Sr Reimb An Claim Chk/Claim Au

Job ID: CAS-1018808 Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can email us here to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

BASIC FUNCTION:

This position is responsible for programing and implementing Enterprise claims auditing logic under the direction of the Manager Professional Reimbursement Programs. Implements, updates and maintains code auditing software.

JOB REQUIREMENTS:

  • Associate degree.
  • 4 years experience in the health care industry.
  • HIM certification, RHIT, RHIA, CCS, CCS-P, CPC, CPC-P.
  • Experience working with professional coding structures and claims auditing logic.
  • Knowledge of medical practice patterns, professional coding and payment structures.
  • Clear and concise interpersonal, verbal and written communication skills.
  • Analytical and quantitative skills.

PREFERRED JOB REQUIREMENTS:

  • Bachelor degree.
  • 5 years experience in the health care industry.

Requirements: Expertise Regulatory & Compliance Job Type Full-Time Regular Location IL - Chicago


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