• Coding Auditor and Educator

    Rush University Medical Center (Chicago, IL)
    …* Strong communication and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...and/or reduce denials. 3. Reviews charge information submitted by certified coders, claim forms, and insurance correspondence… more
    Rush University Medical Center (01/09/26)
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  • DRG Coding Auditor Principal

    Elevance Health (Chicago, IL)
    …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... **DRG Coding Auditor Principal** **_Virtual: _** _ ​_ This role...Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology,… more
    Elevance Health (12/24/25)
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  • DRG Coding Auditor (ICD-9/10cm, MS-DRG,…

    Elevance Health (Chicago, IL)
    …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables… more
    Elevance Health (12/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (01/07/26)
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  • Risk Adjustment - Risk Management Lead

    Humana (Springfield, IL)
    …+ Applicable Bachelor's degree - Accounting, Finance, Business, Auditing, Actuarial + Certified Internal Auditor , CPA or CPC strongly preferred + Risk ... + Auditing experience + Familiarity with CMS Reimbursement models and claims /encounter submission processes + Data analysis and dashboarding experience + People… more
    Humana (01/10/26)
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  • Senior Virtual CISO (vCISO)- GRC Advisor

    RKON (Chicago, IL)
    About us: RKON is an ISO27001 and AICPA SOC 2 Type II certified company that specializes in providing IT migration and transformation services for the Mergers and ... access management and zero trust strategies. + Cyber insurance readiness and claims advisory. + M&A cyber due diligence and post-close security integration. +… more
    RKON (12/04/25)
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