- Rush University Medical Center (Chicago, IL)
- …the position. Offers may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing , ... to ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to… more
- Elevance Health (Chicago, IL)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
- Health Care Service Corporation (Chicago, IL)
- …professional development. **Job Summary** This position is responsible for performing clinical, billing , coding and lowest cost setting reviews for services pre ... regulatory agency experience may substitute for each year of college.** **Certified Coding Certification, or acquire within 24 months of hire** **3 years experience… more
- Rush University Medical Center (Chicago, IL)
- …of federal, state, and payer-specific regulations and policies pertaining to documentation, coding , and billing , with demonstrated ability to interpret such ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
- Elevance Health (Chicago, IL)
- …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding … more
- Elevance Health (Chicago, IL)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more