- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety ... requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- R1 RCM (Chicago, IL)
- …E/M coding as demonstrated through work experience as a medical coding auditor for inpatient , outpatient, profee, and facility encounters For this ... automation, and workflow orchestration. As our ** Coding Auditor ** , you will help ensure accurate medical coding and billing for our client, optimizing… more
- Elevance Health (Chicago, IL)
- …eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Highmark Health (Springfield, IL)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Elevance Health (Chicago, IL)
- …Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. +… more
- R1 RCM (Chicago, IL)
- …internally facing Mentor role. **Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment + Provide detailed ... Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding… more
- R1 RCM (Chicago, IL)
- …Payment Classification (APC), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) edits, and Inpatient Prospective Payment ... costs and enhancing the patient experience. As our ProFee Coding QA Mentor/Trainer, you will help mentor new coders...proficiency in MS Excel & PowerPoint. + Proficiency in medical terminologies and disease processes. + Strong attention to… more