1438 Risk 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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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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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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Executive Underwriter or AVP, Underwriting Director - Group Captives

Zurich Insurance Company

Schaumburg, IL 60159

Flexible Schedule

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Safety Clerk

LSG Sky Chefs

Glenview, IL 60026

$15.49-$23.52/hr

~ 34 min Onsite

High school diploma or GED required.
Must meet all company and airport security requirements necessary to work at ORD.
Prior airside driving exposure and familiarity with ramp right-of-way rules and safe operating practices.
Combination of office work and active ramp environment with a significant portion of duties to be executed on the ramp.
Requires regular walking and standing in operational areas.
Exposure to noise, varying temperatures, and outdoor conditions.
Must be able to safely work around vehicles and aircraft movement areas.

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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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Director, Banking and Payments IT M&A – Due Diligence, Integration and Separation – Strategy

KPMG

Chicago, IL 60629

OnsiteHealth InsuranceRetirement Benefit

Minimum eight years of recent experience in technology/businessconsulting and/or technology leadership, with a proven track record of leadingIT transformations and advising on complex Mergers and Acquisitions transactions
Minimum of a Bachelor's degree in Information Systems, Computer Science, Finance, or a related field is required
Applicants mustbe authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future

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