• Profee Coding Consultant (Interventional…

    Datavant (Springfield, IL)
    …role is an opportunity to make a significant impact in the field of medical coding . You will provide essential consulting services and educational support, ... unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance , and optimizing service...encouraged to apply **What You Will Do:** + Review medical records and assign precise codes to ensure accurate… more
    Datavant (09/30/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Springfield, IL)
    **About the role** As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer...Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to… more
    Cognizant (09/23/25)
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  • Coding Auditor & Educator

    WelbeHealth (Springfield, IL)
    …reviews + Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely ... in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion...team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator… more
    WelbeHealth (09/19/25)
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  • Product Manager, Risk Adjustment Coding…

    Datavant (Springfield, IL)
    …and roadmap execution + Reduction in time taken to create and operationalise coding projects + Maintenance of compliance with infrastructure limits and no ... bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for… more
    Datavant (08/20/25)
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  • Client Coding Project Manager - Full Time…

    Datavant (Springfield, IL)
    …will:** + Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment ... vendors + Provides expertise as it relates to coding compliance for new and existing services,...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (09/25/25)
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  • Lab Billing & Coding Rep - CFH

    Carle Health (Urbana, IL)
    Overview The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of Laboratory services. Responsible for understanding ... medical terminology, patient registration, insurance eligibility, payer rules, CPT/HCPCS...eligibility, payer rules, CPT/HCPCS bundling, CCI modifiers, and lab-related coding for problem resolution. Responsible for understanding and applying… more
    Carle Health (09/30/25)
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  • Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    …+ Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify clinically active ... and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as well as...Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or… more
    CVS Health (09/27/25)
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  • Supervisor, HCC Risk Adjustment Coding…

    Datavant (Springfield, IL)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight...resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and requirements. + Completes all… more
    Datavant (09/20/25)
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  • Compliance Audit Manager

    Cardinal Health (Springfield, IL)
    …and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services ... and accuracy of documentation in support of services billed; compliance with other documentation and coding and...5+ years of experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work,… more
    Cardinal Health (08/27/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …Interests (PQIs)** + Experience with healthcare laws and regulations, preferably with compliance requirements related to billing and coding , privacy and ... best and brightest talent in healthcare. **Job Description Summary:** The Analyst, Compliance Auditing, Monitoring and Analytics is responsible for supporting the … more
    Option Care Health (09/24/25)
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