• 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 ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
    Humana (09/24/25)
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  • 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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  • 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...certification from AAPC, AHIMA, or specialty-specific credentialling organization * 5 + years of Epic HB & PB WQ and… more
    Rush University Medical Center (10/02/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Springfield, IL)
    …(CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well ... coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and… more
    Highmark Health (09/20/25)
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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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  • 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 ... + Resolve post-audit activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner + Participate in client presentation… more
    WTW (09/26/25)
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  • Physician Billing & Coding Educator

    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 ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
    Rush University Medical Center (08/27/25)
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  • Quality Senior Analyst

    CVS Health (IL)
    …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... and directives. + Demonstrates a strong commitment to enhancing and promoting quality ; consistently delivers accurate and thorough work, and supports others in… more
    CVS Health (09/30/25)
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