- Datavant (Springfield, IL)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... standardized system , ensuring accurate representation of patient conditions for risk...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- Elevance Health (Chicago, IL)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Kemper (Chicago, IL)
- …on our promises._ **Position Summary:** Kemper is seeking a talented IT Lead Auditor , Assurance & Advisory Services to join our Internal Audit team. Internal ... issues and help make measurable improvements to the Company. As an IT Lead Auditor , you will lead and execute comprehensive assurance and advisory engagements with a… more
- ICW Group (IL)
- …want to be here! **PURPOSE OF THE JOB** The purpose of the Field Premium Auditor is to conduct insurance premium audits in the field to determine the actual ... REGISTRATIONS** + Associate in Premium Auditing (APA), Certified Insurance Premium Auditor (CIPA), or Chartered Property & Casualty Underwriter (CPCU) certification… more
- Highmark Health (Springfield, IL)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance...reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) + Is responsible for… more
- Reyes Holdings (Rosemont, IL)
- …above listed experience Preferred Education and Experience: + Master's Degree + Certified Information Systems Auditor (CISA) + 4 or more years of overall work ... knowledge of Windows, AS400, Linux, SQL Server, IBM DB2 Database Management System , Azure and Oracle Cloud architecture, and Infrastructure + Technical knowledge of… more
- AbbVie (North Chicago, IL)
- …and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Principal Auditor , Audit & Compliance provides leadership, direction and performs comprehensive ... foreign regulation requirements, providing constructive evaluation of quality related systems for AbbVie plants, affiliates, quality service areas and/or suppliers… more
- WM (Springfield, IL)
- …People-First Culture (https://www.wm.com/us/en/inside-wm/who-we-are) . **About the Senior Compliance Auditor Role** Under minimal supervision, plans and conducts ... a focus in DOT, OSHA, or Environmental capacity. As well as WM systems usage, financial requirements, ISO requirements, time keeping, vendor management, and all… more
- 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… more
- International (Lisle, IL)
- Position Overview International is seeking a strategic and analytical Senior Internal Auditor with a strong foundation in internal controls, audit methodologies, and ... a disability and require a reasonable accommodation to access the online application system or participate in the interview process due to your disability, please… more