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22 jobs found in Chicago

MM
Quality and Compliance Specialist (GxP Site Auditor)
MMS Chicago, IL, USA
Job Description Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma’s international awards programs for the last three consecutive years. For more information, visit  www.mmsholdings.com  or follow MMS on LinkedIn. Job Specific Skills Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. Understanding of how to plan, prepare...

Dec 02, 2023
AG
Medical Coder
Asherone Group Chicago, IL, USA
Job Description Job Description Do you absolutely love to be of service to others? Are you organized and detail-oriented? If so, the Medical Coder role could be a great fit for you. Our client is looking to fill several Entry Level Medical Coder positions to maintain patient care records by compiling, reviewing, and filing documentation of patient's condition, treatment, and health outcomes. Responsibilities: Maintains and contributes to patient care by organizing and maintaining patients' medical records and health information. Communicates with patients, medical professionals, and insurance companies. Answers requests for information and documents. Performs clerical duties such as typing, filing, emailing, and proofreading as required. Updates and reviews medical records by reviewing information, notifying health care providers of record deficiencies, and tracking outstanding records. Categorizes diagnoses, treatments and conditions using standardized healthcare...

Dec 02, 2023
IM
Medical Biller
Inspire Medical Billing Chicago, IL, USA
Job Description Job Description Inspire Medical Billing is actively looking for billing specialists (fully-remote) to support our hospital partnership. Epic suite experience is desired but not required. Current billing methodology, ICD-10, experience with various specialties and experience with denial codes will be helpful in this position. Willing to train the right individuals but please come with knowledge of medical billing and claim submission experience. 

Dec 02, 2023
TC
Remote Orthopedic Coder
The Coding Network LLC Chicago, IL, USA
Job Description Job Description The Coding Network (TCN) is the country's premier coding and auditing company with over 850 single specialty physician coders and auditors. All of our coders and auditors work remotely from home, set their own hours, and can earn over 20% more than the average AAPC coder or auditor’s salary. TCN’s Orthopedic division is experiencing unprecedented growth and we need to contract with multiple new coders who can work as few as 15 hours a week. Our E&M division is also looking to add coders with Ortho E&M experience but does not have any immediate needs. All Coder applicants must: Have a minimum of three (3) years of Orthopedic Surgical Specific Coding Have an active coding certification (CPC, RHIA, RHIT, RCC) Live and work in the United States of America Take and pass TCN’s Orthopedic Coding Exam If you meet the following criteria and are willing to test please submit your resume. NOTE: When submitting your resume, we are...

Dec 02, 2023
MC
Medical Claims Supervisor (Hybrid)
Managed Care Staffers Chicago, IL, USA
Job Description Job Description Hybrid Direct Hire F/T Medical Claims Supervisor Needed in Aurora, IL Our client, a growing Union Health and Welfare Fund located in Aurora, Illinois, has a staffing need for an experienced, partially remote, direct hire, full-time Quality Assurance and Training Medical Claims Supervisor. Competitive yearly compensation and great Union benefits. This is a direct hire, full-time position Hours: Monday-Friday (8:00am to 4:30pm) with a 1 hour unpaid lunch for a total of 37.5 hours per week. Job Responsibilities: Supervise a team of direct reports and oversee the department’s Quality Assurance (QA) and training programs by identifying training needs through analysis and trending of Department quality results. Responsible for partnering with internal and external parties to ensure that the company goals and deadlines are met. Provides leadership, motivates, advocates, trains, mentors, coaches, develops team and delegates work. Oversee...

Dec 02, 2023
WP
Medical Biller - Outpatient Pediatrics
Weissbluth Pediatrics Chicago, IL, USA
Job Description Job Description Weissbluth Pediatrics is looking for a Medical Biller/Accounts Receivable/Claims Manager, who is highly motivated, responsible, reliable and detail-oriented with billing experience. THIS IS NOT A REMOTE POSITION  The ideal candidate will have 2-3 years of strong Outpatient Billing, Accounts Receivable, and Collections experience. Job Requirements: Experience with full cycle billing, insurance claims processing, payment processing, insurance denial follow up, and patient collections Follow up on insurance claim aging. Re-submit insurance claims as necessary and knowledgeable of timely filing restrictions Resolution of rejected claims (denials) via appeals, dispute unpaid claims, and other issues with EOBs Manage electronic billing and batch submission Review EOBs and post EOBs into practice management system Reconcile Accounts Receivable with Bank Statements Collect all copayments, outstanding balances for patient responsibility Must be...

Dec 02, 2023
SR
Senior Global Compliance Auditor
Stealth Recruiting Services Chicago, IL, USA
Job Description Job Description 95k to 110k  Job Description The Senior Compliance Auditor has the primary responsibility to conduct global sales and marketing compliance audits for the US operating divisions and international affiliates. Scope may include but not limited to compliance audits in the following broadly described areas: Research Funding No-Charge goods HIPAA/Privacy Laws FCPA Anti-Bribery Commercial Contracting/Pricing. Travel - 15% to 35% Domestic and International Qualifications What you will bring! At least 3 years of experience with a major public accounting, consulting or law firm in a client-facing capacity Broad knowledge and experience in FCPA and/or the healthcare industry Bachelor’s Degree in from a four-year college or university 15 – 35% travel to international and U.S. locations Why is This a Great Opportunity Our client is one of the top global pharma's. This is a highly visible Leadership Development Rotation Program. You...

Dec 02, 2023
AD
Medical Biller -Remote
ADEX Chicago, IL, USA
Medical Biller We are seeking qualified and dedicated Medical Billers to join our team. Demonstrate an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers. Your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. You must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job. Attention to detail will be highly important. Medical Biller Responsibilities: Perform daily download and reconciliation of claims from patient accounting system to electronic billing system. Transmit or release claims at a minimum daily. Work all assigned claims daily by resolving edits, validating...

Dec 01, 2023
RP
Associate Director, Field Medical- Hematology (Southern CA, HI. NV)
Regeneron Pharmaceuticals, Inc West Chicago, IL, USA
As an Associate Director, Field Medical Affairs you be a field facing representative engaging in the exchange of scientific data, medical or information with KOLs, HCPs, researchers, pharmacists and population-based decision makers. We are to demonstrate a thorough understanding of B-Cell Malignancies including NHL and Multiple Myeloma aligned with our strategic plans. Territory: Southern California, HI, Nevada- Las Vegas A typical day may include the following: Identifying and maintaining a list of relevant medical/therapeutic area experts, investigator targets and associated plans of action. Establishing, fostering, cultivating and maintaining peer relationships with KOLs in Hematological Malignancies Act as the primary clinical/scientific resource to HCPs in the territory for information pertaining to disease state and Regeneron’s product ensuring awareness and understanding. Participates in the development and management of company sponsored clinical trials including....

Nov 30, 2023
BS
Senior Global Compliance Auditor
Buckingham Search North Chicago, IL, USA
The Senior Global Compliance Auditor has the primary function to conduct global sales, marketing, and healthcare compliance audits and formulate recommendations for improving operating performance and controls. The scope of compliance audits may include, but is not limited to, the following areas: Anti-Bribery / Anti-Corruption Promotional / Non-promotional practices Third Party Relationships Grants & Donations/Research Funding Monitoring & Transparency Reporting Patient Support Programs Contracting / Pricing Privacy Laws Responsibilities: Communicate and present audit findings professionally to executive senior management as well as his/her peer group Apply intelligent considerations and sound risk-based reasoning when evaluating audit findings Identify key risks and plan audits accordingly to address those risks Find opportunities for improvements in sales & marketing compliance practices when measured against corporate policies, local country policies and...

Nov 28, 2023
1R
Medical Biller - Chicago, IL
1Stop Recruiting Chicago, IL, USA
Job Description Job Description Multi Specialty Practice in Chicago, IL is seeking a Medical Biller to join our team! You will work closely with patients to help within their budgets. Offering: Competitive Salary Salary: $18-21/hr. Health, Dental and Vision Insurance 401K, Retirement Plan 1 week Paid Time Off, 1 week STO Monday-Friday Schedule Responsibilities: Review and accurately code medical procedures and diagnoses for billing purposes Prepare and submit electronic and paper claims to insurance companies Follow up on unpaid claims and resubmit as necessary Verify patient insurance coverage and obtain any necessary authorizations Process payments from insurance companies and patients Qualifications: Previous experience as a Medical Biller Previous knowledge of ICD-10 and CPT coding Familiarity with electronic health records and billing software Ability to reliably commute to office Wiling to help out and fill in where needed REF# CF9260091110

Nov 25, 2023
MH
Certified Coder (Data Analyst Required) - REMOTE - CA ONLY
Molina Healthcare Chicago, IL, USA
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management,...

Nov 23, 2023
TR
Pro Fee - HCC Nurse/Coder Consultants
TalentRise, An Aleron Company Chicago, IL, USA
Full time employee consultants - must be located in United States - preferred CST and EST Our client is looking for experienced ProFee Consultant Clinicians to join their growing team as full time employees in a team-based environment and have responsibility for ProFee opportunity identification, ProFee education and training, and general client support. They will also be engaged in assessments, implementations, and ongoing support, including HCC, E/M changes, Value-Based Purchasing and Population Health/ACO to ensure clients are positioned for success in these areas. Consultants are responsible for chart reviews and audits, creating or updating tools and educational materials, providing education and training, client mentoring, ProFee clinical documentation process reviews and enhancements, supporting the enhancement of the offering, and client support. Heavy involvement and role in overall client interaction and satisfaction. Partner with clients in all phases of CDI...

Nov 23, 2023
Qa
Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German
QUAD, a SolomonEdwards Company Chicago, IL, USA
Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global...

Nov 20, 2023
AR
HIM Coder III
Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL, USA
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description A registered health information administrator (RHIA), accredited health information technician (RHIT) or certified coding specialist (CCS) or certified coding professional (CCP) is required. One to three years prior coding experience in the health care information management industry. Must maintain credential status through continuing education requirements. Incumbent must also maintain up-to-date on coding changes and requirements. Ability to handle...

Nov 18, 2023
AR
Physician Billing Coder III
Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL, USA
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description Summary: Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines. Essential Job Functions: •Reviews and audits physicians' documentation in the medical record and the level of CPT code selection to verify accuracy through a...

Nov 16, 2023
TL
Medical Biller
The LaSalle Group Chicago, IL, USA
Job Description Are you looking for a new opportunity to grow your existing skillset while also gaining valuable experience to grow your own career? Our client, a nationally recognized healthcare provider, rewards teamwork, quality and innovation with opportunities for growth and development. A leading training program giving you the tools you need to succeed has been put in place to make sure your new opportunity will be off to a fantastic start! The ideal candidate will have between 1-3 years of medical billing/collections experience. Our client is looking for a Medical Biller to bill commercial insurance carriers primarily. The leadership team is looking for knowledgeable revenue cycle professional who can start immediately! Medical Biller Responsibilities : Maintain knowledge of functional area and company policies and procedures Ensure all claims are accurately transmitted daily and meet team goals Complete follow-up of claims on a timely basis...

Nov 10, 2023
UH
CODER - Release of Information (ROI), Full Time
UHS Chicago, IL, USA
Responsibilities Coder/Release of Information (ROI) Job Description: Assembles, analyzes, abstracts, and codes medical records. Reconciles daily readiness report. Enters data into departmental computer system. Files miscellaneous reports. Retrieves records as requested. Answers Department Telephones. Handles release of information. Provides cross training and serves as a mentor to other Chart Analysts. Complies with hospital policies and procedures and state/federal regulations regarding confidentiality of records. Participates in employee orientation and on-the-job training. Participates in Performance Improvement activities - concurrent and retrospective chart reviews and other duties as assigned by the Medical Records Department Supervisor. Hours: Monday through Friday from 8:00AM to 4:30PM Qualifications JOB SPECIFICATIONS: To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description....

Oct 31, 2023
TB
Full Time
 
Abstractor/Coder II
Taleo BE Chicago, IL, USA
Department ​   BSD OBG - Billing and Information Systems About the Department ​ The Department of Obstetrics and Gynecology has 114 clinical providers, providing care at the main hospital in Hyde Park and seven off site locations. We have More than 60,000 outpatient visits, 25,000 ultrasound visits, 2,800 deliveries, 3,000 gynecological surgeries per year. Teaching, research and the highest quality clinical care are top priorities for the Department. The residency and fellowship programs are highly ranked and have a history of training leaders in healthcare. The Department also has a significant research enterprise, engaging in population health studies, as well as research conducted in wet laboratories on tumor biology and the mechanisms of hypertensive diseases in pregnancy. The department was...

Apr 29, 2023
TB
Full Time
 
Abstractor/Coder II
Taleo BE Chicago, IL, USA
Department ​   BSD SUR - Clinical Revenue Staff About the Department ​ Operating since 1927 on a strong foundation of multidisciplinary clinical and academic excellence, the University of Chicago Department of Surgery's mission is to meet the most challenging and complex health problems on both a local and global scale. Many of our faculty members are known for their contributions to the advancement of groundbreaking surgical procedures and techniques, including minimally invasive surgery. In addition to our department's clinical work, our scientists pursue a diverse range of basic, translational, and clinical research projects, including studies on the gut microbiome, tissue bioengineering, stem cell research, cancer, and immunotolerance. This ongoing work and achievement would not be possible...

Apr 29, 2023
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