Elevance Health IncManager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditIndianapolis, IN$115,020–$207,216 / yearAnticipated End Date: 2026-05-31 Position Title: Manager of DRG Coding & Clinical Validation Audit Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia, Indiana, Georgia, Ohio, Maryland; New Jersey, New York and Texas. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Elevance Health IncMedical Coding Appeals Analyst Elevance Health IncMedical Coding Appeals AnalystIndianapolis, INWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Elevance Health IncNewMed Coding Appeals Analyst (US) Elevance Health IncMed Coding Appeals Analyst (US)Indianapolis, INWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Elevance Health IncInpatient DRG Validator (Acute Care) Elevance Health IncInpatient DRG Validator (Acute Care)Indianapolis, IN$95,172–$149,556 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Indianapolis, IN$82,232–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Decatur County Memorial HospitalCLINICAL MEDICAL ASSISTANT-TCMP Decatur County Memorial HospitalCLINICAL MEDICAL ASSISTANT-TCMPGreensburg, INExperience Six months to one year related experience Computer Skills Proficient in Microsoft Office, email and basic computer skills for other software used throughout the hospital for your area of responsibility. This position requires constant standing and walking, frequent sitting, ability to constantly use hands and fingers, ability to occasionally reach above shoulder and frequently bend.
Decatur County Memorial HospitalCLINICAL MEDICAL ASSISTANT- FOOT AND ANKLE Decatur County Memorial HospitalCLINICAL MEDICAL ASSISTANT- FOOT AND ANKLEGreensburg, INExperience Six months to one year related experience Computer Skills Proficient in Microsoft Office, email and basic computer skills for other software used throughout the hospital for your area of responsibility. This position requires constant standing and walking, frequent sitting, ability to constantly use hands and fingers, ability to occasionally reach above shoulder and frequently bend.
Decatur County Memorial HospitalMEDICAL ASSISTANT APPRENTICESHIP Decatur County Memorial HospitalMEDICAL ASSISTANT APPRENTICESHIPGreensburg, INSKILLS ABILITIES Education High School Diploma or GED Experience No experience necessary Computer Skills Proficient in Microsoft Office, email and basic computer skills for other software used throughout the hospital for your area of responsibility. 128 classroom hours and 160 clinical hours (80 per the third party education requirement plus an additional 80 hours required by DCMH) are required.
Major HospitalNewMedical Billing Specialist Major HospitalMedical Billing SpecialistShelbyville, INOther Skills or RequirementsBasic medical terminology, typing 55 wpm, and computer entry and data entry retrieval, billing of medical services and cash application, Must be compliant of all insurance carrier, Medicare, and Medicaid guidelines to insure appropriate claim processing. Skilled to Care for Certain Age-Related Patient Groups (incumbents will be skilled in the care of the following patient groups)Does not apply.
Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNGreensburg, IndianaOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
UnitedHealth Group IncNP or PA Senior Community Care, Per Diem, Hamilton, Hendricks, Hancock, Johnson, and Boone, IN UnitedHealth Group IncNP or PA Senior Community Care, Per Diem, Hamilton, Hendricks, Hancock, Johnson, and Boone, INJohnson, INRegular and effective communication with internal and external parties including physicians members key decision-makers nursing facilities CCM staff and other provider groups Actively promote the CCM program in assigned facilities by partnering with key stakeholders i e internal sales function provider relations facility leader to maintain and develop membership growth Exhibit original thinking and creativity in the development of new and improved methods and approaches to concernsissues Function independently and responsibly with minimal need for supervision Ability to enter available hours into web-based application at least one month prior to available work time Demonstrate initiative in achieving individual team and organizational goals and objectives Participate in CCM quality initiatives Availability to check Optum email intermittently for required trainings communications and monthly scheduling. Understand the PayerPlan benefits CCM associate policies procedures and articulate them effectively to providers members and key decision-makers Assess the medical necessityeffectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members Coordinate care as members transition through different levels of care and care settings Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the members needs and wishes Evaluate plan of care for cost effectiveness while meeting the needs of members families and providers to decreases high costs poor outcomes and unnecessary hospitalizations.
Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity Datamining Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity DataminingIndianapolis, INMinimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
GoHealth Urgent Care - UCSF HealthNewPhysician Assistant GoHealth Urgent Care - UCSF HealthPhysician AssistantGreenwood, IndianaCommunity Health Network, one of the nation’s leading healthcare providers, and GoHealth Urgent Care, a consumer-centric on-demand care company, have partnered to deliver high-quality urgent care across the Central Indiana region. At Community Health-GoHealth Urgent Care, we place the needs of our patients first—providing an effortless experience, a welcoming culture of care, and seamless integration with market-leading health systems and our communities.
GoHealth Urgent Care - UCSF HealthNewNurse Practitioner GoHealth Urgent Care - UCSF HealthNurse PractitionerGreenwood, IndianaCommunity Health Network, one of the nation’s leading healthcare providers, and GoHealth Urgent Care, a consumer-centric on-demand care company, have partnered to deliver high-quality urgent care across the Central Indiana region. At Community Health-GoHealth Urgent Care, we place the needs of our patients first—providing an effortless experience, a welcoming culture of care, and seamless integration with market-leading health systems and our communities.
Northwell HealthOutpatient Coder II Northwell HealthOutpatient Coder IIColumbus, IN$26.48–$50.49 / hourOutlook)Usage of coding manuals and regulatory websites for researchCertification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA):CPC, CPC-H, CCS, CCS-P, RHIA, RHIT, or specialty certification required. If you share our values of connected, personal, agile and imaginative, we invite you to discover what’s possible for you and your careSummary:Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines.
ComplexCare SolutionsNurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Rushville, Indiana$2,400–$10,000 / yearPay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes.
Dental Solutions of ColumbusDental Hygienist Dental Solutions of ColumbusDental HygienistColumbus, IndianaIf you’re passionate about oral health, enjoy building relationships with patients, and want to be part of a friendly, collaborative workplace, we’d love to connect with you!** $5,000 SIGN-ON BONUS! Our office is equipped with modern technology designed to make your day smoother and your patients’ experiences more comfortable.
Elevance Health IncNewSenior Risk Adjustment Analyst Elevance Health IncSenior Risk Adjustment AnalystIndianapolis, INRequired Qualifications: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and minimum of 5 years experience with multi platform, two or more BI applications and/or multiple Business Intelligence tools required; or any combination of education and experience, which would provide an equivalent background. Position Overview: The Senior Risk Adjustment Analyst is a high-impact individual contributor on Elevance's Medicare Advantage Risk Adjustment team, reporting directly to the Staff VP of Analytics/Decision Support.