• Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    …Experiences:** + One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information ... conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings… more
    Elevance Health (01/01/25)
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  • Process Improvement Director-HEDIS

    Elevance Health (Chicago, IL)
    …Must reside within 50 miles/1hour commute from the posted Elevance Health locations. This **Process Improvement Director-HEDIS** will be responsible for enterprise ... minimum of 10 years of process improvement experience with planning, project management , business analysis, and leadership role experience; or any combination of… more
    Elevance Health (12/21/24)
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  • Clinical Trials Research Coverage Analyst…

    Rush University Medical Center (Chicago, IL)
    information :** Experience/Qualifications/ Competencies: * Bachelor's Degree in a health -related discipline, eg pharmacology, nursing, biology. * One to five ... research medical billing and coding. Certifications may include Certified Professional Coder (CPC), Certified Coding Specialist (CCS) and Certified Medical Coder more
    Rush University Medical Center (11/21/24)
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  • Revenue Integrity Analyst

    R1 RCM (Chicago, IL)
    …cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1(R) is a ... services are billed and reimbursed appropriately. **Qualifications:** + Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or similar coding… more
    R1 RCM (12/24/24)
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  • Coding Associate III

    R1 RCM (Chicago, IL)
    …Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional ... The Professional Services Coder will be responsible for reviewing clinical documentation...in a professional manner. * Able to accurately abstract information from the medial records into the abstract system,… more
    R1 RCM (12/22/24)
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  • Coding Quality Associate

    R1 RCM (Chicago, IL)
    …guidelines to support recommended changes, and communicates the changes to the coder involved on a timely basis. The Reviewer provides expert coding advice ... in the audit software tool, workflow processes and flag management ; and assist with evaluation and testing of audit...in a large (> 500 beds) hospital or multi-hospital health system is preferred. Training in hospital Clinical Documentation… more
    R1 RCM (12/14/24)
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