- Deloitte (Chicago, IL)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... investigations, regulatory concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and… more
- Rush University Medical Center (Chicago, IL)
- …requirements are met. Present necessary medical information such as history, diagnosis, CPT codes and clinical notes. Provide specific medical information to ... on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or… more
- Datavant (Springfield, IL)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT , and appropriate coding references for accurate DRG and APC assignment. +… more
- Oracle (Springfield, IL)
- …exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim ... **Job Description** Oracle Clinical AI Assistant (CAA) allows providers and their...+ Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT , ICD coding structures, and billing forms (UB, 1500).… more
- Datavant (Springfield, IL)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...State Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word,… more
- Carle Health (Champaign, IL)
- …inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT , or HCPCs codes and appropriate coding software such as ... guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation ... of the International Classification of Diseases (ICD), Current Procedural Terminology ( CPT ), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to… more
- Rush University Medical Center (Chicago, IL)
- …accuracy and documentation adequacy. The professional will work collaboratively with clinical providers to improve revenue cycle integrity while seeking and ... coding optimization. The incumbent will regularly conduct coding reviews of CPT , ICD-10, and modifier utilization. Provide feedback and focused educational programs… more
- Carle Health (Peoria, IL)
- Overview Assist provider and other clinical staff with obtaining basic vital information preparing patient for examination, treatment and minor surgical procedures. ... follow patients monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms… more
- Rush University Medical Center (Chicago, IL)
- …section): o Medical Laboratory Scientist (MLS) via the American Society for Clinical Pathology (ASCP) o Medical Technologist (MT) via the American Medical ... Technologists (AMT) o Blood Bank (BB) or Specialist in Blood Banking (SBB) via the ASCP o...Finance to ensure that the proper billing, accounting, auditing, CPT coding, Medicare/Medicaid billing procedures and protocols are followed… more