Top 33 Utilization management Jobs in Champaign, Il

HIM Cert Coder OP Team- Surgical Coder
Carle Health —Champaign, IL
- $23.58 - $39.38 an hour
- Full-time
- Remote
- Research
- Mid-level
- US work authorization
- Health insurance
3d
RN - Wound Center (Clinic)
Carle Health —Urbana, IL
- $33.11 - $53.88 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
8d
IM+CANS Coaching Specialist - School of Social Work
University of Illinois Urbana-Champaign —Urbana, IL
- $65,000 - $75,000 a year
- Online Application
- Hybrid work
- Master's degree
- Children
- Mentoring
- Health insurance
- Dental insurance
1d
RN - Pre-Op
Carle Health —Urbana, IL
- $34.02 - $55.36 an hour
- Full-time
- Surgery
- RN License
- BLS Certification
- Health insurance
3d
RN - Clinical Transition Specialist
Carle Health —Urbana, IL
- $35.87 - $58.37 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Health insurance
BH Access Counselor
Rosecrance, Inc. —Champaign, IL
- From $50,835 a year
- Monday to Friday
- Addiction Medicine
- Customer service
- Computer literacy
- Wellness program
- AD&D insurance
Quick Apply
RN - Wound Center Hospital Consult
Carle Health —Urbana, IL
- $33.11 - $53.88 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
Associate Medical Director, Adult Hospital Medicine
Carle Health —Urbana, IL
- $345,000 - $527,000 a year
- Full-time
- Medicine
- Psychiatry
- Internal Medicine
- Health insurance
RN - Surgical T7
Carle Health —Urbana, IL
- $38.93 - $63.35 an hour
- Full-time
- Surgery
- RN License
- Mid-level
- Health insurance
RN - Wound Center Hospital Consult (Weekend)
Carle Health —Urbana, IL
- $33.11 - $53.88 an hour
- 12 hour shift
- Nursing
- RN License
- BLS Certification
- Health insurance
Clinic Director - Physical Therapist
Ivy Rehab Network —Champaign, IL
- $90,000 - $110,000 a year
- Full-time
- Physical & Rehabilitation Medicine
- 3 years
- Clinic
- Continuing education credits
- Paid holidays
Quick Apply
Pharmacist Clinical - Medical Recon
Carle Health —Urbana, IL
- $52.06 - $89.54 an hour
- 8 hour shift
- Mid-level
- Team management
- US work authorization
- Health insurance
3d
RN Manager - Perioperative Services (Evenings)
Carle Health —Urbana, IL
- $53.28 - $91.64 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health insurance
Pharmacist/Clinical Manager - Chemotherapy Ancillary
Christie Clinic —Champaign, IL
- $123,399.21 - $169,673.92 a year
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Continuing education credits
- AD&D insurance
Medical Director, Attending Physician
Trio Health Partners —Champaign, IL
- Full-time
- Medicine
- Skilled nursing facility
- Management
- Paid holidays
- Paid time off
Quick Apply
3d
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance
Inpatient Medical Coding Quality Auditor
Pena4 Inc. —United States
- $80,000 - $90,000 a year
- 8 hour shift
- Remote
- 5 years
- US work authorization
- Senior level
- Health insurance
- Dental insurance
Quick Apply
4d

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RN - Wound Center (Clinic)
Carle Health —Urbana, IL
Identifies own learning needs and takes initiative to begin appropriate solution. Completes initial assessment upon patient admission and develops appropriate…
$33.11 - $53.88 an hour
8d
RN - Orthopedics (Clinic)
Carle Health —Champaign, IL
Provides leadership for initiatives designed to improve the quality of care or clinical outcomes. Provides health and wellness education to individuals and…
$33.11 - $53.88 an hour
10d

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Effectively utilizes and understands the departmental computer system to realize its optimal potential and to be able to evaluate and answer staff member…
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OHG —Columbus, OH
Supervise front-office staff and clinical support personnel, providing leadership in office management, human resources functions, and staff training.
$35 - $50 an hour
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utilization management jobs near champaign, il

HIM Cert Coder OP Team- Surgical Coder

Carle Health -
Champaign, IL

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Job Details

Full-time
$23.58 - $39.38 an hour
3 days ago

Benefits

Health insurance

Qualifications

Collaborate with healthcare professionals
Medical claims
Internal controls
Process audits
RHIA
CMS
Medical billing and coding coordination with healthcare providers
Healthcare documentation compliance audits
Research
Mid-level
RHIT
Audit Reporting
Certified Professional Coder
CMS regulatory compliance
Retrospective medical coding audits
Charge capture (medical billing)
Medicare regulations
Electronic health record (EHR) management for billing and coding
Team training
Certified Coding Specialist
Health information regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations
Computer skills
Clinical documentation improvement
Health information management
Billing issue inquiries
Clinical documentation standards
Healthcare claims compliance audits
Hospital regulatory compliance
Documentation review

Full Job Description

Overview: The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications: Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Education: , Work Experience: Responsibilities: Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. Serve as liaison for coding and billing staff to ensure accurate charge capture. Reports any documentation and coding improvement needs based upon review findings. Responsible for maintaining coding certification, knowledge and skills to successfuly perform job duties Performs provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel. Carle Health Company Overview:

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].

Salary Range: The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

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utilization management jobs in champaign, il

HIM Cert Coder OP Team- Surgical Coder

RN - Wound Center (Clinic)

IM+CANS Coaching Specialist - School of Social Work

RN - Pre-Op

RN - Clinical Transition Specialist

BH Access Counselor

RN - Wound Center Hospital Consult

Associate Medical Director, Adult Hospital Medicine

RN - Surgical T7

RN - Wound Center Hospital Consult (Weekend)

Clinic Director - Physical Therapist

Pharmacist Clinical - Medical Recon

RN Manager - Perioperative Services (Evenings)

Pharmacist/Clinical Manager - Chemotherapy Ancillary

Medical Director, Attending Physician

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Family Medicine Medical Director Utilization Management

Inpatient Medical Coding Quality Auditor

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