Email Alert for
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.
City of Chicago
Chicago
**Description:** BID/JOB ANNOUNCEMENT **AUDITOR II** **Department of Family and Support Services** Number of Vacancies: 1 (Additional vacancies possible pending budget approval) This Posting Has been Extended Through July 12, 2024 **This position is open to the public and all current city employees covered under the City’s Collective Bargaining Agr
Job Source: City of ChicagoElevance Health
Chicago, IL, United States
Description Clinical Provider Auditor II Supports the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, C
Job Source: Elevance HealthR1 RCM
Chicago
At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. We deliver proven ROI across the entire revenue cycle – front, middle and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and
Job Source: R1 RCMThe University Of Chicago
Chicago, IL, United States
Department BSD ALL - Audit About the Department The Alliance for Clinical Trials in Oncology is a member of the NCI National Clinical Trials Network (NCTN). The main goal of the NCTN is to conduct definitive, randomized, late phase clinical treatment trials and advanced imaging trials across a broad range of diseases and diverse patient populatio
Job Source: The University Of ChicagoLoyola University Chicago
Chicago
Clinical Research Coordinator II Thank you for your interest in Loyola University Chicago. To view open positions, please enter your search criteria below. You may view all open positions by not specifying any search criteria and selecting the "Search" button. Bookmark this Posting Print Preview | Apply for this Job Position Details Position Detail
Job Source: Loyola University ChicagoLoyola University Chicago
Chicago
Clinical Research Coordinator II Thank you for your interest in Loyola University Chicago. To view open positions, please enter your search criteria below. You may view all open positions by not specifying any search criteria and selecting the "Search" button. Bookmark this Posting Print Preview | Apply for this Job Position Details Position Detail
Job Source: Loyola University ChicagoChicago Family Health Center
Chicago, IL, United States
Job Title: Lead Provider Compensation (Based on experience and qualifications) Schedule: Monday - Friday 9:00am - 5:00pm included extended hour shift of Noon - 8:00pm once per week with a Saturday (every 4 weeks) Rotation 8:00am - 1:00pm Chicago Family Health Center (CFHC) is seeking a Clinical Lead to join the medical team. Under the general
Job Source: Chicago Family Health CenterFederal Home Loan Bank of Chicago
Chicago, IL, United States
Join the FHLBC team! At the Federal Home Loan Bank of Chicago, employees come first - that’s why we offer a highly competitive compensation and bonus package, and access to a comprehensive benefits program designed to meet the needs of our employees. Retirement program (401k and Pension) Medical, dental and vision insurance Lifestyle Spending Acc
Job Source: Federal Home Loan Bank of ChicagoChicago
**Clinical Provider Auditor II**
**Supports the Payment Integrity line of business**
_Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.
**How you will make an impact:**
+ Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control.
+ Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle.
+ Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.
+ Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
+ Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.
+ Assists with training of new associates.
**Minimum Requirements**
+ Requires a AA/AS and minimum of 4 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.
+ Requires coding certification (CPC, CCS, CPMA).
**Preferred Skills, Capabilities and Experiences**
+ Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology and Bachelors degree strongly preferred.
+ Behavioral Health coding and auditing experience preferred.
For candidates working in person or remotely in the below location, the salary* range for this specific position is $67,620 to $101,430.
Locations: District of Columbia (Washington, DC)
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Email Alert for Clinical Provider Auditor II_ jobs in Chicago
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.