• ( Remote ) Claims Adjuster - Auto Liability…

    Sedgwick (Springfield, IL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( REMOTE ) Claims Adjuster - Auto Liability / Bodily Injury **PRIMARY PURPOSE** **:** ... and client. + Ensures claim files are properly documented and claims coding is correct. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and… more
    Sedgwick (07/09/25)
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  • Software Development - GenAI Team - Remote

    SitusAMC (Springfield, IL)
    …Jenkins, Git, Bitbucket, or similar tools + Interest and ability to learn other coding languages as needed + Strong communication skills both written and verbal + ... LangGraph for GenAI pipeline development + Vector store integration for RAG \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive or… more
    SitusAMC (07/02/25)
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  • Sr. Software Engineer ( Remote / Hybrid)

    UMB Bank (Springfield, IL)
    …the Kansas City, MO and Ogden, UT metropolitan areas and open to qualified remote candidates outside of the Kansas City/Ogden area but only within the US.** **_How ... in driving the team's technical strategy and direction including implementation of key coding principles. + Provide mentorship to members of the team and help foster… more
    UMB Bank (06/05/25)
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  • Sr. Applied Stars and Quality Analytics Analyst…

    Prime Therapeutics (Springfield, IL)
    …**Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides information, analyses, and ... conducting complex analysis on large sets of pharmacy, claims, medical , and/or financial data + Intermediate SAS or SQL..., and/or financial data + Intermediate SAS or SQL coding skills + Previous experience in a client facing… more
    Prime Therapeutics (05/24/25)
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  • Forms Completion Specialist - Remote

    Sharecare (Springfield, IL)
    …about Disability/FMLA paperwork in a timely manner. * Strong understanding of medical terminology and familiarity with ICD-10 coding . * Proficiency in ... highest quality product and customer service. Applicants should have familiarity with medical terminology and medical office processes and procedures. Experience… more
    Sharecare (06/27/25)
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  • Physician AR Follow Up - remote

    Cognizant (Springfield, IL)
    …payer denials, experience in identifying procedures impacted by National Correct Coding initiatives edits (NCCI), technical payer policies, appeal documentation and ... benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + 401(k)… more
    Cognizant (07/09/25)
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  • Inpatient DRG Quality Auditor

    Humana (Springfield, IL)
    …This is a full-time, remote /work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the...remote /work-from-home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + … more
    Humana (06/17/25)
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  • Medical Billing Manager

    All-Stat Portable (Skokie, IL)
    …HIPAA and all other health information management issues and regulations + Comply with medical billing and coding policies and guidelines + Report all department ... + Insurance eligibility and authorization + Preparing claim for submission (including coding ) + Address and resolve coding -related billing issues by consulting… more
    All-Stat Portable (07/10/25)
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  • Risk Adjustment Coder

    Humana (Springfield, IL)
    …and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to ... as well as internal policies and guidelines while analyzing coding information and medical records. + Works...shift for 40 hours a week. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
    Humana (07/11/25)
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  • Inpatient Medical Coder - FT - Up to $5,000…

    Datavant (Springfield, IL)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
    Datavant (06/25/25)
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