- Rush University Medical Center (Chicago, IL)
- …the position. Offers may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing , ... to ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to… more
- Elevance Health (Chicago, IL)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
- R1 RCM (Chicago, IL)
- …As our ** Coding Auditor ** , you will help ensure accurate medical coding and billing for our client, optimizing revenue cycle management. Every day you ... your knowledge with others. **Here's what you will experience working as a** ** Coding Auditor :** + Conduct audits of work completed by coders and auditors to… more
- Highmark Health (Springfield, IL)
- … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
- Humana (Springfield, IL)
- …3 or more years of healthcare experience in revenue cycle management (related to billing , coding , collections for Medicare and Medicaid claims) + Experience with ... federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates… more
- Rush University Medical Center (Chicago, IL)
- …of federal, state, and payer-specific regulations and policies pertaining to documentation, coding , and billing , with demonstrated ability to interpret such ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
- Elevance Health (Chicago, IL)
- …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding … more
- Elevance Health (Chicago, IL)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
- Datavant (Springfield, IL)
- …coding experience with ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health ... bold vision for healthcare. **What We're Looking For** A Coding Supervisor capable of overseeing the daily operations of...is completed within established turnaround times to support timely billing . **What You Need to Succeed** + 2+ years… more