49 jobs found in Springfield

Department:10116 Enterprise Corporate - Administration: Medical Staff ServicesStatus:Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:This role covers two hospital sites Condell Medical Center and Good Shepherd Hospital. It is also hybrid. 2-3 days a week in office and the rest from home.Pay Range$30.70 - $46.05Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations.Major Responsibilities:Implements, coordinates, monitors, and maintains effective credentialing processes for...

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. *****On-Site Only**** 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...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

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...

Sr Med Bill Examiner - CJ10DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including: -Analyzing of bill for proper assignment of detailed medical coding information -Interpreting workers compensation rules for repricing -Entering/correcting data of medical...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

Datavant is seeking experienced outpatient coders to join a collaborative team aimed at transforming healthcare data management. This fully remote position allows flexibility while maintaining high standards in coding accuracy. Ideal candidates possess AHIMA or AAPC certifications, 2+ years of coding experience, and proficiency in various coding specialties. Datavant offers comprehensive training, equipment support, and competitive benefits. #J-18808-Ljbffr

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...

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: 6/22/2026 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...

Harris Computer is looking for a Billing Representative to manage the timely and accurate submission of patient bills to various insurance payors. This role involves maintaining customer relationships and ensuring that financial goals are met. This is a remote position open to candidates across the United States, with a preference for those who can align their work schedule with Central Time. #J-18808-Ljbffr

Serco is seeking a Compliance/Fraud Specialist in Springfield, Illinois. This position supports federal programs aiding individuals seeking government health insurance. You will conduct compliance reviews and manage fraud risk activities, collaborating with various teams. The ideal candidate possesses a Bachelor’s degree and at least 3 years of related experience. Strong analytical and communication skills are essential. The role involves evaluating compliance and supporting audits within federal programs. #J-18808-Ljbffr

Abbott Laboratories is hiring a Senior Compliance Auditor to ensure quality compliance and protect patient safety. This role requires leading audits across Abbott's manufacturing sites, evaluating compliance with global regulations, and identifying process improvements. Candidates should have a degree in a scientific discipline, with 7+ years in the medical device industry and in-depth knowledge of ISO 13485. The position involves significant travel (up to 50%) and offers a salary range of $99,300 – $198,700. #J-18808-Ljbffr

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You will also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company...

PowerToFly is seeking an Associate Scientific Director/Scientific Director for US Medical Affairs. The role includes providing strategic medical input, overseeing clinical studies, and ensuring compliance with regulatory requirements. Ideal candidates should possess a PhD or PharmD and have extensive experience in Medical Affairs and clinical trials. This position offers a comprehensive benefits package, including paid time off and medical insurance. #J-18808-Ljbffr

ARMA International is seeking a Compliance Auditor to coordinate compliance auditing activities and assist the Deputy Chief Compliance Officer. You will support the development of the Compliance Audit Plan and assist in proactively auditing billing and coding. The successful candidate will have a Bachelor's degree in a relevant field and experience in a healthcare setting, ideally with a certification in medical coding. Strong analytical and communication skills are essential for this role. #J-18808-Ljbffr

10 Sarah Bush Lincoln Health Center is seeking an Internal Auditor to oversee auditing coding and billing accuracy. This role involves coordinating with clinical and administrative staff to enhance documentation practices and mitigate denials. Key qualifications include a High School Diploma and Certified Professional Coder (CPC) certification. The position offers a dynamic environment and a compensation range of $26.35 - $40.84 per hour, commensurate with experience. #J-18808-Ljbffr

Baylor Scott & White Health is looking for a Physician Compliance Auditor II to conduct audits focused on coding and compliance activities from the comfort of your home. This role involves evaluating documentation for outpatient, inpatient, and emergency services to maintain compliance and improve practices. The ideal candidate will have a strong background in coding, auditing, and significant experience with CPT and ICD-10. A competitive salary ranging from $26.66 to $40.00 per hour is offered based on qualifications and experience. #J-18808-Ljbffr

Abbott Laboratories is seeking a Senior Quality Engineer to support audit preparation and execution in Abbott Park, Illinois. The role requires a four-year degree and a minimum of three years in auditing or quality assurance within the pharmaceutical or medical device sectors. Responsibilities include reviewing documentation, coordinating audits, and ensuring compliance with regulations. The position offers a salary range of $78,000 to $156,000, and is part of a company recognized for its diverse opportunities and commitment to employee well-being. #J-18808-Ljbffr

About Otsuka We defy limitation, so that others can too. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka’s opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for a Medical Omnichannel Data Scientist , with strong expertise in artificial intelligence, encompassing machine learning, data mining,...

Humana Inc is hiring a Medical Coding Coordinator to join their team. This remote position involves extracting clinical information from medical records, assigning medical codes, and supporting administrative tasks. Candidates must have a coding certification and at least 3 years of experience as a Certified Medical Coder. The role requires attention to detail, problem-solving skills, and familiarity with Medicare and Medicaid coding guidelines. Humana offers a competitive pay range from $48,300 to $65,900 annually, along with comprehensive benefits. #J-18808-Ljbffr

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

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

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

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