2409 Ai Code Tutor Model Reviewer Remote jobs in Chicago,IL

Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field required; equivalent years of work experience in related field will be considered in lieu of degree
RHIA, RHIT, CCS-P, CCS, or CPC required
3-5 years of related experience in physician and hospital outpatient medical billing, reimbursement, physician audits, chart review, coding compliance, medical office or patient accounts
1-2 years' experience working with Senior Physician Management a plus
The ability to work independently, with little to no supervision
Strong presentation and communication skills
The ability to interpret and analyze medical record documentation, encounter forms, and lab reports, Explanation of Benefits, CMS claim forms, third party payor guidelines and government regulations
Aptitude for medical terminology, ICD-10, CPT-4, and HCPCS coding systems
Demonstrated expertise in multi-specialty evaluation & management (E/M) coding
Knowledge of research steps utilized to identify appropriate code selection or billing requirements
Proficiency in MS Office's suite of products, including Excel and PowerPoint, and the internet
Experience with Epic Billing Systems, including chart review, transaction inquiry, etc.

Endeavor Health

Skokie, IL 60076

Energy Solutions

Chicago, IL 60603

Energy Solutions

Chicago, IL 60603

BMO Financial

Chicago, IL 60604

Data and AI Governance experience
Risk management experience.
CDMP and/or AIGP certifications.
Typically, 5 - 7 years of relevant experience in governance, risk, compliance, data governance, AI governance, risk management, audit, or related disciplines, with a strong focus on advisory and oversight activities.
Strong knowledge of Data and AI governance risk and regulatory requirements, including data privacy, data quality, model risk, and emerging AI governance considerations.
Solid understanding of applicable regulations, industry standards, and control frameworks relevant to enterprise risk management and the data and AI lifecycle.
Experience supporting risk assessments (e.g., PSPRA, RCRA, process risk and control assessments), including advising on risk identification, control considerations, and Key Risk Indicators (KRIs).
Strong analytical and critical-thinking skills, with the ability to assess governance and control alignment, identify gaps, and articulate risk implications.
Effective communication, collaboration, and stakeholder management skills, with the ability to influence across first- and second-line functions.
Ability to work independently, exercise sound judgment, and appropriately escalate governance or risk concerns.
CDMP - Certified Data Management Professional (by DAMA)
CRISC - Certified in Risk and Information Systems Control (by ISACA) OR CGRC - Certified in Governance, Risk and Compliance (by ISC2)