- Rush University Medical Center (Chicago, IL)
- …each case. **Summary:** As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient ... feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies… more
- Danaher Corporation (Richmond, IL)
- …complaint handling, adverse event escalation, recall, product classification, and product claims ), execution of field action activities, and ensuring compliance of ... project teams and regulators. + Certifications preferred: Quality Management, Quality Auditor , Lead Auditor , Six-Sigma Black Belt, Quality Engineer Travel… more
- R1 RCM (Chicago, IL)
- …help review and interpret medical records to draft appeals of denied and underpaid claims . Every day you will review medical records to ensure appropriate coding of ... and interpret medical records to appeal denied and underpaid claims . + Apply clinical judgment and knowledge for DRG...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
- Walgreens (Deerfield, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more