Medical Coding & Billing Specialist (Oakbrook, IL) Stella Mental HealthMedical Coding & Billing Specialist (Oakbrook, IL)Westmont, CaliforniaGenerate patient statements, collect payments, and provide exceptional customer service to patients regarding billing inquiries via phone, email, and chat. Minimum of two years of experience in outpatient billing, coding and denials, including claim creation and submissions, Evaluation, & Management (E&M).
Medical Coding Specialist - Outpatient (full-time) Sauk Prairie Healthcare and HospitalMedical Coding Specialist - Outpatient (full-time)ILRemoteCertification(s): Required: Must obtain credentials through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) in any of the following certifications within six months of date of hire and maintain such credential thereafter: Registered Health Information Technician (RHIT) or Administrator (RHIA). Reviews medical reports and physician documentation for clinic and hospital outpatient services in order to apply diagnostic and procedural codes to individual patient health information for claims processing, data retrieval and analysis.
Coding Auditor – Ambulatory/Professional Coding/Profee Huron Consulting ServicesCoding Auditor – Ambulatory/Professional Coding/ProfeeChicago, IllinoisPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
RCM coordinator (home health billing and coding) Pointwest Technologies CorpRCM coordinator (home health billing and coding)chicago, ILRCM Coordinator (Home Health Billing & Coding) – Remote (US-Based) Position Type: Full-Time | Work From Home Location: United States (Remote) About the Role: We are seeking a Revenue Cycle Management (RCM) Coordinator with proven experience in Home Health medical billing and coding . Key Responsibilities: Oversee and coordinate all aspects of the Home Health billing and coding cycle , from charge capture to claims submission and payment posting.
DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGChicago, IL$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Physician Coding Specialist II - PBB-1 Ann & Robert H Lurie Children's Hospital of ChicagoPhysician Coding Specialist II - PBB-1Chicago, IL$26.25–$42.92 / hourPerforms job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others. Lurie Children's utilizes certain AI-enabled features within our recruiting platform to support candidate engagement and assist recruiters in identifying and prioritizing applicants whose experience aligns with job requirements.
NewDRG Coding Auditor - MS-DRG and APR-DRG Elevance HealthDRG Coding Auditor - MS-DRG and APR-DRGChicago, Illinois$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Physician Coding Specialist II - PBB-1 Ann & Robert H. Lurie Children's Hospital of ChicagoPhysician Coding Specialist II - PBB-1Chicago, IllinoisPerforms job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others. Lurie Children’s utilizes certain AI-enabled features within our recruiting platform to support candidate engagement and assist recruiters in identifying and prioritizing applicants whose experience aligns with job requirements.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgChicago, IL$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Billing & Coding Specialist PrimeCare HealthBilling & Coding SpecialistChicago, ILThis position focuses on all elements of revenue cycle processes from claim creation to follow-up on denials including handling and adjusting patients' accounts per EOB response. 3 - 5 years of experience in outpatient/inpatient Medicaid, Medicaid MCOs, Medicare, Medicare Replacement, and commercial insurance billing preferred.
NewHealthcare Auditor & Coding Consultant, Forensics and Compliance StoutHealthcare Auditor & Coding Consultant, Forensics and ComplianceChicago, Illinois$74,000–$135,000 / yearOne or more active coding, auditing, billing, or HIM credentials preferred, such as CCS, CIC, CPC, COC, CPMA, CHCA/CHCAF, CPB, RHIT, RHIA, or a comparable credential. Demonstrate integrity and embody Stout's core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and Great Communicators while delivering Relentless Excellence®.
Coding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeChicago, IL$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
NewCoding Investigator Auditor - Work From Home HCSCCoding Investigator Auditor - Work From HomeChicago, IllinoisRemoteCoordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database. This position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed.
Coding Educator Endeavor HealthCoding EducatorSkokie, Illinois$24.86–$37.29 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties.
Senior Coding Compliance Auditor - Inpatient Ensemble Health PartnersSenior Coding Compliance Auditor - InpatientILRemote$76,300–$131,550 / yearThey 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 - OutpatientILRemote$76,300–$131,550 / yearThey 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.
Revenue Cycle Coding Edit Specialist CommonSpirit HealthRevenue Cycle Coding Edit SpecialistChicago, ILRemoteAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. Review medical documentation and health information within various electronic medical or health systems to address coding claim edits and other requests from other departments, such as Patient Financial Services, in a timely manner ensuring DNFC KPI metrics are met.
Senior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI) Guidehouse IncSenior Consultant - Healthcare Financial Transformation - Clinical Integrity (Surgical Coding, CDI)Chicago, IL$89,000–$148,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Chicago, ILIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantChicago, ILIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.