156 jobs found

Job Description Job Description Salary: Negotiable The Medical Billing Specialist is a key member of the financial team at the Chicago Center for Sports Medicine & Orthopedic Surgery. This role is primarily responsible for ensuring accurate and timely processing of insurance payments, conducting appeals on improperly processed claims, and maintaining diligent follow-up on outstanding claims and denials. The Specialist will also assist with coding issues and patient inquiries regarding billing. Key Responsibilities: Payment Posting: Accurately post insurance payments from mail batches and electronic funds transfers (EFT) from various sources, including websites and ECW EFTs. Review and reconcile payment entries to ensure that all payments are accounted for and properly posted. Claims Management: Conduct thorough follow-ups on all outstanding insurance claims to ensure timely reimbursement. Investigate and appeal underpaid or denied claims by gathering...

Inpatient Medical Coding Auditor Become a part of our caring community and help us put health first. The Inpatient Medical Coding Auditor reviews a variety of medical records and determines appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT). The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Inpatient Medical Coding Auditor confirms appropriate diagnosis related group (DRG) assignments upon appeal. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an...

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coding Auditor - Professional Job Description Coder Auditor-Professionals are responsible for auditing of coding assignment with providers and coders, training of coding professional staff, pro-fee based coding includes the assignment of Assigns ICD-CM, CPT, HCPCS codes, E&M assignment, modifiers, and charge posting. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Physician coding Hours: Full-Time, 40 hours a week required Required: High School Diploma, CPC, CEMA within 6 months of hire, CPMA within 1 year of hire Pay: Based one experience, starting at $23.87/hour Location: Remote or onsite: At this time, you must reside in one of the following locations: Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi,...

ARRT Radiology / Medical Imaging Supervisor MLR is looking for a qualified Medical Imaging Supervisor to lead a dynamic radiology team at a well-established hospital in Illinois. Radiology / Medical Imaging Supervisor Why Choose Us? Assume a pivotal leadership position in a dynamic and innovative healthcare setting. Utilize state-of-the-art imaging equipment and techniques. Take advantage of continuous training and career advancement opportunities within our extensive healthcare network. Enjoy a competitive salary, comprehensive health benefits, retirement plans, and generous paid time off. Radiology / Medical Imaging Supervisor Key Responsibilities: Oversee daily operations of the medical imaging department, ensuring efficient workflow and high-quality patient care. Supervise and mentor a team of technologists, promoting a culture of excellence and continuous improvement. Maintain compliance with regulatory standards and hospital policies....

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate...

Coder/Quality Review Analyst This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and responds to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates...

HIM Certified Coder The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications: Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American...

Overview Assists in the provision of an efficient and effective clinical coding service within Carle by providing accurate and timely auditing and coding education to providers and coding team members to include CPT EM coding, CPT Procedural Coding, ICD10CM and ICD10 PCS coding, as applicable. Assist Coding Audit and Education Supervisor in managing audits and audit schedules for providers and coding team members. Auditors work closely with HIM leadership and Compliance to assure Carle providers and coding team members are following all regulatory requirements for code assignment. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation and reaudit post education. Auditors are responsible to produce coding education materials in formats such as power point or LMS educations systems. Responsibilities Provide regular coding audits to Carle medical staff and HIM coding team members specific to CPT E/M, CPT...

Work Schedule 100% FTE, Day Shift, Exempt position. M-F 7:30 am to 4:00 pm. You will work at Swedish American Hospital. You may be eligible for a $20,000 sign on bonus At UW Health in northern Illinois, you will have : * Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance * Annual wellness reimbursement * Opportunity for on-site day care through UW Health Kids * Tuition reimbursement for career advancement--ask about our fully funded programs! * Abundant career growth opportunities to nurture professional development * Strong shared governance structure * Commitment to employee voice Qualifications Completed an accredited radiologic technology program, nuclear medicine program, accredited school of diagnostic medical sonography program, a recognized military radiologic technologist training program, or possess two...

Medical Imaging Supervisor – Nuc Med/MRI – $20,000 Sign‑On Bonus Rockford, IL – Swedish American Hospital – Full‑time, Day Shift (Mon–Fri, 7:30 am‑4:00 pm) Pay: $83,075.00 – $124,613.00 per year You may be eligible for a $20,000 sign‑on bonus Benefits Competitive pay and comprehensive benefits package including PTO, medical, dental, vision, retirement, short and long‑term disability, paternity leave, adoption assistance, tuition assistance Annual wellness reimbursement Opportunity for on‑site day care through UW Health Kids Tuition reimbursement for career advancement – fully funded programs! Abundant career growth opportunities to nurture professional development Strong shared governance structure Commitment to employee voice Qualifications Completed an accredited radiologic technology program, nuclear medicine program, accredited school of diagnostic medical sonography program, recognized military radiologic technologist training program, or possess two years of...

ARRT Radiology / Medical Imaging Supervisor MLR is looking for a qualified Medical Imaging Supervisor to lead a dynamic radiology team at a well-established hospital in Illinois. Radiology / Medical Imaging Supervisor Why Choose Us? Assume a pivotal leadership position in a dynamic and innovative healthcare setting. Utilize state-of-the-art imaging equipment and techniques. Take advantage of continuous training and career advancement opportunities within our extensive healthcare network. Enjoy a competitive salary, comprehensive health benefits, retirement plans, and generous paid time off. Radiology / Medical Imaging Supervisor Key Responsibilities: Oversee daily operations of the medical imaging department, ensuring efficient workflow and high-quality patient care. Supervise and mentor a team of technologists, promoting a culture of excellence and continuous improvement. Maintain compliance with regulatory standards and hospital policies....

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 (https://www.rush.edu/rush-careers/employee-benefits). 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...

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....

Job Description 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 (https://www.rush.edu/rush-careers/employee-benefits). 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...

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, Excel, and...

Be Part of an Extraordinary Team 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. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ 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. Alternate locations may be considered if candidates...

Job Description Be a part of a world-class academic healthcare system at UChicago Medicine as a Coding Auditor - DRG/APC Coordinator for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.    In this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement.     Essential Job Functions   Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement  Provides DRG/APC and coding quality information and statistical reports to the Coding Manager  Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the...

Anticipated End Date: 2026-01-16 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor Principal Virtual: 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...

A private-equity backed SaaS company is seeking an Auditor in Chicago, IL. The Auditor will provide document handling support and ensure adherence to DMV policies. Strong attention to detail, communication skills, and the ability to work both independently and as part of a team are essential. The role requires proficiency in Microsoft Office and Google Suites. Join this innovative team and contribute to the company's growth and customer satisfaction. #J-18808-Ljbffr

Medical Coder III Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Medical Coder III Location: Warrenville, IL Full Time Hours: Monday-Friday, [hybrid] A Brief Overview: The Medical Coder III is a senior-level position responsible for ensuring precise coding of diagnoses and procedures in compliance with established coding guidelines and regulations. This role is integral to maintaining financial accuracy and regulatory compliance within our institution. What you will do: Assign accurate diagnostic (ICD-10-CM) and procedural (CPT) codes to medical records, demonstrating advanced proficiency in complex coding scenarios. Lead and conduct internal audits of medical records and coding work to ensure the accuracy and consistency of code assignments, providing guidance and feedback to junior coders. Analyze clinical documentation in...

Pro Fee Coder, Surgical Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Position Type: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations. What You Will Do: Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing...

Job Posting 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 Abilities:...

Medical Billing Specialist We are looking for a motivated and detail-oriented Medical Billing Specialist to join our team in Oak Brook, Illinois. This contract position is ideal for candidates with a background in medical billing and a commitment to accuracy in claims processing and payment reconciliation. You will play a vital role in ensuring timely submissions and providing support to families relying on Medicaid-funded services. Responsibilities: Process and submit clinic patient claims to Medicaid and private insurers twice weekly, ensuring all necessary information is included. Identify and correct errors in claims submissions, resubmitting promptly to avoid delays. Prepare and distribute monthly invoices to families and payers. Perform daily reconciliation of billing records to maintain accuracy and compliance. Coordinate with physicians to obtain scripts for new clients, ensuring accurate documentation. Track claim statuses and escalate complex issues to...