- CVS Health (Springfield, IL)
- …with heart, each and every day. **Position Summary** **Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA ... to demonstrate proficiency in the following:** **Proven ability to support coding .** **Judgment and decisions using industry standard evidence and tools.** **Ability… more
- Baylor Scott & White Health (Springfield, IL)
- …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...THE ROLE** ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including… more
- Highmark Health (Springfield, IL)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Humana (Springfield, IL)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior… more
- Humana (Springfield, IL)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. As the Senior Clinical ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- NTT DATA North America (Decatur, IL)
- …and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a ... At NTT DATA , we know that with the right people on board, anything is possible. The quality , integrity, and commitment of our employees have been key factors in… more
- Rush University Medical Center (Chicago, IL)
- …special projects individually or in collaboration with other departments. 13. Track coding quality and documentation improvements to measure ROI, organizational ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more