89 jobs found in Springfield, IL

Job Description Job Description Job Summary The Coding Specialist reviews superbills and the corresponding medical record documentation and assigns appropriate CPT, HCPCS, modifiers, and ICD 10 codes and post charges in order to achieve maximum reimbursement in accordance with OSNI protocols and procedures along with CMS and private payer guidelines. The core responsibilities will include: daily charge posting after assignment of appropriate billing and diagnostic codes, review of first level rejected claims in practice management, use of hospital portals to obtain operative reports and patient demographics, scanning of completed work into SRS . Additional responsibilities include querying physicians and ancillary medical staff when medical record requires clarification, ensuring medical record is amended by provider when appropriate and participating in internal provider coding review sessions. Qualifications: High school diploma or an equivalent combination of...

Job Description Job Description About the Role: We are seeking a highly motivated and detail-oriented biller to join our team at Marcotte Medical Group. As a Biller, you will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement for services rendered. You will work closely with our medical staff and insurance providers to resolve any billing issues and ensure compliance with all relevant regulations and policies. Your work will directly impact the financial success of our organization and the satisfaction of our patients. Minimum Qualifications: High school diploma or equivalent 1+ years of experience in medical billing or related field Certification in medical billing codes and terminology Knowledge of eClinicalWorks software Excellent attention to detail and organizational skills Preferred Qualifications: 3+ years of experience in medical billing in family practice or internal medicine Strong...

Privia is seeking a Patient Billing Specialist to support patients with payment processing, billing education, insurance verification, and claims inquiries from a remote location. You will navigate Privia billing systems and EMR platforms, ensuring accuracy, empathy, and compliance while handling income-related discussions with patients. The role emphasizes quality service and data integrity. Starting pay is $14 per hour with a typical full-time schedule and 60-day onboarding; candidates reside #J-18808-Ljbffr

Job Description: The Lead Coder - Outpatient Same Day Surgery is responsible for overseeing and performing high-level coding and abstracting of outpatient medical records in accordance with coding guidelines, payer regulations, and hospital policies. Provides guidance and training to the assigned coding unit and support to the Supervisor as it relates to daily workflow, data analysis, change implementation and education in a continuous effort to improve processes, ensure compliancy and meet financial initiatives. Position is Remote Sign on Bonus Required Skills & Qualifications: Minimum high school diploma required; College degree preferred in Health Information Technology. Active accreditation as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Minimum of 2-4 years of related coding experience required, preferably in Outpatient Same Day Surgery. Ability to...

Lead Coder - Clinic Location: Munster, IN Position Summary: Under the direction of the Coding Supervisor, serves as leader for the charge and coding portion of the revenue cycle to ensure full and accurate charge capture. Oversees and performs charge and coding entry, review, reconciliation, and error correction tasks. Oversees and performs regular manual & electronic charge and coding audits. Motivates, trains, and educates staff to perform tasks according to baseline goals and objectives. Education/Experience Requirements: High School graduate (or GED equivalent) required. Completion of college course work in health information degree or certificate program preferred. 3-5 year's professional billing/coding experience required. Physician practice setting preferred. Previous use of EPIC preferred. Evaluation and Management experience in a physician practice setting preferred. Possess in-depth knowledge of the current CPT, ICD and HCPCS coding systems....

Position: Lead Coder - Clinic Location: Munster, IN Position Summary: Under the direction of the Coding Supervisor, serves as leader for the charge and coding portion of the revenue cycle to ensure full and accurate charge capture. Oversees and performs charge and coding entry, review, reconciliation, and error correction tasks. Oversees and performs regular manual & electronic charge and coding audits. Motivates, trains, and educates staff to perform tasks according to baseline goals and objectives. Education/Experience Requirements: • High School graduate (or GED equivalent) required. • Completion of college course work in health information degree or certificate program preferred. • 3-5 year's professional billing/coding experience required. Physician practice setting preferred. Previous use of EPIC preferred. • Evaluation and Management experience in a physician practice setting preferred. Possess in-depth knowledge of the current CPT, ICD and...

Job Description Job Description Bone & Joint Specialist, one of Indiana's leading providers in orthopedic care, is seeking a skilled and detail-oriented Medical Biller to join our in-house team. This role is essential to supporting our revenue cycle operations. The ideal candidate will have strong knowledge of medical billing practices, a commitment to accuracy and the ability to work efficiently in a fast-passed healthcare environment. This is an excellent opportunity to be part of a collaborative team dedicated to delivering high-quality patient care. PLEASE NOTE: This is an on-site position and not eligible for remote work. We are seeking serious qualified applicants who are ready to contribute and grow with our organization. Job Description On-site position (not eligible for remote) Prepares and submits medical claims to insurance companies. Determines appropriate charges based on services provided. Reviews patient accounts to ensure accuracy...

Job Description Job Description Bone & Joint Specialist, one of Indiana's leading providers in orthopedic care, is seeking a skilled and detail-oriented Certified Medical Coder to join our in-house team. This role is essential to supporting our revenue cycle operations. The ideal candidate will have strong knowledge of medical billing practices, a commitment to accuracy and the ability to work efficiently in a fast-passed healthcare environment. This is an excellent opportunity to be part of a collaborative team dedicated to delivering high-quality patient care. PLEASE NOTE: This is an on-site position and not eligible for remote work. We are seeking serious qualified applicants who are ready to contribute and grow with our organization. QUALIFICATIONS: Certified Professional Coder Certification (Required) AAPC Preferred * this is an In-Person position* Keeps coding certification current and earn yearly CEU’s to stay certified. Computer skills required:...

Overview Responsible for ensuring accuracy and quality coding assignments for all records requiring DRG and/or APC coding; ensures optimal and timely reimbursement. Responsibilities Principal Duties and Responsibilities (*Essential Functions) Performs comprehensive pre-billing coding audits, through the use of eValuator , to ensure claims are accurately coded and charged in compliance with coding and regulatory standards. Performs comprehensive pre-billing coding data quality reviews on inpatient and/or outpatient records to ensure proper coding guidelines have been followed and appropriate DRG (MS/APR) or APC assignments have been made for appropriate reimbursement. Responsible for completion of reviews within 72 hrs of import date to include new reviews of up to or exceeding 12 to 15 per day for inpatients and/or completion of reviews within 48 hrs of import date including up to or exceeding 50 per day for outpatient accounts. Maintains an audit response...

Coder – Clinic Location: St. John Outpatient Center, St. John, IN 46373; Remote availability Job Summary: Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations. Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture. Performs regular manual and electronic charge and coding audits. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. Education/ Experience Requirements: • High School graduate (or GED equivalent) required. • Completion of college course work in health information degree or certificate program preferred. • 1-2 years professional billing/coding experience. Physician practice setting preferred. Previous use of EPIC preferred. •...

The Indiana Department of Revenue is seeking a Revenue Tax Auditor in the Merrillville field office to audit businesses, analyze financial records, and ensure tax compliance. This exempt role emphasizes accuracy, customer focus, and efficient audit processes. This role requires a Bachelor's degree with accounting coursework and at least 7 years of tax auditing experience, with occasional travel to taxpayer sites. Residency in the service area is preferred. #J-18808-Ljbffr

Powers Health Medical Group – HIM – Physician Coding Full-time , Days , 7:30am-4:00pm Hours/Pay Period: 80 FTE: 1 Position Coder – Clinic Job Summary Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations. Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture. Performs regular manual and electronic charge and coding audits. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. Education/ Experience Requirements High School graduate (or GED equivalent) required. Completion of college coursework in health information degree or certificate program preferred. 1-2 years professional billing/coding experience. Physician practice setting preferred. Previous use of...

Powers Health Medical Group in Merrillville, IN is seeking a full-time Clinic Coder assigned to the HIM department. The coder identifies and assigns diagnostic and procedure codes for patient encounters using ICD and CPT guidelines while performing charge entry, review, and reconciliation to ensure accurate billing. Experience with EPIC and AHIMA/AAPC certifications are preferred, with demonstrated competency through departmental testing. #J-18808-Ljbffr

Methodist Hospitals in Merrillville seeks a medical coder to examine and evaluate medical record documentation for accurate coding. The role requires considerable knowledge of ICD-10 and CPT coding systems. Responsibilities include applying codes to patient health information, ensuring accuracy, and maintaining compliance with coding standards. A high school diploma and coding certification are required. The position promotes teamwork and requires an enthusiastic attitude towards work. Join a supportive environment dedicated to quality healthcare. #J-18808-Ljbffr

Coding Specialist II HB Facility Coder Join our Team as a Coding Specialist II HB Facility Coder Are you detail-oriented and passionate about accuracy in healthcare documentation and billing? We're looking for a compassionate, caring, and dedicated Coding Specialist II HB Facility Coder to join our team and help us continue our tradition of excellence. In this role, you'll ensure accurate and timely coding of hospital charges and claims by abstracting information from the electronic medical record for compliant submission. You'll also support provider education, collaborate with internal teams, and help maintain coding accuracy and compliance across the organization while keeping leadership informed of progress and issues. What You'll Do: Accurately code professional and/or hospital charges and claims using electronic medical record documentation. Ensure timely and compliant claim submission in alignment with payer and regulatory requirements. Provide educational...

Join our Team as a Coding Specialist II - HB Facility Coder Are you detail-oriented and passionate about accuracy in healthcare documentation and billing? We're looking for a compassionate, caring, and dedicated Coding Specialist II - HB Facility Coder to join our team and help us continue our tradition of excellence. In this role, you'll ensure accurate and timely coding of hospital charges and claims by abstracting information from the electronic medical record for compliant submission. You'll also support provider education, collaborate with internal teams, and help maintain coding accuracy and compliance across the organization while keeping leadership informed of progress and issues. What You'll Do: Accurately code professional and/or hospital charges and claims using electronic medical record documentation. • Ensure timely and compliant claim submission in alignment with payer and regulatory requirements. • Provide educational feedback to providers based on...

Deaconess - 1419 West Lloyd Expressway - Responsibilities: Code professional and hospital charges from electronic medical records for compliant claim submission; Provide educational feedback to providers from audited batches to ensure coding/billing compliance; Keep supervisor/manager informed of daily progress and issues related to coding; Obtain information for follow-up staff to pursue outstanding claims or recording of charges; Support training and onboarding activities for new staff or providers as needed

A community service organization is seeking a Community Based Contract Compliance Auditor to join their regional team in Bloomington, Indiana. The auditor will conduct thorough on-site reviews of DCS contracted provider businesses, focusing on compliance with state policies and billing accuracy. This role demands strong communication skills, proficiency in Microsoft Suite, and the ability to formulate corrective action plans. Frequent travel to provider locations is required, making this a dynamic position within the DCS regions. #J-18808-Ljbffr

Overview The Community Based Contract Compliance Auditor will be part of a regional team that provides on-site monitoring and reviews of DCS community based contracted provider businesses. The auditor will conduct reviews throughout DCS regions 8, 12, 13, 14, 15, 16, 17, and 18 which covers the bottom half of the state. Community Based reviews will evaluate DCS services and billing to assure there are no errors and billing has been performed appropriately. The auditor will educate, recommend and create plans of corrections when any errors are found. The auditor will conduct audits throughout the same regions as listed above. Community based audits will be a more comprehensive look at a provider\'s practices from point of service to billing. The auditor will educate, recommend, and create plans of corrections as well as pursue any financial damages to the state within this process. The auditor will travel in a team to DCS contracted provider locations to conduct reviews and audits....

SUMMARY/OBJECTIVESThe Certified Medical Coder is responsible for the timely, accurate, and compliant review, abstraction, and coding of professional healthcare services provided by Edgewater Health clinicians. This position ensures that medical documentation supports the assignment of appropriate ICD-10-CM, CPT, and HCPCS Level II codes to facilitate accurate reimbursement while maintaining compliance with federal and state regulations, payer requirements, and organizational policies.The Certified Medical Coder works collaboratively with providers, clinical leadership, billing staff, and the Revenue Cycle Department to optimize documentation quality, improve coding accuracy, reduce claim denials, and maximize reimbursement. This position plays an integral role in supporting Edgewater Health's behavioral health, primary care, substance use treatment, and Federally Qualified Health Center (FQHC) billing operations.ESSENTIAL DUTIES AND RESPONSIBILITIESThe essential functions include,...

Edgewater Health is seeking a Certified Medical Coder to ensure accurate coding of professional services across behavioral health, primary care, and related areas. You will review records, assign ICD-10-CM, CPT, and HCPCS codes, and verify compliance with payer requirements. The role requires CPC certification and 2+ years of coding experience, with strong knowledge of EHRs and Indiana Medicaid policies. Hybrid work options and ongoing education are available. #J-18808-Ljbffr

Hiring: Insurance Compliance Auditor Company: Information Providers, Inc. Location: Indianapolis, IN At Information Providers Inc. (IPI), we believe great work starts with great people. Since 1996, we've established ourselves as a leader in Property & Casualty and Premium Audit information services, serving insurance companies nationwide through innovative technology and experienced professionals. With over 430 employees and a unique field force supported by regional offices, we deliver accurate, high-quality information. Our core values, service, reliability, flexibility, timeliness, and innovation, drive our growth and foster a supportive workplace. At IPI, your ideas matter, your growth is supported through mentorship and opportunity, and your contributions make a meaningful impact every day. Join us and be part of a team that values its people as much as its purpose! What You'll Do As Our Full-time Insurance Compliance Auditor: Dispatch daily to job...

Elevance Health is seeking a Principal Patient Safety DRG Coding Auditor to audit inpatient records and drive complex DRG-based recoveries. The role requires advanced ICD-10/DRG expertise, independent work style, and collaboration with management to enhance audit criteria. Hybrid work arrangement with in-person onboarding and occasional office presence. 15+ years in related auditing and relevant certifications are preferred, with a strong track record in complex coding scenarios. #J-18808-Ljbffr

Priority Ondemand is seeking a Medical Billing Clerk in Indianapolis, IN. The successful candidate will be responsible for accurate billing, coding, and claim submission for ambulance services. Key responsibilities include ensuring compliance with federal regulations, following up on unpaid claims, and maintaining professionalism in patient interactions. Ideal candidates should have a high school diploma and experience in medical coding. This position requires strong attention to detail and the ability to work as part of a team. #J-18808-Ljbffr