19 Results for

Medical Record Review Jobs in Kansas, MO

Jobs

Overland Park, KS

Delivers audit findings and insights to healthcare providers and stakeholders, while supporting provider education initiatives focused on Medicare risk adjustment coding accuracy, documentation quality, and regulatory compliance.

Required Qualifications:

Requires BA/BS in health sciences, health management, or nursing and minimum of 5 years of ICD-9 coding or medical record review experience in a consultative role; or any combination of education and experience, which would provide an equivalent background.

10 days ago

Kansas City, MO

Remote

$70,000–$85,000 / year

p>We are open to remote work in the following approved states:

Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.

Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).

12 days ago

Overland Park, KS

Facilitates the retrieval and printing of medical records from storage, as well as the storage, archival and record retention of documents and/or other Alternate Media that cannot be scanned into HPF/MPF (e.g., fetal monitor strips).May assist with the physician suspension process by evaluating if a physician should be put on suspension, creating the list of recommended suspensions for approval, sending out notice letters, making reminder calls, etc. Submit your application for the opportunity below: Job Summary and Qualifications As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions.

15 days ago

Kansas City, MO

Full time

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. - 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.

30+ days ago

Kansas City, MO

$56,794–$73,829 / year

An associates degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, legal aspects of health care, and introduction to health records). Ensures that release of information activities related to the development, implementation, maintenance of and adherence to privacy policies and procedures are performed and coordinated in compliance with applicable federal laws and regulations including the Privacy Act of 1974, the Freedom of Information Act (FOIA), the Healthcare Insurance Portability and Accountability Act (HIPAA) and Automated Medical Information Exchange (AMIE).

20 days ago

Kansas City, MO

$62,729–$81,553 / year

GS-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.

30+ days ago

Kansas City, MO

Remote

Full time

The 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.

30+ days ago

li>Schedules time effectively; works with minimal supervision; handles multiple projects simultaneously; prioritizes work appropriately to streamline process and identifies opportunities for quality or process improvement; Uses critical thinking skills, problem solving and organizational skills; works as a team member while maintaining a positive attitude.

Contributes to reaching or exceeding departmental, divisional and corporate goals; knowledgeable of business goals, progress toward accomplishment of goals and works collaboratively with peers to meet or exceed annual departmental targets; analyzes qualitative and quantitative data in developing strategies to improve provider performance and member satisfaction.

16 days ago

Overland Park, KS

Remote

This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge follow-ups with completed assessments to help prevent acute care readmissions.

Conduct prior authorization reviews and/or continued stay reviews for post-acute care services by applying clinical guidelines and escalating cases to medical directors as needed.

30+ days ago

Kansas City, KS

14 days ago

Overland Park, KS

This role manages a team responsible for identifying billing errors, enforcing payment policy and contractual requirements, reducing inappropriate spend, and supporting pre- and post-payment controls through clinically and financially sound review of itemized bills (UB-04 claim forms and supporting documentation such as itemized statements and medical records, as applicable). Oversee itemized bill review for: revenue codes, HCPCS/CPT mapping, units/quantity validation, charge/cost reasonableness, packaging/bundling rules, NCCI edits (as applicable to setting), and duplicate or unbundled charges.

19 days ago

Kansas City, KS

Full time

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. 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.

30+ days ago

Kansas City, MO

Full time

30+ days ago

Kansas City, KS

Full time

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. - 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.

30+ days ago

Kansas City, KS

$310,000–$368,500 / year

li>Ensure clinicians effectively co-manage high risk episodes of care and patients with partnered Care Integration Team (CIT) resources and programs for transitions of care management (TCM), high-risk patient management (HRPM), and social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization. We go beyond physical health by also addressing other factors that can impact a patients well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do.

Today

Kansas City, Kansas

Personally deliver high-quality primary care and demonstrate a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management.

30+ days ago

Kansas City, MO

$17–$28.46 / hour

p>Responsibilities:

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].

30+ days ago

$174,070–$374,920 / year

Role summary: The Behavioral Health (BH) Medical Director (MD) for AI Policy & Governance provides clinical leadership to ensure artificial intelligence (AI)including predictive models and generative AIis designed, validated, implemented, and monitored in ways that are clinically sound, ethical, safe, compliant, and equitable. -Ensure equitable performance across populations (e.g., depending on how model was trained, training data may not always be representative), identify and mitigate algorithmic bias in care decisions; align AI deployment with organizational values and patient trust.

30+ days ago

Kansas City, Missouri

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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. This 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.

30+ days ago

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Medical Record Review Jobs in Kansas, MO

Medical Record Training Consultant Elevance Health Inc

Medical Review Nurse Analyst Wisconsin Physicians Service Insurance Corp

Medical Records Specialist PRN HCA Healthcare Inc

Medical Review Officer (MRO) - Bid Maximus

Supervisory Medical Records Technician (Release of Information) U.S. Department of Veterans Affairs

Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) U.S. Department of Veterans Affairs

Clinical Quality Review Team Lead TriWest Healthcare Alliance

Clinical Review Nurse Blue Cross and Blue Shield Association

Utilization Review Clinician (RN, OT, or PT) - Remote WellSky Corp

Clinical Review Nurse Blue Cross and Blue Shield of Kansas City

Manager, Hospital Bill Audit & Itemized Bill Review (Program Integrity) Elevance Health Inc

Lead Reviewing Physician Consultant (Bid) Maximus

Mental Health Reviewing Consultant (Bid) Maximus

Alternate Vision Reviewing Physician Consultant (BID) Maximus

Medical Director Physician Humana

Associate Medical Director - CenterWell - Kansas City CenterWell

Medical Scribe CVS Health Corp

Behavioral Health Medical Director - AI Policy & Governance CVS Health Corp

Quality Initiatives Specialist MA or LPN Northland Family Care

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