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Reimbursement Analyst Claim Check/Claims Auditing

at Health Care Service Corporation in Chicago, Illinois, United States

Job Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
This Position Is Responsible For Programing And Implementing Enterprise Claims Auditing Logic Under The Direction Of The Manager Professional Reimbursement Programs. Assists In The Implementation, Updates And Maintenance Of Code Auditing Software.

Required Job Qualifications: 
*Associate degree.
*2 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 (or acquired within 24 months of hire). 
*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 Qualifications: 
*Bachelor degree.

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HCSC Employment Statement:

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.

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Job Posting: 11926351

Posted On: May 24, 2024

Updated On: Jun 03, 2024

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