- Axis (Chicago, IL)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...plus. **What will you do in this role?** + Auditing of Third-Party Administrators to ensure reserve adequacy. +… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary :** Responsible for the update, maintenance, auditing , and operation of third party prescription plans including Commercial, ... and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers.… more
- Elevance Health (Chicago, IL)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing , quality assurance, or recovery auditing . + Requires at ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Elevance Health (Chicago, IL)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing , quality assurance, or clinical documentation improvement, and a ... The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the… more
- Highmark Health (Springfield, IL)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
- Rush University Medical Center (Chicago, IL)
- …utilization. Provide feedback and focused educational programs on the results of auditing , review claim denials pertaining to coding, and implement corrective action ... Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist - Physician Based (CCS-P) * Registered Health Information Administrator (RHIA)… more