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Freelance Remote Coding Auditor Jobs in Illinois

NinjaTrader

GRC Engineer

Chicago, IL · On-site +1

$130K - $145K/yr

... code and integrating systems as you do reviewing controls. You'll serve as the bridge between ... Experience working directly with external auditors and managing audit timelines Compensation: The ...

3coresystems

Senior Azure DevSecOps Engineer

Chicago, IL · Remote

$118K - $161K/yr

... auditing) (5 yrs); NoSQL and CosmosDB deployment and management (5 yrs); Terraform modules, remote state, Azure Provider, CI\/CD integration (5 yrs); Python and Node.js (strong coding) (5 yrs ...

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Nurse Auditor - Medical Bill Review (Remote)

Rising Medical Solutions

Chicago, IL • On-site, Remote

Full-time

Medical, Retirement, PTO

Re-posted 23 days ago

Job description

Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching to use your expertise to fix it? We've been there, too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment.
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges. We pride ourselves on outstanding customer service and work hard to keep our impeccable reputation in the industry.
In this role, you'll be a part of our mission by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will:
  • Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
  • Clinically identify and evaluate any charges not related to the occurrence.
  • Verify that charges are in accordance with the services ordered and authorized.
  • Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
  • Negotiate bills and conduct re-evaluation reviews as required

All while maintaining a human touch, demonstrating sensitivity to culturally-diverse people and situations.
Requirements
  • RN (or LPN) with active professional license or equivalent within states of operation
  • CPC and/or CPC-H certification(s) strongly desired
  • Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures
  • 3-5 years of clinical experience in acute care, surgery and/or orthopedic
  • Workers' Compensation medical bill review experience a major plus
  • Understanding of CPT and ICD-10 codes and Medicare guidelines
  • Ability to apply knowledge to state fee schedules
  • A customer service orientation, including strong communication skills
  • Experience in any deposition or litigation cases a plus

Benefits
  • Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more.
  • Flexible hybrid schedule with in-office days reserved for training and collaborative meetings
  • Employment within a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from within!
  • Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers.
  • A relaxed, yet upbeat work environment
  • And for those in the office: casual dress code with unlimited coffee!

Apply