6 lead coder jobs found in Springfield, IL

Overview Review provider documentation and assign ICD-10-CM, CPT/HCPCS codes as appropriate based on official coding guidelines. Research and take action on any coding/claim edits. Focus on complex outpatient hospital based (Observation, Emergency Department, Wound, Ambulatory Surgery) and provider based complex procedural services (surgery, procedures, wound). Responsibilities Follow all coding policies, procedures and standard operating procedures. Use encoding software and reference materials to assign appropriate codes. Provide provider-driven coding: review and accept or revise code selection based on documentation and guidelines. Provide non–provider driven coding: review documentation and assign codes based on guidelines. Review coding edits and resolve them accurately so encounters can be sent to claims. Send clear, respectful communications to providers in inbox or queries when additional information is needed. Identify and communicate to Coding Lead/Supervisor/Manager any...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.Position Summary• Reviews provider documentation and revises and/or assigns ICD-10-CM codesand 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, EmergencyDepartment, Wound, Ambulatory Surgery) or provider based complex proceduralservices (surgery, procedures, wound).Principal Accountabilities• Standards of Performance: Respect, Integrity, Compassion, Collaboration,Stewardship, Accountability, QualityEducation• High School Diploma required. Preferred Associate or Bachelor Degree inHealth Information or a healthcare related discipline.Licenses and Certification• Required:o RHIA, RHIT, or CCS (hospital)o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)Experience and Skills• Hospital & Provider Based:o...

AbbVie is seeking a Senior Auditor in Internal Audit to lead compliance-focused audits across U.S. and international locations. You will perform audits, analyze data from SAP and payroll systems, and present findings to leadership while upholding AbbVie’s Code of Conduct and audit standards. The role requires at least 3 years in a client-facing capacity, knowledge of FCPA or healthcare, and willingness to travel 15–35%. Office-based collaboration at AbbVie locations is expected. #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...

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...

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...