• Claims Auditor ( Remote )

    WTW (Chicago, IL)
    …Care + Must demonstrate a high level of claims administration knowledge, including experience with medical , dental, mental health and Medicare + Detailed ... remotely within the posted locations. **Qualifications** **Qualifications** + 5+ years' experience in health claims adjudication gained preferably in a consulting… more
    WTW (07/11/25)
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  • Sr. Applied Stars and Quality Analytics Analyst…

    Prime Therapeutics (Springfield, IL)
    …of pharmacy, claims, medical , and/or financial data + Intermediate SAS or SQL coding skills + Previous experience in a client facing or consultative role + ... **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides information, analyses, and… more
    Prime Therapeutics (05/24/25)
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  • ( Remote ) Claims Adjuster - Auto Liability…

    Sedgwick (Springfield, IL)
    …who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( REMOTE ) Claims Adjuster - Auto Liability / Bodily Injury **PRIMARY PURPOSE** **:**… more
    Sedgwick (07/09/25)
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  • Software Development - GenAI Team - Remote

    SitusAMC (Springfield, IL)
    …for everyone, we proudly serve. At SitusAMC, we are looking to match your unique experience with one of our amazing careers, so that we can help you realize your ... Science/Engineering, Information Systems preferred or equivalent combination of education and experience + Experienced professional with 5+ years of industry and/or… more
    SitusAMC (07/02/25)
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  • Forms Completion Specialist - Remote

    Sharecare (Springfield, IL)
    …service. Applicants should have familiarity with medical terminology and medical office processes and procedures. Experience with Disability/ FMLA forms ... paperwork in a timely manner. * Strong understanding of medical terminology and familiarity with ICD-10 coding ....completing forms and documents. **Qualifications:** * 1 year prior experience in a medical records department or… more
    Sharecare (06/27/25)
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  • Physician AR Follow Up - remote

    Cognizant (Springfield, IL)
    experience in identifying procedures impacted by National Correct Coding initiatives edits (NCCI), technical payer policies, appeal documentation and resolution. ... + Other duties as assigned by management. Requirements: + 2-3 years of experience working in healthcare revenue cycle with specialty in physician claims. +… 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 ... remote /work-from-home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + ...certification from AHIMA (RHIT, CCS, CICA, CHCA) + Prior experience reading and coding from medical 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 ... multiple projects concurrently + In-office position, this is a non- remote role Preferred + + Experience with...experience ): Range from $65k - $75k Benefits: + Medical , Dental, 401k Benefits Package + PTO + Long-Term… more
    All-Stat Portable (07/10/25)
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  • Risk Adjustment Coder

    Humana (Springfield, IL)
    …and an ability to quickly learn new systems. **Preferred Qualifications** + Risk Adjustment Experience . + Coding Experience . + Proficient in the use of ... health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis...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-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence...Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or… more
    Datavant (06/25/25)
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