• Analyst, Coding Data Quality…

    CVS Health (IL)
    …all with heart, each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA ... to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Ability… more
    CVS Health (10/02/25)
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  • Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
    CVS Health (09/27/25)
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  • Inpatient Medical Coding Auditor

    Humana (Springfield, IL)
    …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (09/24/25)
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  • Billing Coding Auditor

    Rush University Medical Center (Chicago, IL)
    …Offers may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding , auditing, ... and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary...medical records and charges * Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards set by… more
    Rush University Medical Center (10/02/25)
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  • Medical Coding Auditor

    CenterWell (Springfield, IL)
    …a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The **Medical Coding Auditor ** work assignments are varied and...for information + Supports and participates in process and quality improvement initiatives + Partners with business associates from… more
    CenterWell (10/01/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Springfield, IL)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (09/20/25)
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  • Auditor , HCC Risk Adjustment Coding…

    Datavant (Springfield, IL)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...to excel in a fast-paced production environment while upholding high- quality standards. + Strong written and verbal communication skills,… more
    Datavant (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    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 full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (09/30/25)
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  • Physician Advisory Services Auditor

    Intermountain Health (Springfield, IL)
    **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the representation of ... illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for reimbursement,… more
    Intermountain Health (10/01/25)
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  • Claims Auditor (Remote)

    WTW (Chicago, IL)
    **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +...+ Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills… more
    WTW (09/26/25)
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