48 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,...

Medical ICU Clinical Supervisor (Non-Exempt) (84030N) Find your calling at Mercy! The Clinical Supervisor assures delivery of safe, high-quality and cost-effective care provided by competent co-workers. They ensure efficient utilization of available resources to meet productivity and financial goals. Clinical Supervisor works collaboratively and effectively with other administrative personnel, physicians and co-workers to communicate and improve processes across the continuum. Clinical Supervisor ensures units are appropriately staffed to provide patient care. Clinical Supervisor is proactively involved in patient flow and bed management issues in collaboration with the Staffing Office. They are leaders who inspire a shared vision, demonstrating the value of change and presenting it to co-workers with enthusiasm. Clinical Supervisor models the way by displaying professional standards, a positive attitude, and engaging co-workers to become leaders of change. They challenge...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Overview 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. What We’re Looking For Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We’re looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

Datavant is seeking a Lead Coder to join their remote healthcare coding team in Springfield, Virginia. The ideal candidate will possess extensive hands-on experience with EPIC systems, including configuration and troubleshooting, and have a solid understanding of medical terminology. You will oversee coding tasks, manage workflows, and collaborate with various teams. This role offers a flexible schedule and important benefits like health insurance and paid time off, with a salary range of $35-$45 per hour based on experience. #J-18808-Ljbffr

Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 04/24/2026 Closing Date: 5/18/2026 3:30 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

Humana Inc is hiring for the role of Inpatient Medical Coding Auditor. This position involves extracting clinical information from medical records and assigning appropriate codes. Candidates should have essential certifications (RHIA, RHIT, CCS) and at least 4 years of relevant experience. The role is primarily remote, with some flexibility, and typical work hours are Monday-Friday. Competitive compensation of $71,100 - $97,800 annually is offered, along with comprehensive benefits including healthcare and paid time off. #J-18808-Ljbffr

The Cigna Group is hiring a Medical Coder in Springfield, IL, responsible for conducting outpatient claims and appeals determinations under regulatory requirements. Candidates should have a high school diploma/GED and coding certification (CPC or CCS-P) with coding experience and research skills. The position offers an hourly rate of $19-$29 and an annual bonus plan, along with comprehensive health benefits and 401(k). This role supports the company’s commitment to enhancing client health and vitality. #J-18808-Ljbffr

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Rotating Shifts (United States of America) SUMMARY OF JOB RESPONSIBILITIES: The Assistant Nurse Manage/Clinical Supervisor is a member of the management team who assists the Nurse Manager with the daily operations of the nursing unit/department on a 24-hour basis. The Assistant Nurse Manager provides direct supervision of staff and may be required to work some weekend, holiday and shifts to ensure management presence and visibility according to departmental needs. The Assistant Nurse Manager participates in employee selection and evaluation, in scheduling and staffing, coaching and counseling, and in the development and adherence to clinical and budgetary standards. The Assistant Nurse Manager/Clinical Supervisor provides leadership to unit-based work groups, i.e., PI and unit committees. He/she provides and coordinates direct patient care. QUALIFICATIONS: Licensed by...

Assistant Nurse Manager/Clinical Supervisor The Assistant Nurse Manager/Clinical Supervisor is a member of the management team who assists the Nurse Manager with the daily operations of the nursing unit/department on a 24-hour basis. The Assistant Nurse Manager provides direct supervision of staff and may be required to work some weekend, holiday and shifts to ensure management presence and visibility according to departmental needs. The Assistant Nurse Manager participates in employee selection and evaluation, in scheduling and staffing, coaching and counseling, and in the development and adherence to clinical and budgetary standards. The Assistant Nurse Manager/Clinical Supervisor provides leadership to unit-based work groups, i.e., PI and unit committees. He/she provides and coordinates direct patient care. Qualifications: Licensed by the State of Ohio as an R.N. required. Graduate of an accredited school of nursing required. BSN required or must obtain within 3 yrs....

Coder IP/OP - Health Information Management 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: $30.43 - $38.73 Shift: Days, M-F Shift Hours Per Week: 40 hours/week, 8-hour shifts SEIU Local 49 represented position Date Posted: 04/20/26 Job Summary: Abstract and code from all types of records, both inpatient and outpatient. Provide accurate, timely and complete data for the hospitals patient care information system to support the quality assurance program, statistical and data collection needs and the billing process. Perform in-depth analysis of the entire content of the medical record and assign diagnoses and procedure codes according to national guidelines for...

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...

Coder 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: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Date Posted: 02/20/2026 Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of...

Become a part of our caring community The Medical Coder 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 Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates databases. 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 guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure correct...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to Athena IDX, TouchWorks,...

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...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

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. 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 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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Job Description This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines Job Relationships Reports to the Coding Unit Manager Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities,...

Benefits: 401(k) Bonus based on performance Dental insurance Health insurance Job Summary Surgical practice is looking for a office supervisor to oversee the day-to-day operations and staff at its multiple offices. This person will actively promote high levels of patient relations and customer service in a cost-effective manner, as well as demonstrate and guide relationships among staff that promote professionalism and respect. In this role, you will coordinate all administrative duties and office procedures, ensuring the workplace operates smoothly and efficiently. Your responsibilities will include scheduling meetings, paying invoices, negotiating with vendors, and maintaining office equipment. The ideal candidate is highly organized with excellent verbal and written communication skills and the ability to implement systems and procedures. Candidate Experience: Previous staff management and office operations experience in a large healthcare / medical group...

A leading health data exchange company is seeking a Remote Inpatient Auditing Specialist. The ideal candidate has a minimum of 5 years of inpatient coding experience and is proficient with MS-DRG and APR-DRG. Responsibilities include conducting coding audits and providing coder education. This role offers flexibility and the opportunity to contribute significantly to healthcare decisions. The pay range is competitive, ranging from $35 to $45 per hour. #J-18808-Ljbffr

Humana Inc is hiring a Code Edit Disputes Supervisor to manage a remote coding disputes team in Illinois. The role includes overseeing operational processes, leading continuous improvement initiatives, and collaborating with management for consistency. Candidates should have at least 6 years of medical coding experience and 2 years in a leadership role. Preferred qualifications include a CPC certification and bachelor's degree. This full-time position offers a pay range of $71,100 - $97,800 per year, with generous benefits focused on well-being and professional development. #J-18808-Ljbffr

Datavant is seeking a Lead Coder to join their coding team. Candidates should have extensive experience with EPIC systems and medical terminology, along with strong analytical skills. Responsibilities include managing workflows, supervising coders, and ensuring timely coding processes. This fully remote position offers a flexible schedule and a competitive salary range of $35—$45 per hour, along with comprehensive benefits for full-time employees, including medical and dental coverage, 401k plans, and paid time off. #J-18808-Ljbffr