921 Risk Adjustment Coder jobs in Chicago,IL

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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 Required or Associates Degree Preferred
2 years experience working in healthcare or in a professional business environment
Certified Risk Adjustment Coder (CRC) certification required within 6 months of hire
Review/abstract HCC codes to ensure they are coded accurately, to the highest specificity possible, and make sure the required MEAT is documented, resulting in the correct CMS-HCC risk score
Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education
Responsible for partnering with ambulatory clinical documentation specialists and physicians to properly code patient charts to ensure appropriate risk adjustment
Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes
Assists the coding team leads with onboarding new coding specialists to the role as needed
Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
Consistently maintain a minimum 95% accuracy on coding quality audits
Meet minimum productivity requirements as outlined by the project terms
Utilizes technical coding expertise to assign appropriate ICD-10-CM diagnosis codes, as well as assist in appropriate assignment of risk adjustment
Maintains advanced knowledge of coding all HCC diagnoses from the medical record in accordance with the ICD-10-CM coding guidelines
Assists with and completes special project work as assigned by Ambulatory Clinical Documentation Leadership

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Credit Risk Manager

WORLDPAC

Oak Brook, IL 60523

$88,000/yr

~ 27 min Onsite

Minimum BBA/BS degree in Business related field preferred, or equivalent experience in lieu of degree
Minimum of five years relevant, applicable and transferable experience in a corporate and/or Shared Services environment or equivalent
Able to read and interpret complex financial statements
Able to read and interpret complex contractual agreements
Knowledge of transactional processes and systems
Strong analytical capabilities and attention to detail
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
Excellent communicator with all levels of organization
Exceptional interpersonal and customer service skills
Excellent negotiation & problem-solving skills
Ability to handle confidential and sensitive information
Exposure to AS400 accounts receivable systems or large ERP
NACM CBA, CBF or CCE designation desirable
Strong working knowledge of Microsoft Excel, Word and Outlook
Demonstrated ability to analyze financial statements and conduct credit investigations
Prior experience with UCC filings and personal guarantees
Understanding of credit reporting agencies
Ability to lead, train and develop credit analysts
Proven track record building customer relationships driving growth
Demonstrated success improving customer and employee satisfaction
Demonstrated ability to lead cross-functionally to institutionalize process and improve performance
General understanding of business law, economics, and bankruptcy
Core Competencies: Customer Service Mentality; ability to build collaborative relationships with customers and internal business partners (Finance, Commercial, Accounting)
Leads by example
Clear and concise communication skills
Self-starter
High Level of Accountability
Organization-wide Perspective
Results Orientation
Financial Business Acumen
Conceptual Thinking
Process Improvement Mindset
GAAP Accounting Knowledge
CERTIFICATES, LICENSES & REGISTRATION: Is legally able to work in the United States.

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Director, Risk Management

The Parking Spot

Chicago, IL 60606

$150,000/yr

HybridHealth InsuranceRetirement Benefit

Bachelor's Degree required, preferably in Finance, Business Administration, Economics, or Risk Management
8+ years of relevant experience in a corporate risk environment overseeing enterprise insurance programs and working directly with brokers, carriers, TPAs, and outside counsel
15-20% travel may be required

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AVP, Risk Manager

Zurich Insurance Company

Schaumburg, IL 60159

New, Posted 1 day ago

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Senior Manager - Credit Risk Model Validation

BMO Financial

Chicago, IL 60604

OnsiteEducation AssistanceHealth InsuranceRetirement Benefit

Typically 7+ years of relevant experience and post-secondary degree in related field of study or an equivalent combination of education and experience.
In-depth / expert knowledge and understanding of the model life cycle, model risk management practices.
In-depth / expert knowledge of regulatory requirements.
In-depth / expert knowledge & experience with risk policy frameworks; quality control / testing frameworks.
Seasoned professional with a combination of education, experience and industry knowledge.
Verbal & written communication skills - In-depth / Expert.
Analytical and problem solving skills - In-depth / Expert.
Influence skills - In-depth / Expert.
Collaboration & team skills; with a focus on cross-group collaboration - In-depth / Expert.
Able to manage ambiguity.
Data driven decision making - In-depth / Expert.

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New, Posted 1 day ago

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AVP, Risk Management Systems Business Analyst

Synchrony Financial

Chicago, IL 60695

Remote

Bachelor's degree in a relevant field such as Business Management, Information Technology, or Finance;
OR in lieu of Bachelor's degree, 7+ years' experience in software development and/or life-cycle management including, Design, QA, UAT, and, Project Management
4+ years of experience in software development and/or life-cycle management including, Design, QA, UAT, and, Project Management
4+ years of experience with operational risk management techniques including, development of process flows, identification and assessment of risks and controls, testing and monitoring procedures, and, development of related metrics
Strong analytical and problem-solving skills with attention to detail
2+ years of working with advanced Excel functions and formulas including, Pivot Table vlookup, Macros, and, Charts
5+ years of Project Management experience
Ability and flexibility to travel for business as required
Eligibility Requirements: You must be 18 years or older
You must have a high school diploma or equivalent
You must be willing to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding process
You must be able to satisfy the requirements of Section 19 of the Federal Deposit Insurance Act.
New hires (Level 4-7) must have 9 months of continuous service with the company before they are eligible to post on other roles. Once this new hire time in position requirement is met, the associate will have a minimum 6 months' time in position before they can post for future non-exempt roles. Employees, level 8 or greater, must have at least 18 months' time in position before they can post. All internal employees must consistently meet performance expectations and have approval from your manager to post (or the approval of your manager and HR if you don't meet the time in position or performance expectations).
Legal authorization to work in the U.S. is required. We will not sponsor individuals for employment visas, now or in the future, for this job opening.

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Director, Risk Management

The Parking Spot

Chicago, IL 60606

$150,000/yr

HybridHealth InsuranceRetirement Benefit

Bachelor's Degree required, preferably in Finance, Business Administration, Economics, or Risk Management
8+ years of relevant experience in a corporate risk environment overseeing enterprise insurance programs and working directly with brokers, carriers, TPAs, and outside counsel
15-20% travel may be required

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New, Posted 8 hours ago

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Quality Control/Finish Plumber

Pioneer 2000 Enterprises

Chicago, IL

$30-$36/hr

OnsiteFlexible ScheduleHealth Insurance

High school diploma or equivalent
Minimum of 4 years of experience in plumbing with a focus on quality control and finishing
Proven Plumbing Experience: Extensive experience as a plumber, with a solid understanding of plumbing systems, installations, and troubleshooting
Knowledge of Plumbing Codes: Familiarity with local, state, and national plumbing codes, regulations, and safety standards
Certification in plumbing (e.g., Journeyman or Master Plumber) is a plus
Physical Stamina: Ability to work in physically demanding environments, including bending, kneeling, and lifting

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Senior Coding Educator

Endeavor Health

Skokie, IL 60076

~ 27 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

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.

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Field Service Maintenance Specialist (Local Travel)

Advanced Technology Services

Chicago, IL 60695

OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

High School Graduate or equivalent (GED)
Associates degree with a Technical focus and 12 years of related experience in specific industry; or, 15 years of experience in specific industry.
Possesses comprehensive understanding of electrical, mechanical, fluid power and control systems. Can analyze the problem, synthesize alternative solutions, and perform repairs.
Must be able to use basic hand tools and specialized tools, and programming software as appropriate.
Travel required. (Daily)

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