- Elevance Health (Chicago, IL)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a… more
- Datavant (Springfield, IL)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- Carle Health (Champaign, IL)
- …Coder - Hospital (CPCH) - American Academy of Professional Coders (AAPC); Certified Coding Specialist (CCS) - American Health Information Management Association ... Management Association (AHIMA), Education: , Work Experience: Coding Responsibilities Provide regular coding audits to Carle medical staff and HIM coding … more
- CVS Health (Springfield, IL)
- …1-2 years for CPC. + CPC ( Certified Professional Coder) or CCS-P ( Certified Coding Specialist-Physician) required. + CRC ( Certified Risk Adjustment ... Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or...experience in medical record documentation review, diagnosis coding , and/or auditing. + AA/AS or equivalent experience. +… more
- Elevance Health (Chicago, IL)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Humana (Springfield, IL)
- …and independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical record documentation to ensure ... part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
- Rush University Medical Center (Chicago, IL)
- …and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Degree * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) *… more
- Datavant (Springfield, IL)
- …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Option Care Health (Bannockburn, IL)
- …familiarity with statistical methodologies. + Certified in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), ... workplans, focusing on key risk areas such as regulatory changes, billing and coding , privacy and security, and fraud and abuse. + Perform data analysis and… more
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