- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Elevance Health (Chicago, IL)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Elevance Health (Chicago, IL)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is ... **DRG Coding Auditor Principal** **_Virtual: _** _...**DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...business, and its clients. Specializes in review of DRG coding via medical record and attending physician's… more
- Rush University Medical Center (Chicago, IL)
- …communication and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding ... origin, disability, veteran status, and other legally protected characteristics. **Position** Coding Auditor and Educator **Location** US:IL:Chicago **Req ID**… more
- WelbeHealth (Springfield, IL)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole… more
- Carle Health (Champaign, IL)
- …Management Association (AHIMA), Education: , Work Experience: Coding Responsibilities Provide regular coding audits to Carle medical staff and HIM coding ... as needed, either one on one or in group format to Carle medical staff and HIM coding team members Compile and track statistics related to the audit process… more
- Carle Health (Champaign, IL)
- …education as needed, either one on one or in group format to Carle medical staff and HIM coding team membersCompile and track statistics related to ... Overview The Autonomous Coding Implementation Analyst is responsible for supporting and...groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital,… more
- Elevance Health (Chicago, IL)
- …Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the ... **Claims Auditor I, II and Senior** **Location :** This...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- Humana (Springfield, IL)
- …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more
- Elevance Health (Chicago, IL)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- CIBC (IL)
- …assurance for our technology and business processes. As a Senior Auditor , Information Technology, you'll conduct risk-focused audits, advise business partners on ... component. CIBC offers a full range of benefits and programs, including Medical , Dental, Vision, Health Savings Account, Life Insurance, Disability, Paid Time Off,… more
- Datavant (Springfield, IL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Huron Consulting Group (Chicago, IL)
- …phone, email, and instant messaging with various client teams and payers. The Medical Coding Representative will report to the Huron Managed Services Domestic ... Coding team. The Medical Coding ... Coding team. The Medical Coding Analyst will report to the...and appeals. + 2+ years of experience as a coding auditor with proven accuracy and compliance.… more
- Datavant (Springfield, IL)
- …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Coinbase (Springfield, IL)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- Robert Half Finance & Accounting (Chicago, IL)
- …is $85,000 to $86,000 plus bonus, and it comes with benefits, including medical , vision, dental, life, and disability insurance. To apply to this hybrid role ... electronic banking information. Ensure that inflows and outflows have proper G/L coding . + Payment processing. Run daily payment programs, process wires that need… more