53 jobs found in Springfield

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,...

Sarahbush is looking for a Coder Professional-3 in Illinois, responsible for assigning ICD-CM, CPT, and HCPCS codes. This role involves interactions with medical staff and ensuring accurate documentation for coding processes. The ideal candidate must hold a High School Diploma and have relevant certification. The position offers flexibility with remote and on-site options and pays based on experience, starting at $22.72. #J-18808-Ljbffr

Humana Inc in Springfield, Illinois is looking for a Senior Market Consultation / Partnership Professional (Nurse Medical Coder) to support clinical documentation and coding practices. In this role, you will perform detailed medical record reviews, validate coding compliance, and engage with clinical teams to enhance documentation standards. The ideal candidate holds an active RN license and possesses strong knowledge of ICD-10-CM coding. This remote position may require occasional travel to Humana's offices for meetings and training. #J-18808-Ljbffr

## Coder Hospital-2Applyremote type: On-Site or Remotelocations: Remote Office - ILtime type: Full timeposted on: Posted Todayjob requisition id: JR104701**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder Hospital-2**Job Description**Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Department: Medical Record ManagementHours: Full time, 40 hours/weekShift: 1st shiftLocation: \*Remote Work\*Required: HS diploma, One of the following upon hire: CCA, CPC, RHIT, RHIA or CCSPay: Based on experience, starting at $22.72**Responsibilities**Assists physicians with record documentation needs by requesting...

10 Sarah Bush Lincoln Health Center is seeking Coders – Hospital responsible for technical coding tasks, including coding diagnoses and procedures. This role involves interaction with medical staff and adherence to established coding principles. The ideal candidate will possess a high school diploma and be certified in one of the relevant coding disciplines. The position offers full-time hours at $22.72 per hour, with remote work flexibility and essential contributions to medical record management. #J-18808-Ljbffr

A leading healthcare data platform seeks experienced inpatient coders to join their remote team. The role requires accuracy in coding using ICD-10 standards, along with significant experience and certifications such as CCS or RHIT. Ideal candidates should communicate effectively and possess strong attention to detail. As part of the team, you'll contribute to improving healthcare decisions and outcomes. This remote role offers flexibility and competitive pay within a collaborative work environment. #J-18808-Ljbffr

The Illinois Secretary of State is seeking a Securities Enforcement Auditor I in Springfield. You will conduct financial reviews and regulatory compliance examinations of registered securities dealers, investment advisers, and associated entities. Responsibilities include preparing comprehensive reports, investigating fraudulent activities, and providing expert testimony in proceedings. Applicants must have a bachelor’s degree in accounting or a related field and one year of relevant experience. This role requires a valid Illinois driver’s license and offers a salary range from $4,695 to $8,304 monthly, dependent on experience. #J-18808-Ljbffr

Sarahbush is seeking a Coder Hospital to manage the technical coding process, including ICD-CM/PCS, CPT, and HCPCS codes. The role focuses on ensuring proper documentation and coding for medical encounters, with a strong emphasis on accuracy and compliance. The ideal candidate will have a High School diploma and necessary coding certifications, with a starting pay range of $22.72 to $35.22 based on experience. This position will be on-site or remote depending on preferences. #J-18808-Ljbffr

Job Summary Coders – Hospital are responsible for technical coding, including assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. The role interacts with medical staff, nursing, ancillary departments, provider offices and outside organizations. Responsibilities Assist physicians with record documentation needs by requesting clarification for additional information. Educate physicians and ancillary staff about documentation needed for the coding process. Contact physician offices and/or SBL departments as needed for diagnostic information to code encounters. Assist with training new coding staff as requested. Code all types of encounters as assigned and assist coworkers as needed. Code and finalize inpatient and outpatient technical encounters based on established production standards. Meet quality standards of having 95% of diagnoses and...

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

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. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

Allergan is seeking an Associate Scientific Director for US Medical Affairs to provide medical and scientific strategic input into core medical activities. This role emphasizes collaboration with marketing, sales, and medical affairs while facilitating medical education initiatives and market access. The position is based at the Mettawa, IL office with a hybrid schedule of three days on-site per week. Ideal candidates will possess a scientific degree and 3-5+ years of experience in the pharmaceutical industry. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Dormont Manufacturing Co in Springfield seeks an Auditor to assist in executing financial and operational audits. Responsibilities include evaluating internal controls, conducting audit tests, and preparing detailed reports. The role requires a Bachelor's degree, strong analytical, communication, and interpersonal skills. This full-time position is on-site with travel between office buildings. Comprehensive benefits include health plans, retirement savings, and education assistance. #J-18808-Ljbffr

Northwestern Memorial Healthcare in Illinois is seeking a Coding Specialist to abstract and code medical records. This role requires certifications in health information management and offers a supportive workplace with comprehensive benefits. The ideal candidate should possess strong coding abilities, exceptional communication skills, and the ability to work in a fast-paced environment. Join us and contribute to our patient-first mission while enjoying competitive salary and benefits. #J-18808-Ljbffr

Cook County Health is seeking a Health Information Management Coder to abstract clinical information accurately for reimbursement and compliance. The role requires coding using ICD-10-CM, CPT-4, and ensuring quality standards are met. Candidates should possess a high school diploma or G.E.D. and have coding experience, with preferred certifications such as RHIA or CCS. The position offers a comprehensive benefits package including medical coverage and paid time off. #J-18808-Ljbffr

Ozarks Community Hospital, Inc. in Springfield, Missouri, is hiring a Medical Billing Specialist for the Patient Finance department. This role involves managing billing and collections for Accounts Receivable and may offer optional remote work after training. Applicants should possess a high school diploma and ideally have a minimum of 3 years of specialized medical billing experience. The position also includes a comprehensive benefits package, PTO, and a supportive working environment. #J-18808-Ljbffr

Orthos Inc is looking for a Billing Specialist to join their remote team. You will be responsible for answering patient inquiries, reviewing insurance claims, and submitting appeals. The ideal candidate will have at least 2 years of medical billing experience, particularly in orthopedics, and knowledge of insurance processes. Strong attention to detail and excellent communication skills are a must. This role supports a flexible work environment, allowing you to contribute effectively from your home. #J-18808-Ljbffr

Napleton Auto Group is looking for a Compliance Auditor for its Oak Brook Terrace office. This role involves auditing dealership deals to ensure compliance with operational processes. Candidates should have a minimum of 2 years in automotive billing/accounting and be proficient with Microsoft Office and CDK. The position offers $24/hour plus a chance for a $500 monthly bonus, along with benefits like medical, dental, vision, and paid vacation. Join a family-owned business with over 90 years in the industry! #J-18808-Ljbffr

Napleton Automotive Group is seeking a Compliance Auditor for their Oak Brook Terrace office. This role involves reviewing and auditing dealership deals to ensure compliance with operations standards. We offer $24 per hour with a monthly performance-based bonus up to $500, a Monday to Friday schedule for work/life balance, and comprehensive benefits including medical, dental, vision, and 401K. Applicants need 2+ years in automotive billing and proficiency in CDK. #J-18808-Ljbffr

We offer $24/hour plus a monthly bonus opportunity of up to $500. Are you an Automotive Dealership Biller looking for a great opportunity in a corporate setting? The Ed Napleton Automotive Group is looking for a Compliance Auditor as we continue to grow our team. This is an exciting opportunity in a growing, fast-paced industry. Located at Napleton Automotive Group’s Oak Brook Terrace office , the Compliance Auditor is responsible for reviewing and auditing deals for Napleton’s portfolio of dealership locations to ensure compliance with Napleton’s variable operations processes and standards. The Ed Napleton Automotive Group is affiliated with over 25 brands of new vehicles and 50+ dealerships throughout seven states. Our strength comes from the more than 3,500 employees nationwide. We are currently the tenth largest automotive group in the country, providing incredible growth opportunity. What We Offer $24 per hour and a monthly performance-based bonus opportunity of $500....

MAXIMUS is seeking candidates for a role focused on clinical data coding in Springfield, MA. Responsibilities include auditing medical records, entering data, and training staff on coding processes. The ideal candidate should have a high school diploma and at least 2 years of data entry experience. Additional qualifications include excellent communication skills and experience with MS Office applications. This role allows for home office work with provided equipment and requires a reliable high-speed internet connection. The salary range is between $22.98 and $30.00 hourly, depending on experience. #J-18808-Ljbffr

Rmedems in Saint Elmo, IL is seeking a Billing Specialist to review and analyze medical records for accurate coding and billing. You will work with ICD-9 and ICD-10 coding systems, verify patient insurance information, and submit claims for reimbursement. The ideal candidate will possess strong attention to detail, excellent organizational abilities, and familiarity with medical terminology and billing guidelines. Previous experience in medical billing or coding is preferred. This is a hybrid position with flexible work options. #J-18808-Ljbffr