- Baylor Scott & White Health (Jefferson City, MO)
- …priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coding Auditor 1 is skilled in various coding types. They perform ... coding quality audits and give feedback to coders. The Coding Auditor 1 uses ICD-10-CM/PCS, HCPCS, CPT, and other coding references. These references… more
- Elevance Health (St. Louis, MO)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This role enables associates to work virtually full-time, with the exception of required in-person ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
- Highmark Health (Jefferson City, MO)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Humana (Jefferson City, MO)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
- Humana (Jefferson City, MO)
- …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
- Humana (Jefferson City, MO)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- Elevance Health (St. Louis, MO)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of children beyond the walls of our hospital. Overview The Charge Capture Auditor /Educator is directly responsible for establishing and monitoring day to day ... the electronic charge capture process for all assigned clinical departments per coding compliance and CMH charge capture protocols by proactively identify charge… more
- BJC HealthCare (St. Louis, MO)
- …giving instruction on federal and state regulations, documentation guidelines, and coding training in a way that ensures compliance with governmental regulations. ... Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding , denials, and billable services identified as part of...and/or concerns as a result of serving as lead auditor . + Support the HIPAA liaison by tracking and… more