• Coding Auditor

    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 will ... 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
    R1 RCM (07/30/25)
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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 ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
    Elevance Health (07/22/25)
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  • Physician Billing Coding Auditor

    R1 RCM (Chicago, IL)
    …patient satisfaction and improves financial performance. R1 is currently seeking a Physician Coding Auditor with a background in Physician coding , billing, ... guidelines. The Auditor must understand medical terminology, coding , contractual agreements, and various payment methodologies. This position requires… more
    R1 RCM (07/29/25)
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  • Coding Auditor Educator

    Highmark Health (Springfield, IL)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (05/09/25)
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  • Senior Inpatient Medical Coding…

    Humana (Springfield, IL)
    …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
    Humana (08/02/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Springfield, IL)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
    Humana (07/29/25)
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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 records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (07/25/25)
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  • Physician Billing & Coding Educator

    Rush University Medical Center (Chicago, IL)
    …and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience ... a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of...reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work… more
    Rush University Medical Center (06/12/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Chicago, IL)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (08/01/25)
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