- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims submitted against medical records provided,… more
- Humana (Springfield, IL)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Huron Consulting Group (Chicago, IL)
- …physician, patient and employee engagement across the enterprise. The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of ... messaging with various client teams and payers. The Coding Auditor - ambulatory/professional coding/profee will report to the Huron...of a minimum of 95% is met. + Perform quality checks/audits on visits coded as per client SOPs.… more
- Elevance Health (Chicago, IL)
- … Auditor ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines ... Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _...AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure ... correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- Elevance Health (Chicago, IL)
- …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... **Title:** Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual:** This...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… 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 ... organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience working… more
- Zurich NA (Schaumburg, IL)
- Senior Auditor 129340 **Let's grow together!** **About Zurich Cover-More** Zurich Cover-More is one of the world's largest travel insurance and assistance providers ... acquired Travel Guard business and evolve our global audit landscape. As a Senior Auditor , you will play a hands-on role across all stages of the audit… more
- Humana (Springfield, IL)
- …the areas of Provider Data Validation, Provider Support, Provider Reporting, Quality Audit, and risk adjustment operations related to Provider Reconciliation and ... and external auditors + Evaluate Provider Data Validation, Provider Reporting, Quality Audit, and core risk adjustment operational business areas monthly progress… more
- Zurich NA (Schaumburg, IL)
- …scope, key risks, and the right testing approaches, working closely with the Chief Auditor . + You'll deliver high- quality audits on time and within budget, ... ability to organize teams, prioritize effectively, and coach others to deliver high- quality audit outcomes. + You'll have meaningful experience or strong aptitude… more