NewSupervisor, Payment Integrity- Coding & Clinical (DRG) CenteneSupervisor, Payment Integrity- Coding & Clinical (DRG)St. Louis, MO$87,700–$157,800 / yearSupervise 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.
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.
NewManager, Payment Integrity- Readmission CenteneManager, Payment Integrity- ReadmissionSt. Louis, 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 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.
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.
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.
Code Enforcement Manager Jefferson County, Mo Local GovernmentCode Enforcement ManagerHillsboro, MissouriThis position oversees and coordinates plan reviews, building inspections, permitting, and code interpretation while ensuring that construction throughout the County adheres to adopted codes and regulations while providing expert technical guidance and superior customer service both internally and externally, to staff, contractors, developers, and the public, while working closely with other County departments to support safe and orderly growth. Code Administration: As duly authorized under the direction of the County Services & Code Enforcement Director, perform certain duties with regard to administration of the Building Code, On-Site Sewage Treatment Code and Flood Prevention Ordinance; including publication of Technical Bulletins.
Transplant Billing Analyst (Hybrid) - Physician Billing Services Washington University in St LouisTransplant Billing Analyst (Hybrid) - Physician Billing ServicesSaint Louis, MissouriThe 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. Responsible for follow-up insurance billing and collection activities, verifying accuracy and completeness of claims, contacting insurance companies and other related duties to expedite payments from various payers for physician services.
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.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MO$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Patient Billing/Service Representative II - Obstetrics and Gynecology Washington University in St LouisPatient Billing/Service Representative II - Obstetrics and GynecologyTown and Country, MO$17.34–$25.40 / hourSkills: Customer 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. 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.
Insurance Billing/Collection Assistant III - Physicians Billing Service (Hybrid) Washington University in St LouisInsurance Billing/Collection Assistant III - Physicians Billing Service (Hybrid)St. Louis, MO$21.33–$31.98 / hourSkills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications. Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.
Patient Billing/Services Representative II - Neurology Washington University in St LouisPatient Billing/Services Representative II - NeurologySt. Louis, MO$17.89–$26.35 / hourSkills: Customer 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. 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.
Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineSt. Louis, MO$17.34–$25.40 / hourSkills: Customer 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. The Patient Billing/Services Representative (PSR) is a patient-facing role that obtains insurance information and referral forms as well as counsels patients on financial assistance when seen in department for services.
NewPatient Billing/Services Representative II - WUCA WUCare Washington University in St LouisPatient Billing/Services Representative II - WUCA WUCareSt. Louis, MO$17.89–$26.35 / hourSkills: Customer 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. 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.
Patient Billing/Services Representative II - Otolaryngology Washington University in St LouisPatient Billing/Services Representative II - OtolaryngologySt. Louis, MO$17.89–$26.35 / hourThe Patient Service Representative II (PSRII) is responsible for capturing, updating and verifying patient demographic and current insurance information to ensure maximum reimbursement for the Otolaryngology department. Excellent patient care starts from the moment a patient walks in the door, and we are looking for a friendly face to welcome patients as they begin their visit to our ENT clinics.
Manager, Financial Reporting Physician Practice Clients Wipfli LLPManager, Financial Reporting Physician Practice ClientsClayton, MORemoteWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Proficiency in accounting software, specifically, Intaact, QuickBooks Online, NetSuite, Bill.com, Microsoft Office Suit and a demonstrated ability to embrace new technologies.