48 coding auditor jobs found in Chicago, IL

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 changing healthcare...

A leading consulting firm in Illinois is seeking an Inpatient Coding Auditor responsible for auditing the accuracy of inpatient coders. The ideal candidate has over two years of experience in auditing and coding with a focus on quality checks and compliance with healthcare guidelines. This role requires effective communication with client teams and the ability to produce audit reports. The expected pay range for this role is $26.44 - $36.06 per hour. #J-18808-Ljbffr

A healthcare consulting firm is seeking an Inpatient Coding Auditor in Chicago, Illinois. The role involves auditing inpatient coders and ensuring coding standards are met. Responsibilities include analyzing medical records, communicating with client teams, and conducting quality checks. Candidates should have 2+ years of auditing experience, advanced proficiency in Microsoft Office, and relevant certifications. The position requires strong analytical and communication skills, with a focus on team collaboration and compliance with coding guidelines. #J-18808-Ljbffr

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 changing healthcare...

Job Description 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...

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 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: $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...

A healthcare consulting firm in Chicago seeks an Inpatient Coding Auditor to perform coding audits and ensure compliance with accuracy standards. Applicants should have 2+ years as a coding auditor, current U.S. work authorization, and experience with various coding guidelines. This role requires strong analytical and communication skills, alongside proficiency in Microsoft Office. The position offers a salary range of $26.44 – $36.06 per hour. #J-18808-Ljbffr

Coding Integrity Specialist - Professional Fee page is loaded## Coding Integrity Specialist - Professional Feeremote type: Remotelocations: Chicago - 550 Van Burentime type: Full timeposted on: Posted Todayjob requisition id: JR-0013443Huron 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...

A leading healthcare service provider in Chicago is seeking a Coding Auditor to ensure quality and accuracy in coding practices. The ideal candidate will have 2-3 years of experience in ICD-10 and CPT coding, including auditing and clinical expertise. Responsibilities include conducting audits, providing education, and supporting compliance projects. Joining this organization means becoming part of a diverse and inclusive team where everyone's contributions are valued. #J-18808-Ljbffr

Job Description Conduct audits to evaluate documentation quality, accuracy of charge code assignment, and financial billing statements. Support the Compliance Officer with projects assigned from internal and external sources. Perform Medicaid, Medicare, and other third-party payer audits as assigned. Respond to physician and clinic questions regarding current ICD-10 and CPT guidelines. Assist with outpatient coding as needed. Provide coding education, training, and updates to coding staff, physicians, and clinics as assigned. Support the coordination and compilation of data required for regulatory agencies and accreditation processes. Review charge master updates and additions to ensure appropriate and accurate ICD-10 and CPT code assignment. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters....

Inpatient Coding Auditor 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...

Position Summary The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and auditing of offshore inpatient coding auditors to ensure coding accuracy standards are met. This role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Inpatient Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Perform a variety of activities involving the coding of medical records, resolving coding related denials, and auditing of coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in behaviors, practices, and decisions. Utilize encoder software applications and all applicable online tools to assign ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Apply coding guidelines established by CDC, CMS, AHA, AMA, AHIMA, and client procedures. Conduct quality checks/audits on...

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 changing healthcare...

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 changing healthcare...

Key Responsibilities Perform activity related to coding of medical records, resolve coding‑related denials, and audit coders to ensure coding accuracy standards are met. Demonstrate Huron’s Vision and Values in all behaviors, practices, and decisions. Act as Inpatient Coding Auditor, ensuring a minimum 95% accuracy for coding and DRGs. Conduct quality checks/audits on visits coded according to client SOPs. Perform calibration audits and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, providing direct feedback to coders and auditors, and participate in client interactions and internal stakeholder meetings. Possess a firm understanding of clinical documentation guidelines. Identify and rectify coding guideline violations during audits before claims are rebilled. Analyze and present audit findings to leadership in a clear, concise, actionable format. Use encoder software applications and all available online tools for...

HCSC is looking for a professional to conduct Reimbursement Policy reviews and coordinate with various departments. The role requires strong claims processing experience and research skills. Qualifications include a Bachelor's Degree, at least 3 years of claims processing operations, and excellent communication abilities. This telecommute role offers a base pay range of $55,900.00 - $123,500.00. HCSC is committed to equal opportunity employment. #J-18808-Ljbffr

A consulting firm in Chicago is seeking a Coding Integrity Specialist to handle the coding of medical records and ensure coding accuracy. The ideal candidate will have over 3 years of experience in inpatient coding and a relevant certification such as CCS. Responsibilities include auditing coders, resolving denials, and maintaining compliance with coding standards. Strong analytical and communication skills are essential, along with proficiency in encoder software and Microsoft Office Suite. This position offers the opportunity to make a significant impact in the healthcare sector. #J-18808-Ljbffr

NACBA is seeking a Senior Auditor in Evanston, Illinois, to support their Corporate Compliance Program through auditing and compliance investigations. Candidates should hold a Bachelor's degree and relevant coding certification, along with over three years of experience in regulatory billing compliance. The Senior Auditor will ensure billing accuracy, handle audit documentation, and work on government and payer audits. Proficiency in Microsoft Excel and familiarity with audit processes is essential for success in this role. #J-18808-Ljbffr

Job Type Full-time Description A Certified Professional Medical Auditor is responsible for reviewing and auditing medical documentation, including patient records, charts, and clinical notes, to ensure accuracy, compliance with regulations, and adherence to industry standards. This role is crucial in maintaining the integrity of medical records, billing processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements Key Responsibilities: Medical Documentation Review: Conduct thorough audits of patient medical records, including physician notes, progress notes, discharge summaries, and other relevant documentation. Examine medical records to verify their completeness and conformity with established standards, ensuring they accurately reflect the patient's condition, diagnosis, treatment, and other pertinent information. Verify that documentation adheres to established coding guidelines, such as ICD-10 and CPT, and...

A healthcare organization is seeking a Senior Auditor to support the Corporate Compliance Program. This role involves conducting audits, analyzing coding and billing processes, and ensuring compliance with federal and state regulations. The ideal candidate should have a Bachelor's degree, relevant certification, and 3+ years of experience in regulatory billing compliance. Benefits include opportunities for professional growth, tuition reimbursement, and various medical options. #J-18808-Ljbffr

PB Coder Chicago The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement...

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 changing healthcare...

Job Description 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 AM - 4:30 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 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...

Job Summary 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, conducting audits for physician education, and 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, providing guidance to faculty and staff on the...