- Datavant (Springfield, IL)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify ... and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the… more
- Highmark Health (Springfield, IL)
- …internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and ... Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
- Travelers Insurance Company (Springfield, IL)
- …in accordance with company, industry, and state regulations. As a Sr Premium Auditor Associate, you will conduct audits of increasing complexity with less direct ... customer's business operations to determine proper classifications. Review financial/accounting records that includes payroll, tax returns, general and expense… more
- CVS Health (Springfield, IL)
- …day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are ... and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations of disease… more
- Humana (Springfield, IL)
- …Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (eg, ICD-10-CM, ... PCS) to patient records . This position works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth… more
- Molina Healthcare (Joliet, IL)
- …+ Adheres to departmental standards, policies, protocols. + Maintains detailed records of auditing results. + Assists HCS training team with developing ... training materials or job aids as needed to address findings in audit results. + Meets minimum production standards. + May conduct staff trainings as needed. + Communicates with QA supervisor/manager about issues identified and works collaboratively to… more
- Kinseth Hospitality Companies (Deerfield, IL)
- …+ Date stamps, sorts, and racks incoming mail, faxes and messages. + Records and communicates guest special requests and problems to appropriate department and ... ensures they are addressed in a timely and acceptable manner. + Answers inquiries pertaining to hotel services; registration of guests; and local attractions and provides travel directions. + Accurately checks out guests and communicates departures with… more
- Capital One (Riverwoods, IL)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... 5+ years of experience leading audits and performing the auditor -in-charge role + 5+ years of experience in the...New York City's Fair Chance Act; Philadelphia's Fair Criminal Records Screening Act; and other applicable federal, state, and… more
- Capital One (Riverwoods, IL)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... 4+ years of experience leading audits and performing the auditor -in-charge role + 2+ years of experience with payment...New York City's Fair Chance Act; Philadelphia's Fair Criminal Records Screening Act; and other applicable federal, state, and… more
- Capital One (Chicago, IL)
- …business results. + You're a firm believer that data will only make you a better Auditor . This part will require looking at some data, so you'll want to ensure that ... of experience in leading audits and performing in the role of auditor -in-charge. Preferred Qualifications: + Master's Degree in Accounting, Master's Degree in… more