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EH
Full Time
 
Medical Coding Appeals Analyst
Elevance Health Indianapolis, IN, USA
Medical Coding Appeals Analyst Anticipated End Date: 2025-12-31 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria....

Nov 19, 2025
Ru
Billing Coding Auditor
Rush Chicago, IL, USA
Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue Integrit 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 (https://www.rush.edu/rush-careers/employee-benefits). 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...

Dec 17, 2025
CH
Medical Technologist Supervisor (Notional Opportunity)
Comprehensive Health Services Chicago, IL, USA
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....

Dec 17, 2025
UH
Release of Information / Coder
UHS Chicago, IL, USA
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...

Dec 17, 2025
TU
Clinical Data Analyst - Same Day Surgery/Observation Coder
The University of Chicago Medicine Chicago, IL, USA
Job Description Be a part of a world-class academic health-care system at UChicago Medicine as a Clinical Data Analyst – Same Day Surgery/Observation Coder . This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.   In this role, the Clinical Data Analyst – Same Day Surgery/Observation Coder, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting.    Essential Job Functions   Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts  Abstracts key data elements required for billing  Reviews records for clinical pertinence  Interacts with providers for clarification of documentation/education  Abstracts and codes records, for patient...

Dec 17, 2025
SI
Inpatient Coder - 3106164
Solve IT Strategies, Inc. Chicago, IL, USA
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;...

Dec 17, 2025
TC
Remote Medical Coder
The Coding Network LLC Chicago, IL, USA
Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

Dec 17, 2025
Uo
Medical Records Coder II
University of Rochester Chicago, IL, USA
Job Posting As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 105 H Compensation Range: $19.96 - $27.94 Responsibilities General Purpose: Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for designated leader(s). Essential Functions: Uses knowledge of...

Dec 17, 2025
OS
Outpatient Medical Coder 3
Ohio State University Chicago, IL, USA
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...

Dec 17, 2025
CS
DRG Coding Auditor Principal
Chicago Staffing Chicago, IL, USA
DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case...

Dec 17, 2025
EH
DRG Coding Auditor
Elevance Health Chicago, IL, USA
DRG Coding Auditor Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and...

Dec 17, 2025
HH
Inpatient Coder 2 Certified / HIM Coding
Hartford HealthCare Chicago, IL, USA
Coding Specialist Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and more complex accounts including but not limited to, medical, surgical behavioral health, IP Rehabilitation and others. Position Responsibilities Key Areas of Responsibility Coding Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses...

Dec 17, 2025
CS
HIM Coder
Chicago Staffing Chicago, IL, USA
Job Posting Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records Work Type: Full Time Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 AM) Pay Range: $29.36 - $47.79 per hour 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 Abilities: High School (GED) required RHIA, RHIT, and/or CCS Certification required Minimum 3 years experience in medical record coding required Knowledge of medical terminology and anatomy and physiology required Windows applications, Outlook, WebEx and other apps as needed to perform role Cooperates well with others Competent attention to detail and accuracy Proficient with...

Dec 17, 2025
CS
Specialty Medical Coder
Chicago Staffing Chicago, IL, USA
Contract Position: Automation Support This is a 6-9 month set contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; must sit in driving distance to a facility for equipment support - prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Responsibilities: Assigns procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborate with Clinical Auditors to...

Dec 17, 2025
IH
Patient Support Medical Biller/Claims Processing Representative (Home-Based)
IQVIA Holdings Chicago, IL, USA
Patient Support Medical Claims Processing Representative Contract Remote Role Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and...

Dec 17, 2025
IS
Specialty Medical Coder
Illinois Staffing Chicago, IL, USA
Contract Position: Automation Support This is a 6-9 month contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; must sit in driving distance to a facility for equipment support - prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Responsibilities include: Assigning procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assigning diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Researching and resolving coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborating with Clinical...

Dec 17, 2025
TL
Inpatient Facility Coder (IVR)
The LaSalle Network Chicago, IL, USA
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 and enter required data...

Dec 17, 2025
RV
Medical Biller
Remote VA Chicago, IL, USA
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

Dec 17, 2025
CS
Associate Director, Medical Science Liaison - Midwest - R2585-3490
Chicago Staffing Chicago, IL, USA
Associate Director Medical Science Liaison At Insmed, every moment and every patient counts - and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, youll be part of a community that prioritizes the human experience, celebrates curiosity, and values every persons contributions to meaningful progress. That commitment has earned us recognition as Science magazines No. 1 Top Employer for four consecutive years, certification as a Great Place to Work in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, were in. Are you? About the Role: The Associate Director Medical Science Liaison will develop and maintain professional relationships with external healthcare practitioners to provide comprehensive medical and scientific support for the therapeutic area of Chronic Rhinosinusitis without Nasal...

Dec 17, 2025
Uo
Abstractor/Coder I
University of Chicago Chicago, IL, USA
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...

Dec 17, 2025
HC
Revenue Cycle Coder
Huron Consulting Group Chicago, IL, USA
Coder-Inpatient Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly...

Dec 17, 2025
Re
Associate Director, Field Medical Affairs Rare Disease-Bone & Genetic Medicine (Central US states)
Regeneron Chicago, IL, USA
Associate Director, Field Medical Affairs As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based, professional within our General Medicine Rare Disease group. You will deliver both strategic and operational support by establishing, developing, and maintaining high-level scientific exchange with the medical and research community aligned with our strategic objectives. This role focuses primarily on rare bone disease will also support our genetic medicine portfolio. Additionally, we ensure the timely, ethical, and customer-focused and accurate exchange and distribution of clinical and scientific information relevant to both our in-line and pipeline products. Territory: Central U.S. (residency in Chicago, Atlanta, or other major airline hub city is preferred) A typical day may include the following: Scientific Expertise & Exchange Demonstrate deep expertise about assigned compounds and the therapeutic areas and disease states while...

Dec 17, 2025
Gu
Remote Professional Medical Coder - Vascular Surgery
Guidehouse Chicago, IL, USA
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...

Dec 17, 2025
In
Associate Director, Medical Science Liaison - Midwest
Insmed Chicago, IL, USA
Associate Director Medical Science Liaison At Insmed, every moment and every patient counts and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. That commitment has earned us recognition as Science magazine's No. 1 Top Employer for four consecutive years, certification as a Great Place to Work in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, we're in. Are you? About the Role The Associate Director Medical Science Liaison will develop and maintain professional relationships with external healthcare practitioners to provide comprehensive medical and scientific support for the therapeutic area of Chronic Rhinosinusitis without Nasal...

Dec 17, 2025
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