- Cardinal Health (Springfield, IL)
- …orthotics, and supplies("DMEPOS"), including detection and correction of documentation, coding , identifying potential errors and/or medical necessity of items ... ensuring payor requirements are fulfilled. The position also includes sharing audit findings with management, recommending training and solutions for issues found,… more
- Elevance Health (Chicago, IL)
- …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- CIBC (Chicago, IL)
- …high- quality deliverables that include risk assessment, testing, and review workpapers; reports. + Help advise on regulatory reporting requirement interpretation ... doing** This role is to lead the CIBC US Finance regulatory reporting quality assurance program that helps ensure the accuracy, completeness, and timeliness of the… more
- Rush University Medical Center (Chicago, IL)
- …each case. **Summary:** The Revenue Integrity Analyst uses advanced knowledge of coding , CDM, charge capture, and auditing to solve complex charging scenarios, ... Integrity Analyst also provides high-level professional support in working advanced outpatient coding edits as well as auditing charges for service lines with… more
- Datavant (Springfield, IL)
- …preferably within an academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding ... codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion… 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
- CVS Health (IL)
- …who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - ... one family and one community at a time. Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets… more
- Oracle (Springfield, IL)
- …with regulatory authorities, notified bodies, and in external audit situations. **Responsibilities** **Key Responsibility** **Cross-Organizational and Cross-Team ... clinical oversight across Oracle Health, partnering with product development, engineering, quality , and regulatory functions to align clinical best practices with… more
- Insight Global (Chicago, IL)
- …aligned to achieve the desired business outcomes, and that team practices and coding / quality principles are aligned to achieve the desired technology outcomes. A ... feature delivery. * Apply enterprise standards for solution design, coding , and quality . * Ensure solution meets...debt. * Responsible for compliance and security items and audit support. * Act as a liaison for production… more
- Camping World (IL)
- …a hands-on business process manager and BPM architect, and lead the Architecture Review Board (ARB). This role demands a strong leader with deep technical expertise ... operational management of all EA governance bodies, including the Architecture Review Board (ARB), Software Governance Committee (SGC), Technology Strategy Panel… more
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