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Utilization Management Non Clinical Jobs in Springfield, IL

Aspen Dental

Patient Coordinator

Springfield, IL

$16 - $18/hr

The practices receive non-clinical business support services from Aspen Dental Management, Inc., a dental support organization. *May vary by independently owned and operated Aspen Dental locations.

Aspen Dental

Patient Coordinator

Springfield, IL · On-site

$16 - $18/hr

The practices receive non-clinical business support services from Aspen Dental Management, Inc., a dental support organization. *May vary by independently owned and operated Aspen Dental locations.

Aspen Dental

Patient Coordinator

Springfield, IL · On-site

$16 - $18/hr

The practices receive non-clinical business support services from Aspen Dental Management, Inc., a dental support organization. *May vary by independently owned and operated Aspen Dental locations.

Aspen Dental

Dental Hygienist (RDH)

Springfield, IL

$45 - $49/hr

Practices receive non-clinical business support from Aspen Dental Management, Inc., a dental support organization. ADMI Corp., doing business as TAG, The Aspen Group, its affiliates, related ...

Aspen Dental

Dental Hygienist (RDH)

Springfield, IL

$45 - $49/hr

Practices receive non-clinical business support from Aspen Dental Management, Inc., a dental support organization. ADMI Corp., doing business as TAG, The Aspen Group, its affiliates, related ...

Aspen Dental

Dental Hygienist (RDH)

Springfield, IL · On-site

$45 - $49/hr

Practices receive non-clinical business support from Aspen Dental Management, Inc., a dental support organization. ADMI Corp., doing business as TAG, The Aspen Group, its affiliates, related ...

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Showing results 41-60

All JobsUtilization Management Non Clinical JobsUtilization Management Non Clinical Jobs in Springfield, IL

Utilization Management Non Clinical information

See Springfield, IL salary details

$38.7K

$88.7K

$161.6K

How much do utilization management non clinical jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization management non clinical in Springfield, IL is $88,687.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,900.00 and $103,600.00 per year, depending on experience, location, and employer.

What is the difference between Utilization Management Non Clinical vs Utilization Review Nurse?

AspectUtilization Management Non ClinicalUtilization Review Nurse
CredentialsCertifications like CCM, RN (optional), but primarily non-clinical certificationsRN license, certifications such as CCM or CUC
Work EnvironmentOffice-based, administrative setting, telecommuting optionsClinical settings, hospitals, or insurance companies, often with direct patient or provider interaction
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentUnderstanding non-clinical roles in utilization managementClinical review roles involving direct patient care assessment

Utilization Management Non Clinical roles focus on administrative, policy, and documentation tasks without direct patient care, while Utilization Review Nurses perform clinical assessments to determine care necessity. Both roles are essential in healthcare utilization but differ mainly in clinical involvement and required credentials.

What are popular job titles related to Utilization Management Non Clinical jobs in Springfield, IL?

For Utilization Management Non Clinical jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Utilization Management Non Clinical jobs in Springfield, IL look for?

The top searched job categories for Utilization Management Non Clinical jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Utilization Management Non Clinical jobs?

Cities near Springfield, IL with the most Utilization Management Non Clinical job openings:

Utilization Management Non Clinical jobs near you
Infographic showing various Utilization Management Non Clinical job openings in Springfield, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $88,687 per year, or $42.6 per hour.

Manager, Revenue Cycle and Auditing

Springfield Clinic

Springfield, IL • On-site

$90K - $144K/yr

Full-time

Re-posted 17 days ago

Key responsibilities

  • Oversee daily workflows, work queues, and staffing to meet productivity, quality, and SLA standards.

  • Manage audits of coding, billing, and documentation, including planning, sampling, scoring, and corrective actions.

  • Develop and deliver coding and billing education for clinical and non-clinical staff.

Springfield Clinic rating

6.9

Company rating: 6.9 out of 10

Based on 60 frontline employees who took The Breakroom Quiz

453rd of 898 rated healthcare providers

Job description


The Revenue Cycle Coding & Auditing Manager provides strategic and day-to-day leadership over coding, coding education and billing compliance/auditing. This role ensures that all billable services are coded timely, accurately, and compliantly; oversees internal and external audit activities; assists with the development of coding/billing education; oversees the function of providing education; optimizes workflows and technology; and partners closely with Clinical Operations, Revenue Cycle and IT to enhance reimbursement, reduce denials, and safeguard compliance with federal/state regulations and payer policies.
Job Relationships
Reports to the Director of Revenue Integrity
Principal Responsibilities
  • Lead, develop, and evaluate coding and auditing staff; set performance goals and foster accountability, equity, and continuous improvement.
  • Oversee daily workflows, work queues, and staffing to meet productivity, quality, and SLA standards.
  • Manage budgets and forecast staffing/resources to support volume, accuracy, and compliance needs.
  • Standardize policies, procedures, and controls to ensure consistent, efficient, and compliant operations.
  • Institute and oversee internal and external coder audits; ensuring a high degree of quality and accuracy of coding
  • Ensure timely, accurate, and compliant ICD-10-CM/PCS and CPT/HCPCS coding and charge capture.
  • Partner with providers to improve documentation, medical necessity support, and coding accuracy.
  • Oversee coding, billing, and documentation audits, including audit plans, sampling, scoring, and corrective actions.
  • Monitor and optimize claim editing and encoding systems; analyze coding denial and coding edit trends and implement sustainable fixes.
  • Establish monitoring systems to ensure adherence to Medicare/Medicaid regulations, payer policies, and organizational standards.
  • Develop and deliver coding and billing education for clinical and non-clinical staff, including new provider onboarding.
  • Publish guidance and tools that translate regulations into clear, operational workflows.
  • Analyze coding and medical necessity denials; lead root-cause analysis and implement prevention strategies.
  • Collaborate with revenue cycle teams to improve first-pass yield, reduce rework, and compliantly enhance reimbursement.
  • Recommend and implement process and technology improvements to boost clean-claim rates and reduce A/R days.
  • Monitor KPIs, conduct trend analyses, and present performance and risk updates to leadership.
  • Serve as a subject matter expert on coding, compliance, and revenue cycle best practices; stay current on regulatory changes.
  • Lead continuous improvement initiatives to streamline workflows and improve the provider/patient and employee experience.
  • Ensure timely, professional responses to provider, patient, and payer inquiries related to coding and reimbursement.
  • Adhere to organizational policies, compliance standards, and safety requirements.
  • Perform other duties as needed to support departmental and organizational goals.

Education/Experience
  • Bachelor of Science in Health Information Management degree or equivalent required, master's degree in business or finance related field preferred.

Licenses/Certificates
  • CPC (Certified Professional Coder) Certification required within 1 year of hire.
  • CCS-P (Certified Coding Specialist-Physician based) Certification required within 2 years of hire.
  • RHIA (Registered Health Information Administrator) Certification required.

Knowledge, Skills and Abilities
  • Excellent verbal and written communication; conflict and problem resolution skills
  • Excellent strategic, analytical and process systems thinking skills
  • Demonstrated expertise with Teams, Excel, Visio, PowerPoint and other Microsoft Office products
  • Excellent interpersonal skills, including ability to understand and articulate the needs of stakeholders and assist them in making the decisions necessary to accomplish their objectives
  • Demonstrated ability in earning and maintaining credibility with leaders across the organization
  • Ability to respectfully and collaboratively challenge team members to perform within designated timelines

Working Environment
  • Requires sitting and standing for periods of time working in an office environment.
  • Use of telephone required.
  • Some bending and stretching required.

PHI/Privacy Level
HIPAA1

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