132 jobs found in Springfield, IL

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

Job Title : Certified Inpatient Medical Coder Location : Remote Duration : 2+ Months Education : High School Diploma/GED required Shift Details : 8:00 AM – 4:00 PM General Description: Minimum 5+ years of inpatient coding experience Strong experience with 3M, EPIC, and Windows systems Acute care inpatient coding background required Knowledge of ICD-10, CPT-4, anatomy, physiology, disease processes, and coding guidelines Experience reviewing medical records for coding accuracy and compliance

Job Title: Medical Coder Coordinator Location: Remote (100%) Duration: 6-Month Contract to Hire Schedule: Monday – Friday | 9:00 AM – 5:30 PM EST Pay Rate: $21.42/Hour Position Overview: We are seeking a detail-oriented and highly motivated Medical Coder Coordinator to join our team in a fully remote capacity. This role focuses on retrospective payment reimbursement reviews and requires strong inpatient coding experience, extensive CPT coding knowledge, modifier expertise, and the ability to interpret complex reimbursement documentation. The ideal candidate will thrive in a fast-paced, deadline-driven environment while maintaining exceptional accuracy and compliance standards. Key Responsibilities: Perform retrospective payment reimbursement reviews and coding audits. Review and interpret Explanations of Benefits (EOBs), including: Recoupments Corrections Claim adjustments Apply CPT, ICD-10-CM, and HCPCS coding guidelines accurately. Analyze CPT modifiers and evaluate their impact...

Medical Biller (Inpatient/Medicare) for Physician Network (Remote) Our client is seeking a detail-oriented and knowledgeable Medical Biller (Remote) to join their team. This role is responsible for accurate and timely billing of inpatient, skilled nursing facility (SNF), and Medicare claims. The ideal candidate will have strong knowledge of healthcare billing regulations, coding guidelines and reimbursement processes, along with a commitment to compliance and accuracy. This organization is a regional network of credentialed physicians dedicated to improving the health status of patients and the communities they serve. This role plays a critical part in supporting that mission by ensuring the integrity of their revenue cycle operations. ________________________________________ Full time - Remote Direct Hire Key Responsibilities: • Prepare, review, and submit accurate claims for inpatient, skilled nursing, and Medicare services • Ensure compliance with all federal, state, and...

Job Description Job Description Description: Visionix USA, a leader in vision care innovation, is seeking a talented Repair Supervisor with an engineering background and medical equipment knowledge to oversee the Service Repair Team in our Lombard, IL Location. Visionix USA is the North American provider of highly automated eye examination and optical technologies including Optovue, Briot, Weco, and Visionix brands. We are part of the Visionix Technology Group, a global innovation leader in the vision care technology market and the pioneer in wavefront technology. Our goal is to help eye care professionals start their practice transformation to promote scalable workflow efficiency and improve the overall patient experience while maintaining clinical best practice standards. Requirements: What you will do: You will bring a thorough knowledge of mechanical, electrical, and software principles as they apply to the repair and maintenance of medical equipment. Supervises Repair...

Job Description This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines Job Relationships Reports to the Coding Unit Manager Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities,...

Job Overview We are a well-established chiropractic wellness center seeking a detail-oriented and dependable Medical Billing Specialist to join our team part-time.The ideal candidate has experience with chiropractic billing, insurance claims, payment posting, and accounts receivable management.Responsibilities Accurately assign CPT codes and ICD-10 diagnosis codes for chiropractic procedures Prepare and submit clean claims to insurance companies and third-party payers Post insurance and patient payments accurately Manage accounts receivable and collections follow-up Review and correct claim denials and rejections Stay current with updates in medical coding regulations, insurance policies, and industry best practices to ensure compliance.Communicate professionally with insurance companies and patients as needed Qualifications Minimum 2 years of medical billing experience is prefered Chiropractic billing experience strongly prefered Knowledge of CPT, ICD-10, and insurance claim...

Candidates for this position may work out of our Florham Park, NJ, or Mettawa, IL offices. The Associate Director of Psychiatry Marketing Promotional Medical Education reports to the Director of Promotional Medical Education, External Engagement and RMM team. This role supports the development of the strategy and direction of a peer‑to‑peer learning program to address HCP educational needs in a fast‑changing, highly competitive market. It is responsible for developing innovative content and learning experiences, partnering cross‑functionally with medical, marketing, field leadership, operations, compliance, finance, and sales leadership to deliver high‑impact educational programming. The role also owns annual speaker training strategy, program planning, and budget management while using insights and field feedback to continuously improve speaker effectiveness and program performance. The role combines strategic leadership, execution, and collaboration to elevate the peer‑to‑peer...

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

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...

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...

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

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

Job Description We are offering a contract to hire employment opportunity for a Medical Billing Specialist in the non-profit sector, based in Chicago, Illinois. In this role, you will be instrumental in ensuring the smooth operation of our medical billing processes, supporting our team with your industry expertise and meticulous attention to detail. Responsibilities Handle the processing of medical billing, ensuring accuracy and timeliness Develop an in-depth understanding of the Revenue Billing Process Leverage industry-specific knowledge for efficient problem-solving Utilize ICD 10 Experience to enhance billing procedures Monitor and manage customer accounts, taking necessary action when required Respond to and resolve customer inquiries in a timely and professional manner Maintain and update customer credit records, ensuring they are accurate and up-to-date Process customer credit applications, adhering to organizational procedures and standards Use your skills in...

Datavant is seeking experienced outpatient coders to join their remote team. This role requires a keen attention to detail and at least 3 years of outpatient coding experience, including expertise in Emergency Department coding. Candidates must be AHIMA or AAPC certified, with the ability to maintain high accuracy and productivity standards. Datavant offers a collaborative work environment aimed at transformative change in healthcare. #J-18808-Ljbffr

6AM City, LLC is seeking a Medical Billing Specialist for a contract-to-hire position in Chicago, Illinois. This role involves processing medical billing accurately and efficiently, requiring strong industry knowledge and attention to detail. The ideal candidate will possess at least three years of experience in medical billing, familiarity with IDCAMS, and excellent communication skills. Join our team to ensure smooth operations in the non-profit sector. #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...

Software Guidance & Assistance, Inc., (SGA), is searching for a HIM Inpatient Coder for a Contract assignment with one of our premier Healthcare clients in Chicago, IL.(% remote)Responsibilities :Assigns ICD CM-PCS and / or CPT- diagnostic and procedure codes to patient charts with accuracy and attention to detailAbstracts selected data items and enters in M encoder / Epic software with accuracy and attention to detailCompletes UHDDS data abstraction as requiredMaintains a log of work performedCompletes other assigned duties as directed by managementRequired Skills :Knowledge :RHIA, RHIT, and / or CCS CertificationMinimum years' experience Inpatient medical record codingTrauma and / or Research University ExperienceKnowledge of medical terminology and anatomy and physiology requiredWindows applications, Outlook, WebEx and other apps as needed to perform roleAbility to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in...

Associate Director, Simulation and Integrative Learning Institute - Medical EducationHiring Department:Medical EducationLocation:Chicago, IL USARequisition ID:1038079Posting Close Date:Friday, March 27, 2026Salary:The budgeted salary range for the position is $100,000 to $125,000. Westrive to provide a competitive salary, considering factors such as availablemarket data, internal equity, candidate experience and qualifications, andbudget constraints. The final salary offer will be determined through athorough assessment of these elementsAbout the University of Illinois ChicagoUIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic...

We are seeking experienced and highly accurate Value-Based Coders to join a project dedicated to in-home health assessments for Medicare Advantage and other value-based programs.This role is 100% remote and ideal for coders who are confident working independently, detail-oriented, and committed to quality and compliance.As a contractor, you'll have the independence to manage your own schedule while contributing to meaningful work that truly makes a difference.As part of the coding team, you will review clinical documentation from in-home visits and assign complete and compliant ICD-10-CM diagnosis codes that reflect the full spectrum of each patient's health.This includes :Risk adjustment (HCC) diagnoses aligned with CMS-HCC and HHS-HCC models.Social Determinants of Health (SDOH) codes.Medication-related Z codes, such as long-term drug therapy and treatment monitoring.All other clinically relevant diagnoses supported by documentation.Your accuracy directly supports the integrity of...

We offer $24/hour$500 monthly bonus opportunity! Are you an Automotive Dealership Biller looking for a great opportunity in a corporate setting? The Ed Napleton Automotive Group is looking for our next Compliance Auditor- as we are continuing to grow our team.This is an exciting opportunity in a growing, fast-paced industry.Located at Napleton Automotive Group's Oak Brook Terrace office, the Compliance Auditor is responsible for reviewing and auditing deals for Napleton's portfolio of dealership locations, to ensure compliance with Napleton's variable operations processes and standards.The Ed Napleton Automotive Group is affiliated with over 25 brands of new vehicles and 50dealerships throughout seven states.Our strength comes from the more than 3,500 employees nationwide.We are currently the tenth largest automotive group in the country, providing incredible growth opportunity.Take advantage of this rare opportunity to join one of the country's largest and most successful...

About OtsukaWe 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 RoleThe 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, and...

Responsibilities 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 errors; and post all actions and maintain permanent record of patient accounts. Oversee claims appeals and reviews; review claims aging status and follow up on open claims. Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy. Understand, and stay up to date with, clinic and insurance industry contract policies/procedures and medical terminology. Participate in professional development efforts to stay current with health care best practices and...