
10,000+ employees
Founded 1946
⚕️ Healthcare Insurance
🏥 Healthcare
📚 Education
Healthcare Insurance • Healthcare • Education
Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.
🔥 24 minutes ago
🌽 Illinois – Remote
💵 $25 - $42 / hour
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🦅 H1B Visa Sponsor
👻 Ghost score 0%
Improve your chances of getting an interview by checking your resume score before you apply.

10,000+ employees
Founded 1946
⚕️ Healthcare Insurance
🏥 Healthcare
📚 Education
Healthcare Insurance • Healthcare • Education
Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.
• Assist the Laboratory Revenue Integrity & RCM Manager with audit management and audit schedules • Conduct coding audits for Laboratory Coding & Billing Representatives and Pathologists • Deliver one-on-one and group education to team members and Pathologists • Conduct billing workflow and charge integrity audits to ensure laboratory orders and charges accurately transmit to EPIC • Compile and track audit-process statistics • Serve as the department’s senior coding resource • Train new billing staff in laboratory coding and billing practices • Attend meetings with Pathologists, LIS, Revenue Cycle, and HIM regarding coding and auditing • Interpret and analyze billing data to identify and monitor performance and departmental benchmarks • Maintain current coding regulations and update team members as regulations change • Trend coding-related denials, identify root causes, and advise leadership on resolutions • Build collaborative relationships to support accurate system configuration • Track and trend role functions for reporting • Review audits and education needs with the Manager of Laboratory Revenue Integrity & RCM • Establish coding guidelines with Laboratory Leadership and ensure timely completion of coding team audits • Report compliance and other concerns to Laboratory Leadership
• Must be able to perform essential job functions of Laboratory Billing & Coding Representative • Registered Health Information Technician (RHIT) certification from AHIMA • Certified Professional Coder (CPC) certification from AAPC • Work experience in coding • Knowledge of CPT, HCPCS, modifier, and place of service coding • Knowledge of current and required coding regulations • Ability to interpret and analyze billing data • Ability to identify root causes of coding-related denials • Ability to work with EPIC and laboratory information systems • Ability to collaborate with Pathologists, LIS, Revenue Cycle, HIM, and other departments • Ability to attend meetings and train new billing staff
• Comprehensive benefits package • Equal Opportunity Employer • Potential for growth and life-long careers
Apply Now🔥 22 hours ago
Enrollment Quality Auditor auditing Medicaid enrollment and eligibility transactions for HealthEdge’s health insurance technology platform. Reviewing CMS/state compliance, dual-eligible coordination, and QA performance.
🇺🇸 United States – Remote
💵 $44k - $50k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🦅 H1B Visa Sponsor
🔥 22 hours ago
Remote Risk Adjustment Auditor auditing medical records and ICD-10 coding for Martin's Point Health Care. Supporting compliant risk adjustment programs serving Maine and beyond.
🔥 23 hours ago
Life Underwriting Auditor auditing medical and financial risk decisions for Manulife, an international financial services provider. Improving underwriting controls, governance, quality, and innovation.
🇺🇸 United States – Remote
💵 $92.5k - $160.3k / year
💰 $1.2G Post-IPO Debt on 2023-03
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🦅 H1B Visa Sponsor
🕒 Yesterday
Remote charge capture auditor reviewing outpatient Interventional Radiology records and charges for Tenet Healthcare. Identifying coding gaps, reporting findings, and educating clinical and coding teams.
🇺🇸 United States – Remote
💵 $30 - $48 / hour
💰 $2G Post IPO debt on 2022-07
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
🕒 3 days ago
Field Auditor/Investigator conducting remote USDA SNAP Retailer fraud, waste, and abuse investigations for Qlarant. Collecting evidence, interviewing stakeholders, analyzing data, and preparing reports.