3 jobs found in Naperville

Medical Coder II This position has a deep understanding of disease process, A&P and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service. Position Highlights: Position: Medical Coder II Location: Warrenville, IL Full Time/Part Time: Full Time Hours: Monday-Friday, day shift What you will do: Assigns diagnostic and procedure codes for compliant physician reimbursement and for both evaluation/ management, preventive (HCC risk adjustment) and surgical services under general supervision. Communicates daily regularly with physicians and staff to resolve discrepancies with patient records and coding selections. Performs provider audits on E/M (evaluation/management) services and HCC review on Medicare/Medicare Advantage preventive services and educates providers as needed. Trains physicians and other staff regarding documentation, billing and coding, and...

Medical Professional Liability Claims Manager Responsible for the management of medical professional liability claims and litigation for IHA affiliates which include the Illinois Provider Trust, Illinois Risk Management Services and Medical Alliance Insurance. Manages the professional and general liability claims for assigned healthcare systems, hospitals and physicians. Provides on-site client services, develops and presents educational programs and collaborates with risk management staff on identification and mitigation of risk management issues. Outline of Responsibilities: Responsible for management, case strategy and implementation of case action plan in collaboration with defense counsel Presuit evaluation of claims including investigation, medical record review, liability analysis, expert retention and discussion with insureds and clients Analyze claim submissions from clients and establish and maintain claim files and reserves Evaluate liability or...

IHA seeks a qualified individual to manage medical professional liability claims and litigation for its affiliates. You will work closely with healthcare systems and collaborate with risk management staff to mitigate issues. The ideal candidate should have a Bachelor’s degree, extensive claims or litigation experience, and proficiency in Microsoft Office. A competitive compensation package and excellent benefits are offered. #J-18808-Ljbffr