- Elevance Health (Chicago, IL)
- …spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate… more
- ICW Group (IL)
- …want to be here! **PURPOSE OF THE JOB** The purpose of the Field Premium Auditor is to conduct insurance premium audits in the field to determine the actual ... premium to be charged for policy coverages. This role will audit policyholder's records and apply rules and company standards. This position exists to ensure… more
- Elevance Health (Chicago, IL)
- …Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Elevance Health (Chicago, IL)
- …and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible… more
- Datavant (Springfield, IL)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- R1 RCM (Chicago, IL)
- …facing Mentor role. **Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment + Provide detailed rationale and ... transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise… more
- Highmark Health (Springfield, IL)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding… more
- Datavant (Springfield, IL)
- …healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
- Ryder System (Dekalb, IL)
- **Position Description** Ryder is immediately hiring Permanent Full Time Warehouse VAS Auditor in Dekalb, Illinois Warehouse Positions Pay Weekly + Hourly Pay: ... the WAIT! + On the Job Paid Training + Medical , Dental, Vision, 401 K etc. Start at 30...that may include employment and education verification; motor vehicle records check and a road test; and/or badging or… more
- Humana (Springfield, IL)
- … Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more