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Coding Quality Auditor

Chicago,IL

2583 Coding Quality Auditor jobs in Chicago,IL

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Elevance Health - Chicago, IL

DRG Coding Auditor - MS-DRG and APR-DRG
RemoteHealth InsurancePaid Time OffRetirement Benefit
New, Posted 10 hours ago
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DRG Coding Auditor - MS-DRG and APR-DRG

Elevance Health

Chicago, IL 60290

RemoteHealth InsurancePaid Time OffRetirement Benefit

  • Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.
  • Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS).
  • Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG.
  • Alternate locations may be considered if candidates reside within a commuting distance from an office.
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New, Posted 1 day ago
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Senior Coding Educator

Endeavor Health

Skokie, IL 60076

New, Posted 5 hours ago
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DRG Coding Auditor - MS-DRG and APR-DRG

Elevance Health

Chicago, IL 60290

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Ambulatory Risk Adjustment Coding Specialist

Endeavor Health

Skokie, IL 60076

~ 27 min OnsiteFlexible ScheduleEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • High School Diploma required, Associates Degree preferred
  • CRC required within 6 months of hire
  • 2 years experience working in healthcare or professional business environment
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Licensed Psychiatrist

Headway

Chicago, IL

Onsite

  • Licensed Psychiatrist
  • MD / DO
  • DEA
  • CDS number
  • ANCC board certification
  • Valid NPI number
  • Malpractice insurance
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Payroll Manager

Ace Hardware Corporation

Oak Brook, IL 60523

~ 27 min Onsite

  • 10+ years of progressive payroll leadership experience, including 5+ years at the manager or director level in high-volume, multi-state and multi-entity environments.
  • Demonstrated leadership of in-house Workday payroll, including configuration governance, change management and testing strategy.
  • Deep knowledge of payroll operations, financial controls, payroll taxation and regulatory compliance.
  • Strong analytical, communication and judgment skills, with the ability to translate complex requirements into practical business solutions.
  • Proven success leading teams, managing change and improving processes through technology and automation.
  • Strong commitment to audit readiness, internal controls, record retention and data privacy.
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Principal Engineer AI

BMO Financial

Chicago Heights, IL 60411

~ 42 min OnsiteBilingual PreferredEducation AssistanceHealth InsuranceRetirement Benefit

  • Bachelor's degree in Computer Science, Software Engineering, or a related technical discipline (Master's preferred).
  • 8+ years of software/platform engineering experience (Principal), or 5+ years (Senior), with substantial time building and operating shared platform services at enterprise scale.
  • Demonstrated experience operating production infrastructure with real SLOs and on-call ownership, ideally in a regulated industry
  • Depth in one or more of: API gateways / traffic enforcement; policy-as-code and authorization; workload identity / zero-trust; observability and telemetry pipelines; audit/compliance data platforms.
  • Strong distributed-systems and platform-engineering fundamentals: latency-sensitive request paths, resilience patterns (circuit breakers, failover), multi-tenancy, and high availability.
  • Strong programming skills (Python and/or Go preferred; TypeScript/Java an asset) for building performant services, APIs, and integrations.
  • Cloud-native architecture across AWS and Azure : containers/Kubernetes, service mesh, and Infrastructure as Code (CDK, Terraform, CloudFormation/ARM).
  • Robust CI/CD, GitOps, and DevSecOps practice; Git-based workflows (Bitbucket/GitHub), Jira, Confluence.
  • Policy/Authorization: Cedar, OPA/Rego, policy compilation and distribution, risk-tiered approval workflows.
  • Identity/Zero-Trust: SPIFFE/SPIRE, token-exchange bridging, per-domain trust boundaries, Entra Agent ID integration, on-behalf-of identity propagation, cross-cloud token federation with zero-trust attestation.
  • Observability/Audit: OpenTelemetry (incl. GenAI conventions), distributed tracing, Dynatrace/Splunk or equivalents, tamper-evident/immutable audit stores, data lineage.
  • Gateway/Guardrails: API gateway internals, inline enforcement, LLM routing/abstraction, prompt-injection and PII defenses, hallucination detection, AI evaluation.
  • Registry/Portal: service catalogues, asset registries, lifecycle workflows, federation with external registries.
  • GenAI & Governance Context: Working knowledge of GenAI platform patterns: LLM/AI gateways, RAG and agentic patterns, foundation models, embeddings, and guardrails — sufficient to build the infrastructure they depend on.
  • GenAI & Governance Context: Familiarity with AI/ML platforms (Bedrock, Azure OpenAI, SageMaker, MLflow) and orchestration frameworks (LangChain, LlamaIndex).
  • GenAI & Governance Context: Grounding in Responsible AI, AI/data governance, privacy, cloud security, and IAM as applied to AI workloads.
  • Certifications (Preferred): AWS Certified Solutions Architect (Associate/Professional) / ML – Specialty
  • Certifications (Preferred): Microsoft Certified: Azure Solutions Architect Expert / Azure AI Engineer Associate
  • Certifications (Preferred): Security/identity certifications (relevant to Identity Fabric roles)
  • Certifications (Preferred): Databricks / Google Cloud ML credentials; relevant GenAI/LLM credentials
  • Participates in on-call rotation for owned services
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Hotel Guest Service Manager

Renaissance Chicago

Glenview, IL 60025

~ 34 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • Hotel Guest Service Manager
  • Hires, trains, schedules, assigns duties and shifts to workers and observes performances to ensure adherence to KHC policies and established KHC & franchise operating procedures for all hotels.
  • Communicates and cooperates with other department heads to ensure coordination of activities, resolution of guest complaints and improve hotel customer satisfaction.
  • Answers inquiries pertaining to property policies, services, guest complaints, compliments and concerns.
  • Develops and maintains guest information files regarding the property, community and surrounding attractions.
  • Manages the reservation system including inventory, rates, data base, system security, reservations, advance payments, group reservations, VIP special services, pre-blocking rooms, close out dates, communication of fill dates and system backup.
  • Knows, adheres to and trains staff on cash and credit card handling procedures. Files and posts all changes to the guest ledger and city ledger account.
  • Sends out letters of confirmation or returns checks when registration cannot be accepted.
  • Greets all guests in a warm, friendly, helpful manner, registers and assigns rooms to guests and ensures proper methods of payment and application of credit policies.
  • Ensures guest safety by following and enforcing established emergency and security procedures, maintaining key security and guest privacy.
  • Patrols public rooms, investigates disturbances, and resolves conflicts.
  • Monitors night audit for accuracy, folios, makes assessments on open balances without approved credit and takes appropriate action. Plans and forecasts weekly room sales and prepares month end reports on city ledger and guest trays.
  • Required to monitor and maintain front desk coverage at 100% and cover shifts if needed, including audit.
  • Train, oversee, and cover Van Driver and Housemen positions when necessary
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Accounts Payable Specialist

Ace Hardware Corporation

Oak Brook, IL 60523

~ 27 min Onsite

  • Experience in Accounts Payable, dispute resolution, operational accounting, deduction management, or a related finance role, preferably in a high-volume, fast-paced environment.
  • Strong attention to detail and the ability to accurately review supporting documentation, identify discrepancies, and manage multiple complex cases simultaneously.
  • Strong analytical, critical-thinking, and problem-solving skills, including the ability to investigate issues, determine root causes, and drive cases to resolution.
  • Proficiency in Microsoft Excel, including formulas, pivot tables, data analysis, reporting, and trend identification.
  • Strong verbal and written communication skills, with the ability to work effectively with vendors and internal business partners.
  • Ability to learn and navigate multiple systems, workflow tools, shared mailboxes, and case-management platforms.
  • Strong organizational skills, including the ability to prioritize aged or high-risk cases, manage competing deadlines, and maintain accurate follow-up.
  • Demonstrated ability to work independently, exercise sound judgment, and collaborate effectively to achieve timely, accurate outcomes.
  • Commitment to accountability, continuous improvement, strong financial controls, and excellent customer service.
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Advanced Electronics / Computer Field Technician

US Navy

Oak Lawn, IL 60453

Urgently Hiring
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