• Billing Coding Auditor

    Rush University Medical Center (Chicago, IL)
    …**Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **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
    Rush University Medical Center (08/29/24)
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  • Revenue Cycle Coding Operations…

    Huron Consulting Group (Chicago, IL)
    …Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... partnerships, clinical services and technology is not enough to create...performance. Reports directly to the Revenue Cycle Director. The Manager is responsible for managing performance, which encompasses operational… more
    Huron Consulting Group (08/01/24)
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  • Manager , Clinical Trials & Charge…

    Rush University Medical Center (Chicago, IL)
    …national origin, disability, veteran status, and other legally protected characteristics.** **Position** Manager , Clinical Trials & Charge Capture - 100% Remote ... input to his/her supervisor to identify areas of opportunity within the manager 's scope, escalate risk and resolve barriers. This position will provide direction,… more
    Rush University Medical Center (09/05/24)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Chicago, IL)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area Team… more
    Fresenius Medical Center (08/07/24)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Chicago, IL)
    …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
    Fresenius Medical Center (06/22/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/06/24)
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  • Clinical Trials Research Coverage Analyst…

    Rush University Medical Center (Chicago, IL)
    …Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** Reporting to the Director/ Manager of Clinical Trials Research Revenue Cycle, this position will create ... Able to learn and apply technical knowledge in the areas of clinical research, medical coding and revenue cycle in a consultative manner. * Excellent verbal and… more
    Rush University Medical Center (07/25/24)
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  • Surgical Clinical Reviewer

    Rush University Medical Center (Chicago, IL)
    …This is accomplished through close collaboration with the Clinical Data Abstractor, Clinical Quality Program Manager , and QSVA team to ensure reliable data ... improvement within current data collection methods and collaborates with Clinical Quality Program Manager to initiate and...PA, CNL, or CNS preferred * Knowledge of hospital coding and documentation, DRGs, and ICD10-CM coding more
    Rush University Medical Center (07/11/24)
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  • RN Clinical Documentation Improvement…

    AdventHealth (Glendale Heights, IL)
    … Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing ... SKILLS PREFERRED** * Knowledge of clinical documentation requirements that identify clinical conditions or procedures. * Coding background. * Knowledge of… more
    AdventHealth (06/19/24)
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  • Financial Analysis Senior Manager

    The Cigna Group (Chicago, IL)
    The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a ... matrix teams under responsibility (c) is expected to be the largest focus for the manager in the medium and long term. This individual will work with various teams… more
    The Cigna Group (08/23/24)
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  • Sr. Product Manager (Hybrid)

    American Medical Association (Chicago, IL)
    Senior Product Manager Chicago, IL (Hybrid) The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit ... our corporate offices in Chicago for a Senior Product Manager on our Health Solutions team. This is a...print, digital, web/online, and licensable form-factors. + Experience with clinical data transport standards (eg, FHIR), content standards (eg,… more
    American Medical Association (08/30/24)
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  • [Home Care] Customer Care Manager

    BrightStar Care (Wheaton, IL)
    …Qualify? . You have at least 2 years of Experience as Customer Care Manager and/or managing customer service within a healthcare office setting; knowledge of HIPAA ... properly trained and available as needed. * Billing and coding management * Assists with the intake of new...reporting of organization activities * Assures proper maintenance of clinical records in compliance with local, state and federal… more
    BrightStar Care (08/29/24)
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  • Sr Revenue Integrity Regulatory & Systems Analyst

    Rush University Medical Center (Chicago, IL)
    …**Summary:** The Senior Revenue Integrity Analyst uses advanced knowledge of coding , CDM, charge capture, and auditing to proactively make regulations actionable, ... Analyst also provides proactive high-level professional support in working advanced outpatient coding edits as well as auditing charges for service lines with… more
    Rush University Medical Center (09/05/24)
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  • Revenue Integrity Analyst

    Rush University Medical Center (Chicago, IL)
    …4:30:00 PM) **Summary:** The Revenue Integrity Analyst uses advanced knowledge of coding , CDM, charge capture, and auditing to solve complex charging scenarios, ... Integrity Analyst also provides high-level professional support in working advanced outpatient coding edits as well as auditing charges for service lines with… more
    Rush University Medical Center (08/29/24)
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  • Decision Analyst - Fraud, Waste, & Abuse

    CVS Health (Chicago, IL)
    …in Fraud, Waste or Abuse (or Payment Integrity) + 5+ years' experience in clinical coding or consulting + Certification in Professional Coding **Preferred ... of healthcare claims and will work on identifying opportunities and delivering clinical / coding insights with internal and external teams. Collaborates with… more
    CVS Health (08/31/24)
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  • Accreditation Data Coordinator - Bone Marrow…

    Rush University Medical Center (Chicago, IL)
    …5:00:00 PM) **Summary:** This position works directly with the program medical director, clinical manager and staff to report statistical data to operationally ... position are coordination and analysis of data and all clinical status information of patients referred to bone marrow...statistical analysis and reports to program director and program manager to keep in compliance of industry standards, in… more
    Rush University Medical Center (07/27/24)
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  • Key Account Director - Great Lakes Region…

    Gilead Sciences, Inc. (Chicago, IL)
    …this role are ATC leadership C-Suite (CEO, CFO, CBO), VP Finance, VP Clinical Ops, CAR T Service Line Lead, Outreach Coordinator, Inpatient Directors / Enrollers, ... Patient Access Manager and the Reimbursement Team. **Key Responsibilities of the...coverage with ATC. Educate ATC around reimbursement, coverage and coding . + Provide ongoing education of Key Stakeholders within… more
    Gilead Sciences, Inc. (08/09/24)
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  • RN Hospital Bill Audit/Appeal Lead

    Elevance Health (Chicago, IL)
    …**Minimum Requirements** + Requires AS in nursing and minimum of 5 years of clinical experience and minimum of 2 years of claims review experience; or any ... and control principals and working knowledge of CPT/HCPCS and ICD 10 coding and medical policy guidelines strongly preferred. + Certification as a Professional… more
    Elevance Health (09/06/24)
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  • Engineer III

    Elevance Health (Chicago, IL)
    …delivers significant cost- of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. The **Engineer III** will ... complex components of information systems + Mentors others on coding standards and performs code reviews + Reviews test...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/06/24)
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