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| Company Name: |
Carle Health |
| Location: |
Champaign, IL |
| Position Type: |
Full Time |
| Post Date: |
01/19/2026 |
| Expire Date: |
03/20/2026 |
| Job Categories: |
Administrative and Support Services, Arts, Entertainment, and Media, Biotechnology and Pharmaceutical, Computers, Software, Healthcare, Other, Healthcare, Practitioner and Technician, Information Technology, Law Enforcement, and Security, Quality Control, Research & Development, Medical, Energy / Utilities |
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HIM Cert Coder/Quality Review Analyst Pro Fee
Overview This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This will be heavier during onboarding and fulfillment of quality goals for new coding team members. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. Much of the time the coder will work as a production coder to prevent backlogs and assure timeliness of coding. When all codes have successfully met their onboarding goals, periodic quality checks will be conducted by this role Qualifications CERTIFICATION & LICENSURE REQUIREMENTS Certified Professional Coder (AAPC) upon hire or Certified Inpatient Coder (AAPC) upon hire or Certified Professional Coder - Hospital upon hire or Registered Health Information Admin (AHIMA) upon hire or Registered Health Information Tech (AHIMA) upon hire or Certified Coding Specialist Physician Based upon hire or Certified Coding Specialist (AHIMA) upon hire. EXPERIENCE REQUIREMENTS Minimum two years coding experience SKILLS AND KNOWLEDGE In depth knowledge of ICD10CM, ICD10PCS, HCPCS, CPT E/M or CPT Surgical coding. Ability to communicate well with coders, vendors and HIM leaders. Ability to present ideas and concepts through media such as power point and LMS. Working knowledge of Microsoft products, such as Word and Excel. Ability to accurately track reviews and determine simple statistics. Responsibilities Essential Functions Perform accurate and timely quality reviews of internal and vendor coding team members using appropriate code sets and coding guidelines. Develop and perform timely coding education to internal and vendor coding team members on coding systems, coding standards, protocols and Carle coding workflow as required based on quality review outcomes. Perform as a production coder when needed in a manner aligned with current coding productivity and quality standards Shares results of quality reviews to HIM Leadership with recommendations for education and training Works with HIM leadership to determine frequency and scope of coding quality reviews for specific coders and vendors Compile and track statistics related to the review function, completed quality reviews, and follow up from those reviews Identifies coder training needs, system issues, and/or documentation issues and reports them timely to HIM leadership Review and respond to coding denials and coding questions as requested or assigned Participates in system and new application testing as needed About Us Find it here.Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all here at Carle Health.Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,500 team members in its eight hospitals, physician groups and a variety of healthcare businesses and is recognized as a Great Place to Work®. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital and Carle Health Pekin Hospital hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. 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: human.resources@carle.com.
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| Company Name: |
Carle Health |
| Website: | https://careers.carlehealth.org/jobs/7396?lang=en-us |
Company Description:
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