NewMedical Coding Supervisor - Day Shift Hours MercyhealthMedical Coding Supervisor - Day Shift HoursIllinoisPartnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.
Senior Coding Compliance Auditor - Inpatient Ensemble Health PartnersSenior Coding Compliance Auditor - InpatientIllinoisRemoteThey will lead & complete detailed Coding compliance audits including complex audits, implement Management Action Plans, prepare high quality audit reports, establish and maintains an Audit the Auditor Quality program, coaches and mentors new and existing Coding auditors, and participate in other compliance program related activities. The senior auditor is expected to work independently with minimal supervision, will manage projects/initiatives as assigned, use analytical and problem-solving skills to assist the auditors with their complex account reviews.
Senior Coding Compliance Auditor - Outpatient Ensemble Health PartnersSenior Coding Compliance Auditor - OutpatientIllinoisRemoteThey will lead & complete detailed Coding compliance audits including complex audits, implement Management Action Plans, prepare high quality audit reports, establish and maintains an Audit the Auditor Quality program, coaches and mentors new and existing Coding auditors, and participate in other compliance program related activities. The senior auditor is expected to work independently with minimal supervision, will manage projects/initiatives as assigned, use analytical and problem-solving skills to assist the auditors with their complex account reviews.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)ILRemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
Charge Master Analyst Sutter HealthCharge Master AnalystSpringfield, IL$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Specialist, Billing Lundbeck LLCSpecialist, BillingILThis role requires strong, hands-on experience with critical access hospital (CAH), rural health clinic (RHC), and/or hospital/facility billing, including a deep understanding of the unique reimbursement methodologies, regulatory requirements, and payer guidelines associated with these settings. Summary: The Billing Specialist, known as Revenue Cycle Specialist II with ruralMED, is responsible for planning, organizing, and implementing activities related to charging, billing, collections, and cash management functions.
AR Specialist 2, Complex Clinical Denials SavistaAR Specialist 2, Complex Clinical DenialsIllinoisWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Intermediate knowledge of one or more of the following Patient accounting systems: EPIC, Collections Management, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon.
Hospital Outpatient Specialty Coder Lundbeck LLCHospital Outpatient Specialty CoderILRemoteThis role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare Berkeley Research GroupManaging Consultant – Clinical Documentation Integrity (CDI) – HealthcareIllinoisCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.
Sr. Manager Field Reimbursement - Midwest Integra LifeSciencesSr. Manager Field Reimbursement - MidwestSpringfield, IL$109,000–$150,000 / yearExperience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). + Execute regional payer strategies , including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.
NewSenior Manager, Clinical Product Quality - Medical Device/Complaint Handling & Cardiovascular RN Edwards Lifesciences CorpSenior Manager, Clinical Product Quality - Medical Device/Complaint Handling & Cardiovascular RNILRemote$145,000–$205,000 / yearAs a Senior Manager, Clinical Product Quality, you will be a member of Complaint Handling and Post Market Surveillance/Risk Management team to provide clinical guidance/clinical expert knowledge to Quality, Engineering and other cross functional teams to understand the nature of complaints and possible health risks. How you will make an impact: Provides medical/clinical guidance to complaint investigators and engineers related to event interpretation, event investigation, proper coding, required regulatory reporting (Medical Device Reports, Medical Device Vigilance, etc.), and complaint closure.
Medical Scribe (Spanish Bilingual) CVS HealthMedical Scribe (Spanish Bilingual)Belmont Cragin, IllinoisScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Informatics Consultant CVS Health CorpInformatics ConsultantIL$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
NewNurse Practitioner Elara CaringNurse PractitionerSpringfield, ILAs a Hospice Nurse Practitioner, you'll contribute to our success in the following ways: Complete routine and emergency face-to-face recertification visits for hospice patients, including admissions, transfers, and extended stays. Must possess a valid driver's license, maintain an acceptable driving record, OR have reliable transportation to travel between patient homes and assigned work locations.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerSpringfield, ILJoin our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients’ lives around the world. The Field Reimbursement Manager will be responsible for ensuring that target accounts within their geography understand the necessary steps to receive reimbursement through the appropriate payer when ordering products, consistent with company compliance policies, company procedures, and approved materials.
Medical Director - Midland States CVS HealthMedical Director - Midland StatesIllinoisThe Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed.
NewSr Analyst Analytics, Revenue Cycle(EPIC Reporting) CVS HealthSr Analyst Analytics, Revenue Cycle(EPIC Reporting)IllinoisThe Sr Analyst, Revenue Cycle Analytics ideal candidate is a self-starter, enjoys solving challenging problems, uses data to drive insights, and excels in a fast-paced environment. This role will require cross-team collaboration within Population Health and other corporate teams (Business Intelligence, Clinical Documentation and Coding, Quality and Managed Care Operations.).
Managing Consultant – Clinical Quality Improvement – Healthcare Berkeley Research GroupManaging Consultant – Clinical Quality Improvement – HealthcareIllinoisCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, physicians, nurses, and other clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment. .
Managing Consultant – Quality – Patient Experience (HCAHPS) Improvement – Healthcare Berkeley Research GroupManaging Consultant – Quality – Patient Experience (HCAHPS) Improvement – HealthcareIllinoisCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, physicians, nurses, and other clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment. .
Managing Consultant – Quality – Sepsis/HAI - Healthcare Berkeley Research GroupManaging Consultant – Quality – Sepsis/HAI - HealthcareIllinoisCQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, physicians, nurses, and other clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment. .