61 jobs found in Springfield, IL

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...

Datavant is seeking a Profee Auditing Specialist to conduct professional fee coding audits, educate teams, and support coding workflow improvements. This fully remote role offers a flexible schedule and 20 hours per week, with prior experience in ICD-10-CM, CPT, HCPCS and AHIMA ethics guiding the work. Candidates familiar with Epic or Cerner are preferred. The role emphasizes accuracy, regulatory awareness, and strong organizational skills to handle multiple cases while maintaining professional #J-18808-Ljbffr

About the role As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment. In this role, you will: Review medical documentation to accurately assign diagnosis and procedure codes. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process. Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements. Perform peer reviews and quality audits of Health Information Management coding auditors and coders. Prepare and complete reports, audit findings, and other deliverables as requested. Monitor...

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 and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health Description COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more...

10 Sarah Bush Lincoln Health Center seeks a Coding Auditor - Professional to ensure proper coding for clinic services. This full-time role involves assisting coders, conducting audits, and maintaining high accuracy in documentation. Ideal candidates will have a high school diploma and relevant certifications like CPC and CEMA. The position offers remote or hybrid work opportunities within specific states. Benefits include tuition reimbursement and comprehensive health coverage. #J-18808-Ljbffr

Coding Auditor - Professional Department: Physician coding Hours: Full-Time (40 hours per week) Location: Remote or onsite. Must reside in one of the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Pay: Starts at \$23.87/hour, based on experience. Estimated compensation range \$23.87 - \$37.00. Responsibilities Assist coders with coding questions. Conduct collection and reporting of provider and coder audit results and education. Work with coders and providers to ensure appropriate documentation for clinic services. Report results to Coding Supervisor – Professional. Demonstrate ability to code all types of encounters. Maintain 95% accuracy in diagnoses and procedures coding. Ensure data quality and optimum reimbursement under federal and state payment systems. Identify and refer trend patterns of coding and...

Seeking an experienced Coding & Charge Capture Supervisor to lead and coordinate team activities while ensuring accuracy, compliance, and timely claim submission. The ideal candidate will have strong knowledge of governmental regulations and payer guidelines, along with the ability to collaborate effectively across Revenue Cycle departments to optimize workflows and support financial performance. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Oversees the daily operations by monitoring workload and productivity of partners to achieve weekly and monthly goals while ensuring accuracy of work. Assists in the development of guidelines, policies, and procedures for areas of responsibility, retain compliant with governmental regulations or other reporting obligations as required by contract. Coordinates coding and quality audits to ensure compliance with governmental regulations and/or third party requirements. Report any infractions to...

Zing Health is seeking a Senior Risk Adjustment Coding Auditor to ensure accurate, compliant coding across Medicare Advantage programs. You will lead audits, validate records, and support RADV activities, driving quality and regulatory compliance. The role requires strong analytical skills and proficiency in Excel and coding platforms. Join a mission-driven team focused on member-centered care, data integrity, and continuous improvement within a fast-paced, innovative environment in Illinois. #J-18808-Ljbffr

Cook County Health is seeking a Health Information Management Coder to abstract clinical information accurately for reimbursement and compliance. The role requires coding using ICD-10-CM, CPT-4, and ensuring quality standards are met. Candidates should possess a high school diploma or G.E.D. and have coding experience, with preferred certifications such as RHIA or CCS. The position offers a comprehensive benefits package including medical coverage and paid time off. #J-18808-Ljbffr

Coder Auditor-Professionals are responsible for auditing coding assignments with providers and coders, training coding professional staff, and pro‑fee based coding which includes the assignment of ICD‑CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. They interact with medical staff, nursing, ancillary departments, provider offices, and outside organizations. At this time, we are only able to consider applicants who reside in the following states: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, Texas. Responsibilities Assists coders with coding questions. Conducts the collection and reporting of provider and coder audit results and education. Works with coders and providers to ensure appropriate documentation for clinic services. Reports results to Coding Supervisor - Professional. Demonstrates ability to code all...

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

Carle Health is seeking a licensed HIM Certified Coder to accurately code hospital inpatient, hospital outpatient, and professional fee encounters using ICD-10/ICD-PCS, CPT, and HCPCS codes. The coder reviews documentation within the EMR to ensure compliant billing in accordance with CMS and local guidelines. The role requires expertise in regulatory coding guidelines, supporting revenue optimization while maintaining compliance, and performing audits and education as needed. #J-18808-Ljbffr

UChicago Medicine is seeking an Inpatient Coder - Clinical Data Analyst to code and abstract diagnoses and procedures from inpatient and outpatient records for accurate reimbursement and quality reporting. The role is remote, with a weekend requirement on Saturdays and Sundays. You will work within the Medical Records department, ensuring proper DRG assignment, ICD-10-CM/PCS, and CPT coding, while maintaining confidentiality and adhering to regulatory standards. #J-18808-Ljbffr

Southern Illinois Healthcare seeks a detail-oriented Medical Coder to ensure accurate ICD-10-CM, CPT/HCPCS coding for provider documentation, with emphasis on E/M visits and outpatient hospital-based encounters. The role requires RHIA/RHIT/CCS/CCS-P/CCA/CPC credentials, 1 year of CCS-P/CCA/CPC experience, and adherence to coding guidelines. You will use encoding software and communicate clearly with providers to resolve coding issues. #J-18808-Ljbffr

Focused on the Future of Care We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer. Position Type On-site Job Description Summary Perform supervisory duties and coordinate daily activities in the Diagnostic Radiology, CT, Ultrasound and MRI Departments. Oversee and coordinate technologist assistants across all modalities. Work collaboratively with other departments to ensure excellent patient care. Supervise the Inpatient Quality Assurance, JCAHO, ACR and IEMA programs. Monitor operations and quality standards to assure compliance with governmental regulations and meet standards established by accrediting agencies. Oversee the inventory and billing processes. Provide oversight and supervision of scheduling of Colleagues, Time keeping, and annual colleague competencies and...

Southern Illinois Healthcare in Illinois is seeking a skilled medical coder to review provider documentation and assign ICD-10-CM and CPT/HCPCS codes according to official guidelines. Responsibilities include interpreting documentation, resolving coding edits, and communicating with providers to ensure accurate claims submission. A HS diploma is required; degrees in health information are preferred. Remote work is not described. #J-18808-Ljbffr

CVS Health Corporation is seeking a Certified Coding Analyst to review medical claims for waste and error, ensuring coding accuracy through thorough record reviews of providers and facilities. The role requires CPC certification and 2+ years in medical coding or auditing, with strong knowledge of CPT, HCPCS, ICD-10, and CMS/state guidelines. This full‑time position offers broad benefits and growth opportunities. #J-18808-Ljbffr

Medical Billing SpecialistA healthcare organization in North Chicago is looking for a Medical Billing Specialist to join its growing team. This is an opportunity to work in a collaborative healthcare environment with a combination of onsite and remote work after training. The Medical Billing Specialist will be responsible for supporting the full medical billing process, including claim preparation, denial follow-up, account research, and patient communication. The ideal candidate will have healthcare billing experience and strong attention to detail. Key responsibilities Review patient accounts and insurance information to ensure claims are accurate and ready for submission. Prepare and process medical claims while identifying missing or incorrect information. Communicate with providers and internal departments to obtain documentation needed to complete or correct claims. Investigate denied and rejected claims and determine appropriate next steps for resolution. Make necessary...

Orthos Inc. is seeking a Billing Specialist to support our orthopedic clinic operations from a remote-capable role. The ideal candidate has 2+ years in medical billing and accounts receivable follow-up, with strong knowledge of insurance claims, denials, and posting payments. This position requires navigation of payer portals, EMR/EHR systems, and HIPAA compliance, with emphasis on accuracy, communication, and timely filing in a high-volume environment. #J-18808-Ljbffr

Are you ready for new challenges and new opportunities? Join our team! Current job opportunities are posted here as they become available. Subscribe to our RSS feeds to receive instant updates as new positions become available. This is a remote opportunity; however, candidates must reside in one of the following states: Arizona, Arkansas, Florida, Iowa, Illinois, Indiana, Michigan, Missouri, North Carolina, Nevada, Ohio, Oregon, Pennsylvania, Tennessee, or Texas. Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies. Assist in the processing of insurance claims including worker’s compensation (if assigned) for all financial classes Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient...

Addison Group is seeking a Medical Billing Specialist in the North Chicago area. The role supports the full medical billing process and offers a mix of onsite training followed by a hybrid work arrangement. Ideal candidates have healthcare billing experience, attention to detail, and strong communication skills. Responsibilities include claims preparation, denial follow-up, account research, and patient communications. #J-18808-Ljbffr

The Office of the Illinois Secretary of State is seeking a Securities Enforcement Auditor I in Springfield to perform financial reviews, examine dealers and investment advisers, and assist in regulatory actions. This role requires a four-year college degree with accounting/business coursework plus experience, willingness to travel statewide, and a valid Illinois driver’s license; salary is commensurate with experience. The division supports enforcement activities and coordinated investigations. #J-18808-Ljbffr

Job Description Be a part of a world-class academic health-care system at Saturday and Sunday weekend requirement. In this role, the Inpatient Coder - Clinical Data Analyst, 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. Job Description Be a part of a world-class academic health-care system at UChicago Medicine as an Inpatient Coder - Clinical Data Analyst in the Medical Records department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area. Saturday and Sunday weekend requirement. In this role, the Inpatient Coder - Clinical Data Analyst, 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...