• Compliance Audit Manager

    Cardinal Health (Springfield, IL)
    …and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + Prepares written reports of audit ... define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG… more
    Cardinal Health (11/08/25)
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  • Nurse Auditor 2

    Humana (Springfield, IL)
    …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... 2 validates and interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to conduct a clinical… more
    Humana (12/11/25)
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  • Senior Claim Denial Prevention & Appeals…

    Oracle (Springfield, IL)
    …ICD coding structures, and billing forms (UB, 1500). + Experience with coding , clinical validation, and medical necessity for outpatient and inpatient stays. ... burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators… more
    Oracle (12/11/25)
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  • Certified Risk Adjustment Medical Coder…

    Ascension Health (Elk Grove Village, IL)
    …experience, preferred (NEW GRADUATES WELCOME) + Experience in HCC or chronic condition coding + Experience in medical practice outpatient setting **Why Join Our ... Registration: + One or more of the following required:* Certified Coding Specialist (CCS) credentialed from the American Health Information ManagementAssociation… more
    Ascension Health (12/03/25)
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  • Certified Medical Assistant (CMA/RMA)…

    Carle Health (Peoria, IL)
    …monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or requisitions ... needed for referrals or lab testing, including appropriate CPT/ICD-10 coding . Answer questions and provide teaching to patients and family members. Qualifications… more
    Carle Health (12/13/25)
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  • Supply Technician

    Veterans Affairs, Veterans Health Administration (Marion, IL)
    …as well as inventory systems such as the generic inventory package (GIP), bar- coding , aseptic procedures and Logistics processes. Duties include but are not limited ... outdates; Monitors and controls critical supplies; Performs daily inventory using bar coding equipment on a predetermined schedule that will allow for timely… more
    Veterans Affairs, Veterans Health Administration (12/06/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Springfield, IL)
    …in care management. The clinical scenarios predominantly arise from outpatient , inpatient or post-acute care environments. Has discussions with external ... may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, disputes processes, and appeals processes, and… more
    Humana (11/24/25)
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  • Referral Coordinator

    ChenMed (Oak Lawn, IL)
    …or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. + Ensures patient's external missed appointment ... + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + Detail-oriented with the ability to multi-task....+ Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding of the company's patient… more
    ChenMed (09/29/25)
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  • Regional Vice President of Revenue Cycle

    Prime Healthcare (Chicago, IL)
    …Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits ... and end-to-end management of revenue cycle operations, acute care and outpatient facilities. Key areas of responsibility include scheduling, registration, insurance… more
    Prime Healthcare (12/03/25)
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  • Senior Clinical Documentation Analyst, AI…

    Oracle (Springfield, IL)
    …+ Evaluate AI-generated medical notes (eg, SOAP, Progress Notes) from ER, outpatient , and hospital workflows to enhance accuracy and usability of our current ... workflows, and documentation standards (eg, SOAP, Progress Notes) from ER, outpatient , or hospital settings. + Strong verbal and written communication skills… more
    Oracle (11/25/25)
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