ZipRecruiter

Log In

2

Locum Remote Risk Adjustment Coder Jobs in Illinois

Allied

Quality Assurance Auditor

Chicago, IL · On-site +1

$48K - $50K/yr

... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Allied

Claims Specialist

Chicago, IL · On-site +1

$48K - $50K/yr

Review billed procedure and diagnosis codes on claims for billing irregularities * Review and ... Process Adjustment Claims when necessary, due to corrected claims as well as applying refunds in ...

Allied Benefit Systems

Claims Specialist

Chicago, IL · Remote

Review billed procedure and diagnosis codes on claims for billing irregularities * Review and ... Process Adjustment Claims when necessary, due to corrected claims as well as applying refunds in ...

Amiculum

Experienced medical writer - USA

Chicago, IL · On-site +1

If you require any adjustments or have specific needs, please contact Becka or Steven from our ... Job code: CPT407 Career opportunities Medical writing Role Publications Locations USA (Remote ...

next page

Showing results 1-20

All JobsLocum Risk Adjustment Coder JobsLocum Remote Risk Adjustment Coder JobsLocum Remote Risk Adjustment Coder Jobs in Illinois

Locum Remote Risk Adjustment Coder information

What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Illinois? The most popular types of Remote Risk Adjustment Coder jobs in Illinois are:
What cities in Illinois are hiring for Locum Remote Risk Adjustment Coder jobs? Cities in Illinois with the most Locum Remote Risk Adjustment Coder job openings:
Locum Remote Risk Adjustment Coder jobs near you
Quality Assurance Auditor

Quality Assurance Auditor

Allied Benefit Systems

Chicago, IL • Remote

Full-time

Medical, Dental, Vision, Life, PTO

Posted 27 days ago

Allied Benefit Systems rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

84th of 426 rated business services

Job description

POSITION SUMMARY

The Quality Assurance Auditor will be responsible for the completion of multiple audit tasks including but not limited to auditing the building of plan coders as needed for all new and existing revisions, along with compiling and reporting results and trends accurately. The QA Auditor is also responsible for auditing outgoing correspondence from the Medical Review, Appeals, and Refund teams, as well as complete audit of claim adjustments by the Rapid Response team. The QA Auditor will interpret the benefits in the plan documents to determine how benefits are payable and tracked/reported in the QicLink system.

ESSENTIAL FUNCTIONS

Log and track data to be audited

Audit outgoing correspondence from the Medical Review, Appeals, and Refund teams

Conduct complete audit of claim adjustments by the Rapid Response team

Communicate and coordinate with other departments involved in the audit process

Audit new and existing plans built by plan coders for all new and existing revisions

Assist with current audit programs in place as well as identifying ways to improve audit results

Track and report audit trends and communicate training requirements to Management based on audit results

Monitor and track audit progress to ensure all audit tasks are complete by the determined deadline

Audit data for accuracy as well as workflow compliance

Other duties as assigned

EDUCATION

Bachelor's degree or equivalent work experience required.

EXPERIENCE AND SKILLS

Minimum 5 years of comprehensive experience with auditing medical, dental, and vision claims required

Proficient in Microsoft Word and Microsoft Excel

Some familiarity with plan coding

Strong written and verbal communication skills required

Ability to effectively manage assigned workload, including multiple tasks and competing priorities

COMPETENCIES

Accountability

Analytical Thinking

Collaboration

Communication

Customer Focus

Functional Expertise

Initiative

PHYSICAL DEMANDS

This is a standard desk job requiring extended sitting and computer work

.

WORK ENVIRONMENT

Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

Apply