- 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
- 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
- Elevance Health (Chicago, IL)
- **Be Part of an Extraordinary Team** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly ... Payment Integrity , is determined to recover, eliminate...the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _… 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
- 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
- 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
- Nelnet (Springfield, IL)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more
- Astellas Pharma (Northbrook, IL)
- …system and pharmaceutical reimbursement environment (government and private payers) including coverage, coding and payment + Understanding of the dynamic legal ... focus on addressing unmet medical needs and conducting our business with ethics and integrity enables us to improve the health of people throughout the world. For… more
- Health Care Service Corporation (Chicago, IL)
- …units) within AI Solutions, with topics that include Claims and Payment Integrity , Member Engagement, Utilization Management, Document Intelligence, Risk ... of a purpose-driven company that will invest in your professional development. **Job Summary** We are looking to hire...does not require "hands on" technical work such as coding . We are looking for a businessperson who has… more