254 jobs found in Illinois

Hospital Medical Biller Chicago Behavioral Hospital - Des Plaines, IL 60016 Overview Salary Range $24.00 - $30.00 Hourly Position Type Full Time Description JOIN OUR TEAM AS A HOSPITAL MEDICAL BILLER! Schedule: M-F 8a-4:30p Monthly bonus eligible!!! Onsite with many opportunities for advancement! Your Work Matters How will you make a difference? The Hospital Medical Biller function is responsible for providing services to the facility which will include but not limited to daily billing in Availity, Medicare DDE billing, correcting claims and resubmissions as needed, report preparation, performing basic computer system maintenance, and maintaining correspondence. Knowledge of hospital billing is required. Job Related Skills Knowledge of computer and software packages, including maintenance of hardware and software. Knowledge of in-house processing systems. Knowledge of report preparation and layout features. Knowledge of all code procedures. Skill in...

Medical Staff Services Department Manager Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations. Major Responsibilities: Implements, coordinates, monitors, and maintains effective credentialing processes for the process of appointment, reappointment and credentialing for the designated medical staff organizations. Ensures these are executed by according to policy, to ensure compliance with bylaws, policies, and rules and regulations of the medical staff and accreditation and legal requirements....

Senior Compliance Auditor The Senior Compliance Auditor has the primary responsibility to conduct global sales and marketing compliance audits for the US operating divisions and international affiliates. Scope may include but not limited to compliance audits in the following broadly described areas: FCPA Anti-Bribery Anti-Corruption Commercial Contracting/Pricing Research Funding No-Charge goods HIPAA/Privacy Laws Travel - 15% to 35% Domestic and International Qualifications: What you will bring! At least 3 years of experience with a major public accounting, consulting or law firm in a client-facing capacity Broad knowledge and experience in FCPA and/or the healthcare industry Bachelors Degree in from a four-year college or university 15 35% travel to international and U.S. locations Why is This a Great Opportunity: Our client is one of the top global pharma's. This is a highly visible Leadership Development Rotation Program. You will...

Senior Compliance Auditor The Senior Compliance Auditor has the primary responsibility to conduct global sales and marketing compliance audits for the US operating divisions and international affiliates. Scope may include but not limited to compliance audits in the following broadly described areas: Research Funding No-Charge Goods HIPAA/Privacy Laws FCPA Anti-Bribery Commercial Contracting/Pricing Travel - 15% to 35% Domestic and International Qualifications: What you will bring! At least 3 years of experience with a major public accounting, consulting or law firm in a client-facing capacity Broad knowledge and experience in FCPA and/or the healthcare industry Bachelors Degree in from a four-year college or university 15 35% travel to international and U.S. locations Why is This a Great Opportunity: Our client is one of the top global pharma's. This is a highly visible Leadership Development Rotation Program. You will spend 24 months in...

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. 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. 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. Collaborate with radiologists, physicians, and healthcare staff to provide comprehensive diagnostic...

Job Description Job Description Occupational health medical facility is seeking a full-time medical billing specialist. Prefer qualified candidate to have prior experience with submission of electronic billing, insurance appeals and denials, CPT/ICD10 codes, and payment posting. Knowledge with worker's comp insurance billing and collections rules also a plus. Candidate must be detailed-oriented, dependable, goal-oriented, willingness to assist others as necessary and with ability to work independently. Good customer service skills are a must. Medical Biller Duties and Responsibilities Ensure patient information is accurate and complete Request any missing patient information Review referrals and authorizations Confirm patient benefits and insurance Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO Transfer insurance claims and billing data to billing software Create both paper and electronic copies of documentation Develop and maintain...

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 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: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive...

A leading healthcare data platform seeks experienced inpatient coders to join their remote team. The role requires accuracy in coding using ICD-10 standards, along with significant experience and certifications such as CCS or RHIT. Ideal candidates should communicate effectively and possess strong attention to detail. As part of the team, you'll contribute to improving healthcare decisions and outcomes. This remote role offers flexibility and competitive pay within a collaborative work environment. #J-18808-Ljbffr

A leading health data company is seeking experienced inpatient coders to join their remote team. Candidates must have a minimum of 3 years coding experience and a deep understanding of medical terminology. Responsibilities include coding patient records accurately and overseeing other coders. The company offers comprehensive benefits, including medical, dental, and 401k plans, along with flexible working schedules. Successful applicants will contribute to improving healthcare delivery through precise data management. #J-18808-Ljbffr

Coder I The Coder I is responsible for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement and compliance to documentation and medical policy guidelines for all payers. Ensures that records are coded in an accurate and timely manner. General Duties, Tasks and Responsibilities Ensures that records are coded accurately and timely; reviews patient charges for inconsistencies; contacts physician if diagnosis is not available on chart; refers charts accordingly. Utilizes computerized coding/abstracting equipment, coding software, coding references and resources, transcription equipment, and medical dictionaries to ensure the most accurate and efficient entry of information. Codes all diagnoses/procedures in accordance to ICD-10-CM/PCS coding principles and the Coding Manual; ensures data quality and optimum reimbursement allowable...

Senior Compliance Auditor As a part of the global industrial organization Marmon Holdings—which is backed by Berkshire Hathaway—you'll be doing things that matter, leading at every level, and winning a better way. We're committed to making a positive impact on the world, providing you with diverse learning and working opportunities, and fostering a culture where everyone's empowered to be their best. Marmon is now seeking a diligent and detail-oriented Senior Compliance Auditor to join our Corporate Compliance team. The Senior Compliance Auditor will be responsible for planning and executing comprehensive compliance and ethics audits of Marmon subsidiary companies, assessing compliance risks, and ensuring adherence to all relevant Marmon Compliance policies and legal requirements including anti-bribery and anti-corruption laws, as well as import & export regulations and sanctions laws. This position will also prepare detailed reports for management with recommendations for...

**CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a...

MRTs (Coder) This position is located in the Health Information Management (HIM) section at the Edward Hines Jr. VA Hospital. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers.

Coder II The Coder II is responsible for conversion of diagnosis and treatment procedures into codes utilizing the current Revision of the International Classification of Diseases and Operations, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT-4), Evaluation and Management (E&M), and HCPCS coding for Professional (Physician) services received in the CMH Health Services system. Requires skill in the sequencing of diagnosis/procedures to optimize reimbursement and compliance to documentation and medical policy guidelines for all payers. Ensures that records are coded in an accurate and timely manner. Performs audits on chart information, level of care charged and provides education to staff and providers on compliant coding. Ensures that records are coded accurately and timely; reviews patient charges for inconsistencies; contacts physician if diagnosis is not available on chart; refers charts accordingly. Utilizes computerized coding/abstracting...

Job Type Full-time Description Alteas Health is seeking an experienced Medical Billing Specialist to support behavioral health (psychiatry) services across Illinois and Wisconsin. This role is a key part of our revenue cycle team and is best suited for someone who thrives in a fast-paced environment and takes ownership of the full billing process from submission through resolution. In this position, you will work closely with internal teams and payers to ensure claims are accurate, timely, and successfully reimbursed. Experience with behavioral health billing and multi-state payer requirements (IL & WI) will be critical to success in this role. What You'll Do Prepare and submit clean claims (electronic and paper) Manage and resolve claim rejections, denials, and clearinghouse errors Work aging reports to ensure timely follow-up and reimbursement Research and resolve unbilled or underbilled claims Review patient accounts for accuracy,...

Remote Position Remote Position Hours: M-F, Flexible hours after training period. Hours: M-F, Flexible hours after training period. Sign-on Bonus Sign-on Bonus Job Description The Coder II - Inpatient is responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient encounters in accordance with official coding guidelines, hospital policies, and regulatory requirements. This role ensures the integrity of the patient medical record, supports appropriate reimbursement, and contributes to compliance, quality reporting, and data integrity for Powers Health hospitals. Reviews and evaluates inpatient medical records via the EMR to determine appropriate diagnosis and procedures to be coded based on industry standards, federal regulations and hospital guidelines. Accurately assigns the appropriate code set (i.e. ICD-10, CPT) to the diagnosis and procedures documented in the EMR via the encoder and in compliance with accuracy and productivity...

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...

Insight Hospital and Medical Center Chicago At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides patient care second to none! Position Purpose Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses,...

Major Responsibilities: Supervises the daily workflow of the site Nutrition Services department, ensuring quality nutrition care is provided to all patients. Manages all resources necessary to optimally provide nutrition care, including maintaining appropriate staffing levels, office supplies, equipment, and the automated patient care systems. Collaborates with Food Management regarding services that affect both departments, including menu changes, procedure changes, and performance improvement activities. Plans and coordinates supervised practice experiences for dietetic students with schools and universities. Orients dietetic students and assigns them to rotations with clinical dietitians and dietetic technicians. Maintains an optimal level of area productivity based on labor management standards. Maintains and promotes effective relationships with and between patients, families, department staff, other hospital departments, medical...