- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The ** Inpatient Coding Quality Associate ** is responsible ... is a plus. + Minimum 3 years of hands-on inpatient coding experience + At least 2...experience + At least 2 years of experience in coding quality review or auditing is preferred… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. The **Pulmonologist/Intensivist** ** Coding Associate II** will be responsible for reviewing ... Reporting. **Here's what you can expect as our Pulmonologist/Intensivist Coding Associate II:** + Assigns codes for...CPC + Two (2) years of experience + Experience coding inpatient and outpatient + Two (2)… more
- Humana (Springfield, IL)
- …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... put health first** In this role, you will conduct quality reviews of coding processes within the...and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you**… more
- Highmark Health (Springfield, IL)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- Humana (Springfield, IL)
- …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The possibility exists of doing… more
- Humana (Springfield, IL)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Humana (Springfield, IL)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more