• DRG Coding Auditor

    Elevance Health (Chicago, IL)
    …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
    Elevance Health (07/22/25)
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  • Nurse Auditor 2

    Humana (Springfield, IL)
    …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
    Humana (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... 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 (08/01/25)
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  • Clinical Provider Auditor II

    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
    Elevance Health (08/08/25)
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  • Coding Auditor Educator

    Highmark Health (Springfield, IL)
    …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more
    Highmark Health (08/08/25)
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  • Lead Principal Specialist, Quality Assurance…

    Danaher Corporation (Richmond, IL)
    …complaint handling, adverse event escalation, recall, product classification, and product claims ), execution of field action activities, and ensuring compliance of ... QMS and the Richmond SU Service and Repair Shop + Serve as Project Manager for designated improvement projects. + Effectively use Danaher Business System (DBS) tools… more
    Danaher Corporation (08/08/25)
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