53 jobs found in Chicago, IL

Job Description Job Description ** Description ** This position is responsible for auditing, creating reports, managing findings, and reporting results based on regulatory requirements and operational controls evaluating and monitoring activities and functions delegated to contracted, delegated entities for assigned products and business lines according to all corporate and regulatory/accreditation requirements and standards. ** Required Job Qualifications: ** Bachelors degree in business or medical OR 4 or more years experience in a managed care environment.. 2 to 4years experience in overseeing delegated oversight activities. Project Management skills and experience. Knowledge of regulatory/accreditation requirements and standards both for CMS and State requirements i.e. (TDI, HFS, NMCC, CMS, NCQA, OIG, etc.). Verbal and written communication skills. Organizational skills and the ability to handle multiple priorities. PC proficiency to include Word,...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Remote Medical Biller (Dental Claims) We are seeking a detail-oriented Medical Biller to join our team. The primary responsibility of this role is entering and managing insurance claims using dental billing software. The ideal candidate will have prior experience in medical or dental billing, strong attention to detail, and the ability to work independently in a remote setting. Key Responsibilities: Accurately enter dental insurance claims into the billing software Review patient records to ensure accurate claim submission Verify insurance information and eligibility as needed Follow up on unpaid or denied claims to ensure timely reimbursement Maintain organized digital records of all billing activities Communicate with dental offices, insurance providers, and patients when necessary Ensure compliance with HIPAA and other billing regulations

Medical Laboratory Supervisor New Medical Laboratory Supervisor opening in the Chicago, Illinois area for permanent, direct hire! This client is actively interviewing! Job Details: -Full time, permanent supervisor opening -Full, comprehensive benefits package (PTO, health insurance, life insurance, 401k, etc) -All shifts open (you can choose!) -Lots of room for opportunity and career growth -LARGE sign on bonuses! Job Requirements: -ASCP (MLT/MT/MLS) certification or eligibility -Experience in the laboratory is required (supervisory or lead experience) -Minimum Bachelor's Degree in Science Interested in hearing more? Apply now or send a resume to marissak@ka-recruiting.com for consideration/questions. (Reference Code: MK4118)

Job Posting This is a remote position. BizTek People is hiring for the role of CERTIFIED UROLOGY CODER for our client in Lansing, Michigan Hospital Billing - Remote Coder CERTIFIED UROLOGY CODER Must have own equipment and urology coding experience Certifications Required GED Certified Professional Coding Certificate (AAPC), current with required continuing education CUC Skills & Experience Required 1 year of diagnostic and procedure coding experience Experience working in a multi-physician practice Working knowledge of CPT and ICD-10-CM Knowledge of computer billing systems, programs, and applications Detailed knowledge of medical records, anatomy, physiology, and disease processes Physician electronic filing experience covering all insurance carriers Provide procedure and diagnostic coding based on documentation in patient medical records Responsible for coding daily activities to support the revenue cycle process

Him Coder - Outpatient Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Pay Range: $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures. Other Information: Knowledge, Skills, and...

Billing Coding Auditor Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits. Learn more at our Rush benefits page. Pay Range: $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios, provide education and assistance to operational...

Vascular Surgery Coder The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer...

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

Coding Auditor And Educator Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM) Rush offers exceptional rewards and benefits. Learn more at our Rush benefits page. Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The...

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

Outpatient Medical Coder 3 Department: Health System Shared Services | Revenue Management Scope of Position: Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary: The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Coding Auditor And Educator Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (7:00:00 AM - 3:00:00 PM) Rush offers exceptional rewards and benefits. Learn more at our Rush benefits page. Pay Range: $32.00 - $52.08 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy. The...

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Day (United States of America) Location Ann & Robert H. Lurie Children's Hospital of Chicago Job Description Summary: Conducts retrospective audit of ambulatory and inpatient physician documentation to ensure billing accuracy and compliance. Accounts for concurrent inpatient billing accuracy and compliance for selected Divisions. Provides physician education on coding and documentation guidelines. Essential Job Functions: • Reviews and audits physicians' documentation in the medical...

Job Title: Certified Coder FLSA Status Full Time/ Exempt Job Summary / Overview A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for reimbursement. Minimal Qualifications/Experience/Skills: Responsibilities: Review claim edits/errors within billing system to ensure accuracy of coding and billing requirements. Compliance with medical coding guidelines and billing policies Receiving and reviewing patients' charts and documents for verification and accuracy. Obtain necessary clarification of information on the notes and charts from providers. Collecting information made by the Physician from different sources to prepare monthly reports, Implementing strategic...

Inpatient Facility Medical Coder (IVR) Employment Type: Full-Time (Remote) Duration: Contract to Hire Hours: Flexible Pay Rate: $40-$45 per hour (based on experience Benefits: LaSalle Network contractors have the opportunity to enroll in benefits including medical, dental, and vision insurance. Position Summary: The Inpatient Facility Medical Coder (IVR) is responsible for accurately assigning ICD-10-CM/PCS and CPT-4 codes for inpatient interventional radiology encounters and related procedures. This role ensures all coding is performed in compliance with federal, state, and payer-specific regulations while maintaining established productivity and accuracy standards. The ideal candidate has a strong understanding of IVR coding, anatomy, and physiology, and can work independently in a remote environment. Principal Duties and Responsibilities: Assign accurate ICD-10-CM/PCS and CPT-4 codes for inpatient IVR cases and related procedures. Abstract...

Description: Remote position; will utilize NM equipment. Description The Financial Coding Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsible for the translation of diagnoses and diagnostic/therapeutic procedures into codes using the International Classification of Diseases and Procedures and the Current Procedural Terminology systems. Generates accurate claims to insurance companies, verifying that infusion documentation and charges coordinate and appropriate modifiers are added. Research and resolves all inquiries from Revenue Cycle Departments in an efficient manner. Responsibilities: • Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types • Assigns Evaluation and Management codes for Facility...

Qualifications: - Outpatient Coder who can code all Hospital services - RHIA, RHIT, CCS, or COC Certification Job Descriptions: • Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system • Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines • Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed • May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc. • Provides coding feedback to providers, clinical department leadership, and revenue cycle team • Assist coding educators...

Summary: Our award-winning client is seeking a Global Compliance Auditor to join their team.As the Senior Global Compliance Auditor, you will be at the forefront of ensuring global sales and marketing compliance within the US operating divisions and international affiliates. This pivotal role involves conducting comprehensive audits across various areas, including but not limited to FCPA, Anti-Bribery, Anti-Corruption, Commercial Contracting/Pricing, Research Funding, No-Charge Goods, and HIPAA/Privacy Laws. Responsibilities: Compliance Audits: Conduct global sales and marketing compliance audits for US operating divisions and international affiliates. Scope of Audits: Oversee compliance audits in areas such as FCPA, Anti-Bribery, Anti-Corruption, Commercial Contracting/Pricing, Research Funding, No-Charge Goods, and HIPAA/Privacy Laws. Travel: Be prepared for 15% to 35% travel, both domestically and internationally, to effectively execute audit responsibilities....

Responsibilities Hartgrove Behavioral Health System consists of a 160-bed leading psychiatric hospital dedicated to providing quality behavioral health services for a diverse population of all ages. Hartgrove is a flagship behavioral health facility within Universal Health Services, Inc. and throughout Illinois. Hartgrove is a state-of-the-art facility offering some of the most advanced technologies and programs found in the behavioral health field. We are dedicated to our teamwork approach and provide a highly compassionate and therapeutic environment, as well as offering a continuum of specialty programs throughout our inpatient, partial and outpatient services. Coder/Release of Information (ROI) Job Description: Assembles, analyzes, abstracts, and codes medical records. Reconciles daily readiness report. Enters data into departmental computer system. Files miscellaneous reports. Retrieves records as requested. Answers Department Telephones. Handles release of...

Job Description Job Description Job Title: Auditor & Educator – Revenue Integrity Primary Location: Chicago, IL (Hybrid / Onsite as required) Position Type: Direct Hire Overview TalentFish is casting a line for an Auditor & Educator – Revenue Integrity to support a high-performing healthcare organization. This role is a key member of the Revenue Integrity team and is responsible for auditing EMR documentation, ensuring accurate coding and documentation, and partnering closely with clinical providers to improve revenue cycle integrity. The Auditor & Educator identifies trends, provides targeted education, and supports compliance initiatives to optimize reimbursement and reduce denials. What You Bring to the Role (Ideal Experience) Bachelor's Degree OR Associate's Degree with 5+ years of auditing experience Active CPC or CCS-P certification RHIA or RHIT certification with physician-based coding experience (contingent upon obtaining CPC or CCS-P...

Job Description Job Description Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Inpatient Coder II is the coding and reimbursement expert...

Job Description Job Description Description: Remote position. HIM Inpatient Coder - Strong academic, trauma and/or research university coding experience. Principal Duties and Responsibilities: • Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail • Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail • Completes UHDDS data abstraction as required • Maintains a log of work performed • Completes other assigned duties as directed by management Knowledge, Skills, and Abilities: • Knowledge: RHIA, RHIT, and/or CCS Certification • Minimum 3 years' experience Inpatient medical record coding • Knowledge of medical terminology and anatomy and physiology required • Windows applications, Outlook, WebEx and other apps as needed to perform role Abilities: • Ability to concentrate on task at hand in open distracting environment independent manner;...