- 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 ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records… more
- Elevance Health (Chicago, IL)
- …the Possibilities. Make an Extraordinary Impact.** **Title** : Diagnosis Related Group Clinical Validation Auditor (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual: ... reside within a commuting distance from an office.** The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating high quality… more
- Elevance Health (Chicago, IL)
- … Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the above, plus : ... Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a...or any combination of education and experience which would provide an equivalent background. + **Claims Auditor … more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Elevance Health (Chicago, IL)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and ... charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop… more
- CVS Health (Springfield, IL)
- …**Position Summary** Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes that are submitted ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… 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 ... accuracy and documentation adequacy. The professional will work collaboratively with clinical providers to improve revenue cycle integrity while seeking and… more
- Datavant (Springfield, IL)
- …you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software ... documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results… more
- Option Care Health (Bannockburn, IL)
- …more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions ... Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of...and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health… more