• IPA Coding Associate Director

    CenterWell (Springfield, IL)
    …of our caring community and help us put health first** The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate ... coding and is reflective of the disease prevalence within...division, individual markets, and clinics to determine areas of opportunity (unlocked notes, pending addendums, etc. Presents analyses to… more
    CenterWell (07/24/25)
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  • Coding Educator

    CenterWell (Springfield, IL)
    …part of our caring community and help us put health first** The Coding Educator identifies opportunities to improve provider documentation and creates an education ... plan tailored to each assigned provider. The Coding Educator work assignments are varied and frequently require...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
    CenterWell (07/24/25)
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  • DRG Coding Auditor

    Elevance Health (Chicago, IL)
    **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and… more
    Elevance Health (07/22/25)
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  • Outpatient Coding Consultant PRN Same Day…

    Datavant (Springfield, IL)
    …workspace! Preferred: Strong Observation coder. MUST be proficient in injection and infusion coding . Must have 3+ years experience at a Trauma Level 1 facility. ... and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.… more
    Datavant (07/04/25)
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  • Senior Inpatient Medical Coding Auditor…

    Humana (Springfield, IL)
    …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
    Humana (06/26/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Springfield, IL)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... Format:** As part of our hiring process for this opportunity , we will be using an exciting interviewing technology...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
    Humana (07/29/25)
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  • Inpatient DRG Quality Auditor

    Humana (Springfield, IL)
    …put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor ... is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns… more
    Humana (07/25/25)
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  • Cardiovascular Medical Coder (remote)

    Cognizant (Springfield, IL)
    …Monday to Friday **Travel:** None required **About the role:** As an ICD-10 Coding Professional you will be responsible for reviewing/resolving coding denials in ... you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based on documentation. + Analyze… more
    Cognizant (07/18/25)
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  • Inpatient Audit Specialist

    Datavant (Springfield, IL)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...**What We Offer:** + Benefits for Full-Time employees: Medical, Dental , Vision, 401k Savings Plan w/match, 2 weeks of… more
    Datavant (07/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools,… more
    Elevance Health (07/17/25)
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