- Capital One (Riverwoods, IL)
- … Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... Senior Tech Audit Manager - Global Payment Network Capital One's...the effectiveness of existing controls, identify and define issues, review and analyze evidence, and document client processes and… more
- Ankura (Chicago, IL)
- …investigation projects for clients.* Oversee and conduct data gathering activities, document review , and quality control of data assessment.* Work with Senior ... Prepare client communications, both written and oral, for senior level review .* Perform client facing tasks including operational, compliance or regulatory… more
- Elevance Health (Chicago, IL)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you… more
- Elevance Health (Chicago, IL)
- …Group (DRG) Coding /Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Carle Health (Champaign, IL)
- …Carle coding team members, and external coders to assure a high level of coding quality and accuracy for Carle. The manager organizes and coordinates the ... coding audit teams to achieve goals and reviews and implements policies to assure compliance with recommended coding quality levels. As part of the Health… more
- Huron Consulting Group (Chicago, IL)
- …leadership team. **KEY JOB DUTIES:** + Responsible for the inpatient auditing of coders and/or " audit the auditors" to ensure coding accuracy of a minimum of 95% ... now and create your future. Job Description Summary The Coding Integrity Specialist will be responsible for executing a...is met. + Perform quality checks/audits on visits coded as per client SOPs.… more
- Rush University Medical Center (Chicago, IL)
- …special projects individually or in collaboration with other departments. 13. Track coding quality and documentation improvements to measure ROI, organizational ... Provide feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding , and implement corrective action… more
- Datavant (Springfield, IL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- Datavant (Springfield, IL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- Datavant (Springfield, IL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... of healthcare from your own workspace! **Preferred: Seeking Inpatient Audit Specialist. Would like a candidate that is strong...must have a CCS and 5 years of experience coding and/or auditing and strong spinal fusion experience as… more