• Inpatient Medical Coding Auditor

    Humana (Springfield, IL)
    …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
    Humana (09/24/25)
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  • DRG Coding Auditor

    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 ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
    Elevance Health (10/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (10/22/25)
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  • Coding Investigator Auditor

    Health Care Service Corporation (Quincy, IL)
    …medical, contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research; preparing documentation of findings ... or acquire within 24 months of hire** **3 years experience in claims processing operations and reporting systems, including 2 years experience in auditing… more
    Health Care Service Corporation (10/23/25)
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  • Physician Billing & Coding Educator

    Rush University Medical Center (Chicago, IL)
    …each case. **Summary:** As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient ... organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience working… more
    Rush University Medical Center (08/27/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify ... methodologies. + Certified in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or similar certification preferred.… more
    Option Care Health (10/19/25)
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