Ambulatory Clin Doc Integrity Spec - Must have Pro Fee Coding, diagnosis and CPT coding w/ multiple specialties Carle HealthAmbulatory Clin Doc Integrity Spec - Must have Pro Fee Coding, diagnosis and CPT coding w/ multiple specialtiesChampaign, Illinois$26.03–$43.47 / hourQualifications: Certifications: Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA); Certified Professional Coder - Hospital (CPCH) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA), Education:, Work Experience: Carle Health Company Overview: Find it here. Overview: Performs ambulatory chart review to determine appropriate code assignment based on documentation in the chart to support clinical care provided, including preventives, Medicare Annual Wellness Visits, lowest and highest CPT E/M level, New Patient visits versus Consultation, and medical necessity.
Ambulatory Clin Doc Integrity Spec - Must have Pro Fee Coding, diagnosis and CPT coding w/ multiple specialties Carle Foundation HospitalAmbulatory Clin Doc Integrity Spec - Must have Pro Fee Coding, diagnosis and CPT coding w/ multiple specialtiesChampaign, IL$26.03–$43.47 / hourCertifications: Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA); Certified Professional Coder - Hospital (CPCH) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC)American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA)American Health Information Management Association (AHIMA), Education:, Work Experience: Responsibilities. 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 E/M coding, CPT Procedural Coding, and ICD10CM coding, as applicable.
Patient Financial Services Rep-Must have Healthcare Billing, Insurance, Estimates and Patient Support experience Carle Foundation HospitalPatient Financial Services Rep-Must have Healthcare Billing, Insurance, Estimates and Patient Support experienceChampaign, IL$17.26–$27.96 / hourThe Patient Financial Rep 1 is responsible for researching, resolving, documenting, and responding to inquiries related to hospital and professional accounts from patients, insurance companies, attorneys, public agencies, internal departments, employers, and third-party payers. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities.
NewAccounts Receivable Insurance Specialist- Experience with Medicare, Billing, and DDE Carle HealthAccounts Receivable Insurance Specialist- Experience with Medicare, Billing, and DDEChampaign, Illinois$17.26–$27.96 / hourFull timeUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
NewAccounts Receivable Insurance Specialist- Experience with Medicare, Billing, and DDE Carle Foundation HospitalAccounts Receivable Insurance Specialist- Experience with Medicare, Billing, and DDEChampaign, IL$17.26–$27.96 / hourUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
HIM Cert Coder IP - CFH Carle Foundation HospitalHIM Cert Coder IP - CFHChampaign, IL$23.58–$39.38 / hourCertifications: 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 Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Education: High School Diploma or G.E.D. 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 Cert Coder OP/Out Patient- Must have ED accounts experience Carle Foundation HospitalHIM Cert Coder OP/Out Patient- Must have ED accounts experienceChampaign, IL$23.58–$39.38 / hourCertifications: 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 Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Education:, Work Experience: Responsibilities. 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 Cert Coder Pro Fee - CFH Carle Foundation HospitalHIM Cert Coder Pro Fee - CFHChampaign, IL$23.58–$39.38 / hourCertifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC), Education: High School Diploma or G.E.D. 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.
NewAccounts Receivable Insurance Specialist- Must have Experience with Medicare, Denials and Dual Systems Carle HealthAccounts Receivable Insurance Specialist- Must have Experience with Medicare, Denials and Dual SystemsChampaign, Illinois$17.26–$27.96 / hourFull timeUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
Accounts Receivable Insurance Specialist 1- Commercial, Denials, Payer and Portal experience Carle HealthAccounts Receivable Insurance Specialist 1- Commercial, Denials, Payer and Portal experienceChampaign, Illinois$17.26–$27.96 / hourFull timeUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
Accounts Receivable Insurance Specialist 1- Commercial, Denials, Payer and Portal experience Carle Foundation HospitalAccounts Receivable Insurance Specialist 1- Commercial, Denials, Payer and Portal experienceChampaign, IL$17.26–$27.96 / hourUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
NewAccounts Receivable Insurance Specialist- Must have Experience with Medicare, Denials and Dual Systems Carle Foundation HospitalAccounts Receivable Insurance Specialist- Must have Experience with Medicare, Denials and Dual SystemsChampaign, IL$17.26–$27.96 / hourUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
HIM Cert Coder OP/Out Patient- Must have ED accounts experience Carle HealthHIM Cert Coder OP/Out Patient- Must have ED accounts experienceChampaign, Illinois$23.58–$39.38 / hourQualifications: 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 Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Overview: 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 Cert Coder IP - 5 K Sign on Bonus Carle HealthHIM Cert Coder IP - 5 K Sign on BonusChampaign, Illinois$23.58–$39.38 / hourFull timeQualifications: 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 Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Education: High School Diploma or G.E.D. Overview: 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 Cert Coder IP - CFH Carle HealthHIM Cert Coder IP - CFHChampaign, Illinois$23.58–$39.38 / hourQualifications: 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 Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Overview: 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.
NewHIM Cert Coder OP Team- Surgical Coder Carle HealthHIM Cert Coder OP Team- Surgical CoderChampaign, Illinois$23.58–$39.38 / hourFull timeQualifications: Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); 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 Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Education:, Work Experience: Responsibilities: Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. Overview: 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 Cert Coder Pro Fee - 5k Sign on Bonus Carle HealthHIM Cert Coder Pro Fee - 5k Sign on BonusChampaign, Illinois$23.58–$39.38 / hourFull timeQualifications: Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC), Overview: 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.
RN - Clinical Documentation Integrity Specialist Carle Foundation HospitalRN - Clinical Documentation Integrity SpecialistChampaign, IL$34.31–$59.01 / hourCertifications: Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Licensed Registered Professional Nurse (RN) within 6 months - if licensed in another state - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Associate's Degree: Nursing; Associate's Degree: Related Field, Work Experience: CDI; Clinical bedside. Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings.
NewRisk Adjustment and Public Reporting Analyst Carle Foundation HospitalRisk Adjustment and Public Reporting AnalystChampaign, IL$31.32–$53.87 / hourWork closely with PI Specialist to present findings at opportunity review meetings Analyze and validate risk‑adjusted quality measures to ensure accurate representation of patient acuity and organizational performance Evaluate the impact of documentation, coding, and comorbidity capture on risk‑adjusted outcomes (e.g., mortality, complications, readmissions) Collaborate with CDI and Coding teams to identify gaps affecting risk adjustment and quality outcomes Perform case‑level and population‑level analyses to support appeals, exclusions, and methodological reviews Support analysis and reporting for CMS and other public reporting programs (e.g., Hospital Compare, Star Ratings, Leapfrog, U.S. News where applicable) Assess the impact of risk adjustment methodologies on publicly reported outcomes Track methodological updates and measure changes affecting public reporting programs. Proactively audit data elements that align with risk adjustment methodoligies Support analysis and reporting for CMS and other public reporting programs (e.g., Care Compare, Star Ratings, Leapfrog, U.S. News where applicable) Responsible for exporting, analyzing variations, outliers and opportunity areas and distributing reports form the CMS Hospital Quality Reporting Profile Develop reports to support deliverables for a variety of stakeholders.
RN - Clinical Documentation Integrity Specialist Carle HealthRN - Clinical Documentation Integrity SpecialistChampaign, Illinois$34.31–$59.01 / hourCertifications: Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Licensed Registered Professional Nurse (RN) within 6 months - if licensed in another state - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Associate's Degree: Nursing; Associate's Degree: Related Field, Work Experience: CDI; Clinical bedside. Overview: Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings.