• Coding Data Quality

    CVS Health (Springfield, IL)
    …with heart, each and every day. **Position Summary** **Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA ... to demonstrate proficiency in the following:** **Proven ability to support coding .** **Judgment and decisions using industry standard evidence and tools.** **Ability… more
    CVS Health (07/18/25)
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  • Coding Auditor Educator

    Highmark Health (Springfield, IL)
    …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… 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 ... moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior… more
    Humana (06/26/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Springfield, IL)
    …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. As the Senior Clinical ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
    Humana (07/19/25)
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  • Remote Claims Auditor

    NTT DATA North America (Decatur, IL)
    …and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a ... At NTT DATA , we know that with the right people on board, anything is possible. The quality , integrity, and commitment of our employees have been key factors in… more
    NTT DATA North America (07/08/25)
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  • Physician Billing & Coding Educator

    Rush University Medical Center (Chicago, IL)
    …special projects individually or in collaboration with other departments. 13. Track coding quality and documentation improvements to measure ROI, organizational ... and organizational skills. **Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or Surgical Coding certifications * Experience… more
    Rush University Medical Center (06/12/25)
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