- Huron Consulting Group (Chicago, IL)
- …Coder (CPC) through AAPC + Preferred Certifications: + AAPC CPMA ( Certified Professional Medical Auditor ) + Registered Health Information Administrator ... physician, patient and employee engagement across the enterprise. The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of… more
- 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
- 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 (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
- Huron Consulting Group (Chicago, IL)
- …physician, patient and employee engagement across the enterprise. The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing ... with various client teams and payers. The Inpatient Coding Auditor will report to the Huron Managed Services Domestic...as appropriate, and corrective action is initiated before the claim is rebilled to the insurance. + Conduct analysis… more
- 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
- 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
- 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