- Baylor Scott & White Health (Springfield, IL)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- Rush University Medical Center (Chicago, IL)
- …origin, disability, veteran status, and other legally protected characteristics. **Position** Coding Auditor and Educator **Location** US:IL:Chicago **Req ID** ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
- R1 RCM (Chicago, IL)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Hospital Coding Auditor , you will review hospital charges against medical ... work independently. **Here's what you will experience working as a Hospital Coding Auditor ** + Review hospital charges against medical record and all applicable… more
- R1 RCM (Chicago, IL)
- …patient satisfaction and improves financial performance. R1 is currently seeking a Physician Coding Auditor with a background in Physician coding , billing, ... guidelines. The Auditor must understand medical terminology, coding , contractual agreements, and various payment methodologies. This position requires… more
- Highmark Health (Springfield, IL)
- …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
- Cognizant (Springfield, IL)
- …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
- Humana (Springfield, IL)
- …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 (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Chicago, IL)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- R1 RCM (Chicago, IL)
- …one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding… more
- CIBC (Chicago, IL)
- …**What you'll be doing** As a member of CIBC's team, the Senior Auditor is responsible for conducting risk-focused audits; advising business units on the design, ... ongoing legal entity reports to key stakeholders. The Senior Auditor works with business units to assess the adequacy...attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process… more
- CIBC (Chicago, IL)
- …Certified Information Systems Security Professional (CISSP); Certified Information Systems Auditor (CISA); Certified in Risk and Information Systems Control (CRISC); ... you to complete an attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process is to get to know… more
- CIBC (Chicago, IL)
- …+ Professional certification such as Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) + Experience working in an Internal Audit department at a ... you to complete an attribute-based assessment and other skills tests (such as simulation, coding , MS Office). Our goal for the application process is to get to know… more