Community Health NetworkPhysician Coding Education Rep - CPC/CPMA - Hybrid Community Health NetworkPhysician Coding Education Rep - CPC/CPMA - HybridIndianapolis, INThis role partners closely with physicians, coding teams, internal audit, compliance, and revenue cycle teams to support documentation improvement, coding quality, and regulatory compliance across the organization. Partners with internal audit to conduct regular audits of coding processes and documentation, identifying opportunities for improvement and providing feedback to physicians and coding staff.
Indiana University Health IncNewRCS Coding Senior Specialist NEW Indiana University Health IncRCS Coding Senior Specialist NEWIndianapolis, INThis position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. Must have completed an accredited coding program, have previous coding experience, or hold a RHIA, RHIT, CCS, CCS-P, CCA, COC, or CPC credential.
CVS Health CorpNewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, IN$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
Elevance HealthNewManager Medical Coding Analysis Elevance HealthManager Medical Coding AnalysisIndianapolis, IndianaCareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. 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 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 HealthManager of DRG Coding & Clinical Validation Audit Elevance HealthManager of DRG Coding & Clinical Validation AuditAtlanta, IndianaLocations: 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. Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
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.
Indiana University Health IncRCS-CPT Coding Expert NEW Indiana University Health IncRCS-CPT Coding Expert NEWIndianapolis, INRequires High School Diploma or equivalent • Requires ability to read, understand, and interpret medical records and other treatment documentation • Requires a high level of interpersonal problem-solving and analytic skills • Requires the ability to establish and maintain collaborative working relationships with others • Requires effective written and verbal communication skills • Requires strong attention to detail, problem-solving, and critical thinking skills • Requires ability to work with and maintain confidential information. This position exists to provide accurate and timely clinical data for billing and optimal reimbursement quality assessment comparative databases physician profiling and administrative purposes.
The Salvation Army USAMedical Billing & Coding Specialist HLC The Salvation Army USAMedical Billing & Coding Specialist HLCIndianapolis, INJob Description: As the Medical Billing and Coding Specialist, you will perform all aspects of the billing process with insurance companies and other payers, including but not limited to eligibility and benefit verifications, referrals, prior authorizations, claim submissions, appeals, and payment processing …ensuring that the Mission of The Salvation Army is effectively carried out. Skills/Abilities: Able to speak, write and understand English in a manner sufficient for effective communication with leadership, field personnel, and clientele.
Health and Hospital CorporationSupervisor Professional Coding Health and Hospital CorporationSupervisor Professional CodingIndianapolis, INKeeps providers and management updated on new policy regulations and coding issues as well as suggestions to improve workflow and processes to ensure compliance with all regulations; audits notes from providers to ensure the provider is coding in a compliant manner according to governmental rules and regulations; provides feedback to the provider if there are any questions or concerns; meets with providers face-to-face to review documentation and coding guidelines as necessary. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.
Indiana University Health IncNewRCS - CPT Coding Expert NEW Indiana University Health IncRCS - CPT Coding Expert NEWIndianapolis, INThis position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, physician coding, outpatient facility coding, or rectifying pre-bill coding related edits and coding related denials.
Indiana University Health IncRCS-Coding Clinical Team Lead NEW Indiana University Health IncRCS-Coding Clinical Team Lead NEWIndianapolis, INServes as the first tier escalation for clinical team members on task-oriented problems or issues and supports management in promotion of staff development and the allocation and coordination of daily work. For Coding Position: • Prefer one of the following or a combination of Associates or Bachelors degree in HIM or HIM-related field, coding credential through AHIMA, or coding credential through AAPC.
Elevance HealthNewMed Coding Appeals Analyst (US) Elevance HealthMed Coding Appeals Analyst (US)Atlanta, IndianaWe 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.
St. Elizabeth HealthcareNewSpecialist Clinical Coding II St. Elizabeth HealthcareSpecialist Clinical Coding IIRemote Indiana, INRemoteCommunicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation.
Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Carmel, INIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN) - Community Howard Regional Health Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN) - Community Howard Regional HealthKokomo, INGraduate of National League for Nursing (NLN), Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA) accredited school of nursing, or three years of related professional nursing experience. This elevated design signifies how Community Health Network continually works to meet our mission by providing exceptional care to patients we serve by offering rapid, expert assessments and care delivery when every second counts!
Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN) - Community Howard Regional Health - W/O Nights Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN) - Community Howard Regional Health - W/O NightsKokomo, INGraduate of National League for Nursing (NLN), Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA) accredited school of nursing, or three years of related professional nursing experience. This elevated design signifies how Community Health Network continually works to meet our mission by providing exceptional care to patients we serve by offering rapid, expert assessments and care delivery when every second counts!
Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN) - Community Howard Regional Health - W/O Days Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN) - Community Howard Regional Health - W/O DaysKokomo, INGraduate of National League for Nursing (NLN), Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA) accredited school of nursing, or three years of related professional nursing experience. This elevated design signifies how Community Health Network continually works to meet our mission by providing exceptional care to patients we serve by offering rapid, expert assessments and care delivery when every second counts!
Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN) Community Health NetworkConsultation Nurse (Rapid Response/Code Blue RN)Indianapolis, INGraduate of National League for Nursing (NLN), Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA) accredited school of nursing, or three years of related professional nursing experience. Select a Job Category Administrative & General Support Advanced Practice Providers Allied Health Behavioral Health Intern Leadership Nursing Patient Support Physicians Professional & Business Support.
State of IndianaSenior Code Official State of IndianaSenior Code OfficialIndianapolis, INRole Overview: The Senior Code Official works independently after receiving general instruction and is responsible for evaluating and determining the code compliance of the routine to most complex submitted building plans and specifications and/or when conducting compliance inspections during the construction phase. Extensive and specialized knowledge of, and ability to, interpret the states various adopted fire and building (structural, plumbing, electrical, mechanical, accessibility, energy conservation etc.) laws, codes, rules, and regulations and apply them to plan review or inspection practices.
VitalsearchgroupMedical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelIndianapolis, IndianaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Briljent LLCMedical Coder - Audit Specialist Briljent LLCMedical Coder - Audit SpecialistIndianapolis, INRemoteThis role is responsible for reviewing medical records and claims-related documentation for coding accuracy, identifying billing and compliance issues, preparing audit documentation and reports, and supporting appeals activities. Brijlent is seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding accuracy, medical record review, and billing compliance activities for Indiana Medicaid programs.
Deloitte Touche Tohmatsu LtdHospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorIndianapolis, IN$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Health and Hospital CorporationCoder II - Professional Services Billing Health and Hospital CorporationCoder II - Professional Services BillingIndianapolis, INProblem Solving: Utilizes available resources appropriately to maintain quality and consistency in coding, abstraction, and charge entry processes; follows a defined process to query the medical staff for completion and/or clarification of documentation necessary to ensure coding compliance and accuracy; brings any concerns/issues to management's attention with examples within the same date of discovery. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.
CVS Health CorpClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, IN$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
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.
Unified Group Services IncMedical Benefits Appeals Specialist Unified Group Services IncMedical Benefits Appeals SpecialistAnderson, INYou'll collaborate with internal and external review teams, draft professional response letters, and maintain communication with providers, members, attorneys, and vendors. We offer innovative programs, advanced technology, and reliable partnerships to help control healthcare costs while ensuring access to top-notch benefits.
RIVERVIEW HOSPITAL ASSOCIATIONCoder Ambulatory Certified RIVERVIEW HOSPITAL ASSOCIATIONCoder Ambulatory CertifiedNoblesville, INJob Responsibilities: Review, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies with applicable state, federal and local laws, program policies and procedures and serves as an expert for coding and compliance.
RIVERVIEW HOSPITALNewCoder Ambulatory Certified RIVERVIEW HOSPITALCoder Ambulatory CertifiedNoblesville, INPart timeReview, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies with applicable state, federal and local laws, program policies and procedures and serves as an expert for coding and compliance.
Sun Pharmaceutical Industries LtdField Reimbursement Manager (Indiana and NW Kentucky) Sun Pharmaceutical Industries LtdField Reimbursement Manager (Indiana and NW Kentucky)Indianapolis, IN$155,000–$185,000 / yearEducational components include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider support services (e.g., benefits investigation) and patient support resources (e.g., copay assistance programs, patient assistance programs) The person in this role will monitor national and local healthcare payer policies, develop relationships with key advocacy leaders, state societies, and provide direct support to prescribing physicians, hospitals and support staff regarding reimbursement and product access and reimbursement dynamic within payer channels. A minimum of 3 years' experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, medical benefit procurement, understanding of adjudication within Commercial and Government payers, buy and bill model, Medicare, Tricare , Medicaid and National and Regional Commercial payers.
Staffing Care Pro, LLCBilling Manager Staffing Care Pro, LLCBilling ManagerCarmel, INJob Title:Billing Manager Location:Carmel, IN (Onsite) Employment Type:Direct Hire, Full-Time Salary:$80,000 annually (based on experience) ------------------------------------------------------------------------ Position Overview We are partnering with a growing healthcare organization seeking an experienced Billing Managerto oversee and optimize the full revenue cycle for onsite outpatient and physician-based servicesThis role will manage billing operations, ensure compliance, and drive efficient reimbursement processes within a collaborative, fast-paced environment. Strong experience in Ambulatory Surgery Center (ASC), Wound Care, and/or Physician Practice billingis highly preferred.
Deloitte Touche Tohmatsu LtdHospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystIndianapolis, IN$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
HealthNet Inc (IN)Billing Specialist HealthNet Inc (IN)Billing SpecialistIndianapolis, INWhat youll do as a Billing Specialist at HealthNet: The Billing Specialist at the HealthNet Administration location reviews accounts for assigned payers to reduce accounts receivables and enhance cash flow. HealthNet is a nonprofit 501 (c) (3) organization of community-based health centers located in Indianapolis and Bloomington, IN Since 1968, HealthNet has improved the health status of the neighborhoods it serves by making quality health services accessible to everyone.
PharmaCord LLCExecutive Case Manager (Remote) PharmaCord LLCExecutive Case Manager (Remote)indianapolis, INRemoteProvides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
Midwest Eye Services, LLC - IndianaMedical Office - Patient Services Representative (Full-time) Midwest Eye Services, LLC - IndianaMedical Office - Patient Services Representative (Full-time)Noblesville, INPart timeFrom scheduling appointments to answering questions and coordinating with insurance, you guide each visit with confidence while making patients feel cared for every step of the way. As a Patient Services Representative, you are the connection point between patients, providers, clinical teams, and billing.
UnitedHealth Group IncMedical Assistant Neurology -Optum- Carmel UnitedHealth Group IncMedical Assistant Neurology -Optum- CarmelCarmel, INPrimary Responsibilities Prepare examination rooms and sterilize medical equipment & instruments Room patients obtain health history and check vital signs Document patient care using electronic medical record software Administer medications Assist providers with minor in-office procedures and perform point-of-care testing Schedule appointments complete prior authorizations process medication refills handle referrals and answer patient calls as needed. Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Aledade IncClinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemoteIndianapolis, INRemote$69,000–$91,000 / yearCurrent medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Indiana University Health IncRCS - Quality Expert CC NEW Indiana University Health IncRCS - Quality Expert CC NEWIndianapolis, INRequires effective written and verbal communication skills in both individual and group settings to ensure professional correspondence and presentation to all levels of individuals within the organization (operational team members, leadership ? internal and external to Revenue Cycle, clinicians, physicians, auditors and other external individuals/groups). This position will help to ensure the accuracy and completeness of clinical medical record documentation and clinical coding as it pertains to assignment of patient status, documentation of care provided, support of billing for services provided and affect that data has on hospital reporting.
DatavantNewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTIndianapolis, INRemote$35–$45 / hourBy joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.* 2,500 Sign on Bonus **As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Systems: Cerner PowerChart, 3M360.What you will bring to the table:3+ years experience coding and auditingAssociate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCSPreferred: CCS, RHIT, or RHIA credentials.
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, INIndianapolis, 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.
Deloitte Touche Tohmatsu LtdNewHealthcare Revenue Cycle Consulting Manager Deloitte Touche Tohmatsu LtdHealthcare Revenue Cycle Consulting ManagerIndianapolis, IN$155,600–$306,800 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Deloitte Touche Tohmatsu LtdNewHealthcare Revenue Cycle Senior Consultant Deloitte Touche Tohmatsu LtdHealthcare Revenue Cycle Senior ConsultantIndianapolis, IN$128,000–$252,500 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Briljent LLCClinical Auditor - RN Briljent LLCClinical Auditor - RNIndianapolis, INRemoteThis role is responsible for evaluating quality of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals activities. We are seeking a detail-oriented Clinical Auditor Registered Nurse to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs.
Community Health NetworkPhysician - Community-GoHealth Urgent Care Community Health NetworkPhysician - Community-GoHealth Urgent CareIndianapolis, INCommunity 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. Select a Job Category Administrative & General Support Advanced Practice Providers Allied Health Behavioral Health Intern Leadership Nursing Patient Support Physicians Professional & Business Support.
rethink.financialNewDirector of RCM Operations rethink.financialDirector of RCM OperationsIndianapolis, INRemoteStrong, in-depth knowledge of revenue cycle management principles and practices; including medical billing, coding, collections, managed care products, regulatory compliance, payor credentialing, and financial reporting . The Director of RCM Operations will play a key role in the continued development and growth of the RCM function, working closely with the VP of Revenue Cycle Management as well as other leaders within the RCM team.
CVS Health CorpCare Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubIN$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
CVS Health CorpMedical Scribe CVS Health CorpMedical ScribeIndianapolis, INrequired] Ability to commit to at least 1 year in role (2+ is ideal) [required] Ability to work approximately 40-45 hours per week during clinic hours (full time position) with predictable hours and break times [required] Compliance with hospital and Oak Street Health policies, including HIPAA [required] US work authorization [required] Anticipated Weekly HoursTime TypePay Range The typical pay range for this role is: This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Title: Medical Scribe Company: Oak Street Health Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients.