- SSM Health (MO)
- …Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries. + Assists coders and quality review staff in performance of duties. + Maintains and reports ... coding /abstracting equipment, codes all diagnoses/procedures in accordance with coding guidelines while meeting quality and productivity...Coding and Compliance * Or * Home Care Coding Specialist - Diagnosis (HCS-D) - Board… more
- Elevance Health (St. Louis, MO)
- …RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +… more
- Elevance Health (St. Louis, MO)
- …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. + Requires ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...(DRG) Coding /Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +… more
- Centene Corporation (Jefferson City, MO)
- …+ LVN, LPN or RN required and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred + Certified Risk ... levels, and communicates findings to business stakeholders to support the integrity and quality of risk adjustment data. Collaborates with coding teams to… more
- Deloitte (Kansas City, MO)
- …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality , DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management, Finance, Revenue Cycle, and Coders +… more
- Datavant (Jefferson City, MO)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...+ Review non-CC/MCC records to assess proper coding or identify the need for additional documentation. Scrutinizes… more
- Datavant (Jefferson City, MO)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee… more
- Datavant (Jefferson City, MO)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... in MS-DRG and APR-DRG **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused,… more
- Datavant (Jefferson City, MO)
- …our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in ... to enhance documentation clarity, completeness, and overall medical record quality . By ensuring accurate and comprehensive physician documentation, you will… more
- Saint Luke's (Kansas City, MO)
- …Description** **The Opportunity:** Saint Luke's is looking for a Clinical Documentation Specialist to review medical record documentation to ensure appropriate ... when appropriate + Educate clinical providers + Communicate with coding team + Meet quality standards +...+ Meet productivity standards + Participate in weekly mortality review when appropriate **Why Saint Luke's?** + Saint Luke's… more
- Intermountain Health (Jefferson City, MO)
- **Job Description:** The Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and ... escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue… more
- Burns & McDonnell (St. Louis, MO)
- **Description** The Staff Project Controls Specialist will be responsible for leading the project controls processes with the internal project management team to ... the Enterprise Planning & Controls software. + Analyze data, review logs, and run reports in the Enterprise Planning...team. + Approve Purchase Orders and/or Subcontracts for proper coding . + Input and document changes to cost reports… more
- Datavant (Jefferson City, MO)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review ... letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +...documents and records + Meets or exceeds production and quality metrics + Attend all mandatory meetings and trainings… more
- SSM Health (St. Louis, MO)
- …and patients to improve communication and continuity of care. + Review patient demographics, medication history, and insurance status to identify socioeconomic ... pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are… more
- SSM Health (MO)
- …Provides on-going support of CDI with extensive collaboration with physicians, nursing, coding , quality , and leadership. + Facilitates improvements to clinical ... documentation through chart review and educational training sessions (with CDI Educator), which...of mortality. + Conducts audits on CDI reviews against quality , coding , and mortality. Provides feedback to… more
- Parexel (Jefferson City, MO)
- …relevant matters with particular attention to those relating to patient safety + Review coding of adverse events, medical history and concomitant medications for ... SERs, as necessary, for potential signals or issues (product quality ) + Perform review and summarization of...assessments **Skills:** + Experience in clinical medicine (general or specialist qualifications) which is expected to be kept up… more