- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Elevance Health (Chicago, IL)
- **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Elevance Health (Chicago, IL)
- **DRG Coding Auditor Principal** **_Virtual: _** _ _ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
- Rush University Medical Center (Chicago, IL)
- …for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The professional will work ... **Other information:** **Required Job Qualifications:** * Bachelor's Degree * Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based… more
- Highmark Health (Springfield, IL)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding , auditing, documentation ... ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to charging, and… more
- Health Care Service Corporation (Quincy, IL)
- …license in state.** **Certified Coder preferred** **3 plus years of claim adjudication/ payment integrity ** **3 years clinical experience** **This is a ... be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for performing clinical, billing,… more
- Rush University Medical Center (Chicago, IL)
- …on-time, which has a direct relationship with audit outcomes. The Revenue Integrity Audit Coordinator also provides high-level professional support to the ... vary depending on the circumstances of each case. **Summary:** The Revenue Integrity Audit Coordinator uses advanced organizational skills to account for audit… more
- Humana (Springfield, IL)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Medical Express Ambulance Service (Skokie, IL)
- …end-to-end revenue cycle, including claims processing, denial management, account resolution, payment posting, coding , credentialing, and auditing. + Ensure ... claims processing. The Director leads a team of 15 employees, fosters professional development, and drives performance metrics to maximize financial outcomes and… more