1

Claims Edit Coder Jobs in Illinois (NOW HIRING)

Familiar with medical terminology and insurances HCPC/ICD-9 codes, * Documents activities in ERP ... Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission ...

Familiar with medical terminology and insurances HCPC/ICD-9 codes, * Documents activities in ERP ... Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission ...

Familiar with medical terminology and insurances HCPC/ICD-9 codes, * Documents activities in ERP ... Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission ...

Collections Associate

Downers Grove, IL · On-site

$15.94 - $17.04/hr

Familiar with medical terminology and insurances HCPC/ICD-9 codes, * Documents activities in ERP ... Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission ...

Collections Associate

Downers Grove, IL · On-site

$15.94 - $17.04/hr

Familiar with medical terminology and insurances HCPC/ICD-9 codes, * Documents activities in ERP ... Ability to edit and resubmit claims for payment. * Prepares and reviews clean claims for submission ...

Showing results 21-25

Claims Edit Coder information

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.
What cities in Illinois are hiring for Claims Edit Coder jobs? Cities in Illinois with the most Claims Edit Coder job openings:
Infographic showing various Claims Edit Coder job openings in Illinois as of August 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 100% In-person job distribution.

Collector, Associate

Accendra

Downers Grove, IL • On-site

$20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago


Job description

At Accendra Health, we understand that healthcare is complex, and we're here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve.

With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.

If you're interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life.

The anticipated salary range for this position is $20.00 hourly.

POSITION SUMMARY:

The representative is to service the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. The representative will also follow-up with payers to facilitate uninterrupted cash flow.

ESSENTIAL TASKS:

  • Must possess excellent communication skills and the ability to practice proper phone and email etiquette,
  • Skilled in answering a telephone in a pleasant and helpful manner.
  • Ability to read, understand and follow oral and written instructions.
  • Answers questions from customers, clerical staff, and insurance companies.
  • Identifies and resolves patient billing complaints.
  • Handles customer collection calls.
  • Familiar with medical terminology and insurances HCPC/ICD-9 codes,
  • Documents activities in ERP system in an efficient accurate and timely manner.
  • Ensures the billing activity is handled correctly.
  • Ability to evaluate and secure the needed Rx's, PA's and medical justification to facilitate payment of claims for initial and review/appeals payments.
  • Ability to edit and resubmit claims for payment.
  • Prepares and reviews clean claims for submission to various insurances either electronically or y paper.
  • Working knowledge of Microsoft Office, particularly Word and Outlook.
  • Provide feedback to Group Team Lead regarding issues regarding accounts.
  • Conducts routine tasks as directed; works under clearly defined guidelines.
  • Contributes to specific objectives and outcomes as directed.

Teammate Benefits

As an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are - through all of life's stages. We've got you and your family covered with benefits that support your health, finances, and overall wellness.

Our benefits program includes:

  • Medical, dental, and vision care coverage

  • Paid time off plan

  • 401(k) Plan

  • Flexible Spending Accounts

  • Basic life insurance

  • Short-and long-term disability coverage

  • Accident insurance

  • Teammate Assistance Program

  • Paid parental leave

  • Domestic partner benefits

  • Mental, physical, and financial well-being programs

If you feel this opportunity could be the next step in your career, we encourage you to apply.

Accendra is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.

Note: Accendra is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at our Company via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of our Company. No fee will be paid in the event the candidate is hired by our Company as a result of the referral or through other means.

#AccendraHealth