17 jobs found in Springfield

Medical Coding Supervisor Become a part of our caring community and help us put health first. The Supervisor, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Supervisor, Medical Coding works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. Use your skills to make an impact. Required Qualifications: Bachelor's Degree or equivalent experience A minimum of five years of billing and coding experience in a health care organization CPC (Certified Professional Coder) Certification required through AAPC or CSS Certification through AHIMA Preferred Qualifications: Prior Supervisor experience Passionate about contributing...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives...

Hcc Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system,...

It is inspiring to work in an organization where individuals are deeply committed to the mission and values that drive our success. We are dedicated to delivering expert pension service to Illinois public educators as they earn their promised retirement security. Under the supervision of the Employer Services Supervisor or Manager, the Compliance Auditor I performs a variety of audit functions for TRS to ensure salary and service credit information reported by TRS‑covered employers comply with the Illinois Pension Code and related administrative rules. With over 140,000 eligible members and almost 1,000 covered employees, the Compliance Auditor I plays a pivotal role in the back‑office operations of auditing contributions. The incumbent must possess organizational skills and the ability to communicate effectively with coworkers, employers and members both verbally and through written correspondence. Advanced knowledge and understanding of defined benefit contributions and the...

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians, facilities,...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Coding Specialist Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. Coding focus is complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) or provider based complex procedural services (surgery, procedures, wound). Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education: High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification: Required: RHIA, RHIT, or CCS (hospital) RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based) Experience and Skills: Hospital & Provider Based: RHIA, RHIT, CCS None. Provider Based: CCS-P, CCA, or CPC 3 years procedural coding required. Physical Activities: Intermittent hand...

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. The Associate Director/Director, MSLs is responsible for the leadership, direction and management of MSLs in the region and works collaboratively with the Medical Affairs Senior management with strategic and tactical planning, working collaboratively with Medical Affairs and Clinical Development teams for support of clinical...

Coding Specialist This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. This position covers advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Coding Coding at 95% or above accuracy for Complex Surgical coding, General Surgery, Plastics Surgery, Bariatrics Surgery, GI, Potential other Surgical areas depending on needs of dept. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Assign correct CPT, ICD-10-CM; HCPCS; or ICD-10-PCS and DRGs for professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or Surgical coding. Monitor activity for compliance with federal and/or state laws...

Overview Facility: Dayton Children's - South Campus Department: Medical Imaging Schedule: Full time Hours: 40 Job Details: Ensures that Dayton Children’s first value of Safety is the priority in all aspects of their work and work environment. Provides direct supervision to all clinical staff in assigned department of Medical Imaging. Manages staff time cards and schedule, including approving PTO requests, etc., while ensuring critical staffing levels are maintained and that staff are assigned appropriately to support various departments which require imaging services. This is a working supervisor position, with supervisors expected to be productive members of staffing approximately 50% of the time on average. Supervisors may be required to flex hours outside of regular schedule to meet the needs of the department. Partners closely with department Manager(s) to support clinical operations, employee engagement, and performs rounding on patients/family to capture positive...

The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists at a specific client site. The Site Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations, and are completed in a timely manner. This is an On-Site Position TASKS AND RESPONSIBILITIES Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave, and vacancies. Prioritizes work to ensure completion of the ROI function. Adjusts work assignments as needed to cover peak periods, leave, and vacancies at the staffed hospital sites. Provides coverage in the event of backlogs, illness, vacation, or leave of absence of medical record staff. Performs Quality Assurance monitoring of work performance for the ROI Specialists. Conducts productivity and work...

Job Requisition ID: 51377 Closing Date: 11/21/2025 ​Agency: Illinois Gaming Board Class Title: PUBLIC SERVICE ADMINISTRATOR - 37015 Skill Option: Special License - Certified Internal Auditor Bilingual Option: None Salary: $8,281 - $12,223 / Monthly; CBA Language Applies Job Type: Salaried Category: Full Time County: Sangamon Number of Vacancies: 1 Bargaining Unit Code: RC062 Technical Employees, AFSCME Merit Comp Code: The Illinois Gaming Board is seeking a Compliance Auditor in the Finance and Audit Division. If you have the needed experience and qualifications, we encourage you to apply! The Illinois Gaming Board is committed to creating a diverse work environment and is proud to be an equal opportunity employer. The Illinois Gaming Board (IGB) serves as regulatory body for all gambling activities across the state of Illinois. The IGB administers a regulatory and tax collection system for the expanding casino gambling, video gaming, and sports wagering in Illinois. We are...

Compliance Auditor Req number: R6613 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global technology services firm with over 8,500 associates worldwide and a yearly revenue of $1 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As the Compliance Auditor, you will focus on trade compliance operations, ensuring timely and lawful movement of export-controlled goods and technology. Job Description We are looking for an experienced Compliance Auditor to focuses on trade compliance operations, ensuring timely and lawful movement of export-controlled goods and...

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JOB DESCRIPTION Job Summary Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and regulations, which will protect the Business from liability of fraudulent or abusive practices. Ensures that the Business understands and complies with applicable laws and regulations pertaining to the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. KNOWLEDGE/SKILLS/ABILITIES Performs on-going compliance audits utilizing as necessary, state evaluation tools relating to audit/monitoring activities. Identifies and defines audit scope and criteria, reviews and analyzes evidence, and documents audit finds, including making recommendations for improvement and correction where identified. Provides comprehensive advice to assigned department regarding compliance risks with respect to Federal and State regulations and...

Requisition ID:23110Location:Sage FullertonLocation Address:1150 W.Fullerton Ave 2nd Floor, Chicago, IL 60614 United States (US)Daily Hours:8Standard Hours:40Employment Status:Full-timeEmployment Type:RegularShift:DayFLSA:ELPN Clinical Supervisor, Practice Management - Presence Medical GroupThis position is located at 1150 west Fullerton, Chicago, IL 60614Under the supervision of the Practice Manager or Regional Director, the individual in this role coordinates various clerical and medical functions to provide efficient and effective operations of a single or multiple physician medical practices.Duties & Responsibilities:Supervises clinical office operations and the workflow of Medical Assistants.Coordinates personnel and equipment resources to achieve stated medical office objectives.Schedules clinical employees and maintains employee assignments, work schedules and PTO schedules.Performs and oversees scheduling of patients and provides appropriate preparations.Monitors...

Coder IP/OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family — our community. Position Details Hourly Base Rate: $29.54 - $37.60 Shift Hours Per Week: 40 hours SEIU Local 49 represented position Date Posted: 09/16/2025 Job Summary Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Relies on limited experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works under general supervision. Reports to the Director of Health Information Management. Qualifications Minimum, high School diploma or equivalent, CPC, CCS,...