- Humana (Jefferson City, MO)
- …of variable factors. **Where you Come In** Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper ... of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records… more
- Centene Corporation (Jefferson City, MO)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Perform clinical/ coding medical claim review to ensure compliance with ... coding practices through a comprehensive review and analysis of medical claims, ...directives, precedent, AMA and CMS code edit criterion + Review medical records to ensure billing is… more
- CVS Health (Jefferson City, MO)
- …Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical , behavioral, ... correct coding and appropriate documentation during the review of medical records. The CPC must...Professional Coder (CPC) - 3+ years of experience in medical coding or documentation auditing. - Strong… more
- Centene Corporation (Jefferson City, MO)
- …equivalent work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding or transferable skill sets ... Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with...education to providers and provider staff OR 2 years medical coding or other transferable experience and… more
- Highmark Health (Jefferson City, MO)
- …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic ... in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Associate (CCS) within… more
- Cardinal Health (Jefferson City, MO)
- … medical professionals highly preferred, not required + Prior experience with electronic medical records or coding , preferred not required + Ability to work ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Jefferson City, MO)
- …+ Clear knowledge of Medicare (A, B, C, D) + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred + 1-2 years of ... limited to Word, Outlook, and preferred Excel capabilities + Previous medical experience is preferred **_Responsibilities_** + Deliver virtual or telephonic… more
- Cardinal Health (Jefferson City, MO)
- …Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical /Pharmacy billing and coding is preferred + Important to have a strong ... benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Intermountain Health (Jefferson City, MO)
- …record data using International Classification of Diseases Clinical Modification and Procedure Coding System (ICD-10-CM and PCS) at an advanced level of complexity. ... expertise to work alongside and collaborate with Clinical Documentation Integrity to review complex inpatient facility encounters and assign ICD-10 CM and PCS codes… more
- Highmark Health (Jefferson City, MO)
- …Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic ... **QUALIFICATIONS:** Minimum + High School/GED + Successful completion of coding courses in anatomy, physiology and medical ...of coding courses in anatomy, physiology and medical terminology + 1 year of Hospital and/or Physician… more
- Humana (Jefferson City, MO)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Humana (Jefferson City, MO)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- CVS Health (Jefferson City, MO)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... Direct and oversee complex reviews. Ensure timely and accurate reporting of review findings and coordinate with investigative to take appropriate action. Conducts… more
- Under Armour, Inc. (Jefferson City, MO)
- …email campaigns to drive seamless consumer experiences via custom HTML/CSS coding , scripting, proofing, quality assurance, targeting and advanced scheduling. * You ... review briefs, manage workflow tools, and kick off campaign...develop and execute test plans that confirm accurate email coding and optimal rendering. * You send proofs and… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director's primary responsibility is the review of medical authorizations ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director's work includes computer-based review of moderately complex to… more
- Meta (Jefferson City, MO)
- …tooling to hardware failures and network issues. 3. Develop documentation, write and review code, and debug the hardest problems, live, on some of the largest ... experience developing scalable and reliable systems and/or networks 12. Experience coding in higher-level languages (eg, Python, C++, Go, etc.) 13. Experience… more
- Meta (Jefferson City, MO)
- …on problems of moderate scope where analysis of situations or data requires a review of a variety of factors. 7. Exercise judgment within defined procedures and ... 9. In connection with these duties, may apply knowledge of the following: Coding in industry-standard languages like C, C++, Java, or C# 10. Building large-scale… more
- Concentrix (Jefferson City, MO)
- …opportunity to enroll in many benefit programs, generally including private medical plans, great compensation package, retirement savings plans, paid learning days, ... and amend software errors in a timely and accurate fashion. + Coding , developing, and documenting software specifications throughout the project life cycle.… more
- Meta (Jefferson City, MO)
- …partnerships to deliver security posture reviews on a repeatable basis and review new infrastructure as it's built. **Required Skills:** Offensive Security Engineer, ... systems, file systems, and memory structures on Windows, MacOS and Linux. 18. Coding and scripting experience in one or more general purpose languages. 19.… more
- Cardinal Health (Jefferson City, MO)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... Rebates & Incentives for Pharma IT performs configuration or coding to develop, enhance and sustain the organization's software...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more