- Carle Health (Champaign, IL)
- … audit team.Identifies and quantifies refunds due payers.Performs investigations of billing/ coding processes.Represents Compliance , as needed, on committees, at ... and leadership. Serves as a subject matter expert on revenue cycle compliance , providing informed guidance and addressing inquiries from both internal and external… more
- R1 RCM (Chicago, IL)
- …review and correct billing edits, internal and external reporting, research, and regulatory compliance ). Under the direction of the Coding Leadership Team, the ... of official coding conventions and rules established by the American Medical Association (AMA) (ie:Documentation Guidelines '95 & '97) + Extensive knowledge of… more
- CIBC (Chicago, IL)
- …lending and treasury management. **KEY ACCOUNTABILITIES** + Support the Bank's compliance with all applicable federal, state, and local banking regulations and ... to internal stakeholders, ensuring that all departments are aware of their compliance obligations + Assist with the development of content of compliance… more
- Coinbase (Springfield, IL)
- …us as we scale worldwide. Essential to scaling is building and running a security compliance program that reflects how we protect the data and assets in our care, to ... love working with fast moving companies to expand our compliance advisory program and create positive change across the...security risk management qualifications like CISA, CISSP, CISM * Coding knowledge a plus, but not a requirement (eg… more
- CIBC (Chicago, IL)
- …part of the Bank's Second Line of Defense, the Credit Risk Regulatory Compliance Manager serves as the Credit Risk Management representative for regulatory, Internal ... to deliver high quality processes and procedures while ensuring compliance with CIBC requirements standards, work practices, processes, security standards… more
- Ankura (Chicago, IL)
- …globally recognized independent experts who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges. ... solutions for clients requiring proactive or reactive support for compliance , accreditations, operations, investigations, and/or litigation/dispute matters generally focused… more
- CVS Health (IL)
- …+ Comprehensive knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify and ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
- Datavant (Springfield, IL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... own workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and… more
- Datavant (Springfield, IL)
- …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Datavant (Springfield, IL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and… more
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