- Humana (Springfield, IL)
- …and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... 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… more
- Elevance Health (Chicago, IL)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… 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 ... recommendations to process owners, and contribute to audit reporting + Support continuous improvement initiatives within the Internal Audit department + Supervise,… more
- Humana (Springfield, IL)
- …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- 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)
- …Quality Assurance and Regulatory Compliance Service role will provide Quality & Regulatory support and leadership to maintain, improve, and support processes to ... complaint handling, adverse event escalation, recall, product classification, and product claims ), execution of field action activities, and ensuring compliance of… more