NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorAnderson, INRemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorWestfield, INRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Medical Coder - Audit Specialist BriljentMedical 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.
Medical Coder DaMar Staffing SolutionsMedical CoderIndianapolis, IndianaJob Summary- The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. Ensure that documentation supports the assigned codes and matches physician orders and radiology reports.
Certified Medical Coder University Health Services IncCertified Medical CoderGREENWOOD, INOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Medical Coder - Audit Specialist BrijlentMedical Coder - Audit SpecialistIndianapolis, IndianaRemoteThis 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.
Medical Coder Ascension Health AllianceMedical CoderIndianapolis, INOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Medical Coder AscensionMedical CoderIndianapolis, IndianaFull timeOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Coder II Healthcare Outcomes Performance CompanyCoder IICarmel, IndianaUtilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.
NewProfessional Coder Auditor and Educator Health and Hospital CorporationProfessional Coder Auditor and EducatorIndianapolis, 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 managements attention with examples within the same date of discovery; routinely meets with providers to help educate and review compliant billing practices. Medical Necessity: Recognizes cases that require specific medical necessity coverage diagnoses, and applies Local Coverage Determination (LCD) policies as necessary, and assists in educating providers and clinic sites to understand these rules; assists with workflow suggestions to Leadership to help improve the process and reduce denials.
Coder 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.
Coder II The Center for Orthopedic and Research ECoder IICarmel, INPart timeUtilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.
Coder 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.
Risk Adjustment Coder IHCI Community Health NetworkRisk Adjustment Coder IHCIIndianapolis, INRemoteThe Risk Adjustment Coder is responsible for: Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows. Must obtain one of the following certifications through AAPC and/or AHIMA: CPC, CPC-H, CPC-I, CPC-A, CCSP, CCS, Certified Risk Adjustment Coder (CRC) within 6 months from hire.
Medical 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.
Patient Safety DRG Clinical Validation Auditor Elevance Health IncPatient Safety DRG Clinical Validation AuditorIndianapolis, IN$86,560–$129,840 / yearPreferred skills, qualifications and experiences: One or more of the following certifications are preferred: 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.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadIndianapolis, IN$89,520–$161,136 / 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. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Patient Safety DRG Clinical Validation Auditor Elevance HealthPatient Safety DRG Clinical Validation AuditorIndianaRequires 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. One or more of the following certifications are preferred: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC.
NewClinical Fraud Investigator II Elevance Health IncClinical Fraud Investigator IIIndianapolis, INMinimum Requirements: Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Provider Reimbursement Admin Sr- Behavior Health Elevance Health IncProvider Reimbursement Admin Sr- Behavior HealthIndianapolis, 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. Job Description: Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)IN$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewInvestigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)IN$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.