.g., Aetna Better Health, UnitedHealthcare), and proactively identifies and resolves commercial underpayments.