121 jobs found

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

Job 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. Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports. Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate. 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...

Facility OrthoIndy Northwest, Indianapolis, IN Department Coding Shift Details Full Time, Mon-Fri 8-5pm General Statement of Duties The Clinic Coder is responsible for reviewing medical record documentation, posting charges consisting of CPT codes, ICD-10 diagnosis codes, and appropriate modifiers. Essential Duties Posts clinic charges. Reviews medical record documentation for accuracy to support billing. Informs manager of compliance problems or issues. Communicates with Physician and staff when query needed on patient charges. Requirements High School Diploma or GED required, specialty training beyond high school preferred 1-2 years of related experience required, 2-4 years of experience preferred Certified Professional Coder certification or Certified Coding Specialist Physician-based certification required OrthoIndy is an Equal Opportunity Employer

Certified Coder - Primary Care/Pulmonary/Critical Care - CPC Job Ref: 2601115 Category: Administrative & General Support Job Family: Billing & Coding Department: Revenue Cycle-Physician Billing Schedule: Full-time Facility: Heritage Park Location: Indianapolis, IN 46250, United States Shift: Day Job Hours: 8:00am - 5:00pm, Monday - Friday Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered and we couldn't do it without you. Make a Difference The Certified...

Looking for Experienced Revenue Cycle/Medical Billing Specialist Are you looking for a work life balance? No weekends, holidays, or nights? Our busy practice in the Indianapolis area offers a culture where you can have all of that plus so much more! If you are an experienced medical professional who is looking for a small, but busy practice with a family style culture to call home, please keep reading! An experienced Medical Biller/Revenue Cycle Expert is sought that has a proven track record with management of the financial aspects and revenue cycle of a medical practice. The ideal candidate should be organized, detail-oriented, motivated, and a self-starter. For this position, the salary is commensurate with experience. Required Skills: A minimum of 2-5 years of experience in a similar position, within the medical field Experience with Microsoft Outlook, Word and Excel, QuickBooks (or similar) Experience with management or supervisory experience required Problem...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Job Description Job Description Description: Unlocking The Spectrum (UTS) provides year-round therapeutic intervention for children with autism based on the science of Applied Behavior Analysis (ABA). UTS provides an atmosphere where children, clinicians and families can interact and support each other. By expecting the highest levels of professionalism from all team members, UTS can achieve its mission of ensuring that each child can reach their full potential at home and in a variety of settings outside of therapy. Our company is seeking an energetic and motivated individual to join UTS as a aba medical biller on a part time basis. The ideal candidate is responsible for handling billing, claims, and ensuring accurate processing for insurance payments. The successful candidate must be willing to take the lead on creating processes and procedures and be comfortable to work independently in a remote capacity. Essential Duties and Responsibilities of the ABA Medical Biller:...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

The Community Based Contract Compliance Auditor will be part of a regional team that provides on-site monitoring and reviews of DCS community based contracted provider businesses. on-site monitoring and reviews of DCS community based contracted provider businesses. The auditor will conduct reviews throughout DCS regions 9, 10, and 11 which covers the central part of the state. Community Based reviews will evaluate DCS services and billing to assure there are no errors and billing has been performed appropriately. The auditor will educate, recommend and create plans of corrections when any errors are found. The auditor will conduct audits throughout the same regions as listed above. Community based audits will be a more comprehensive look at a providers practices from point of service to billing. The auditor will educate, recommend, and create plans of corrections as well as pursue any financial damages to the state within this process. The auditor will travel in a team to DCS...

This is a full-time remote position focused on enhancing the product knowledge and functional skills of global medical affairs teams. As an Associate Director, you will act as a therapeutic area expert (in areas such as Nephrology or Immunology), leading training that supports the Global Medical Affairs (GMA) Business Unit's product strategies and priorities. Your key responsibilities will include: Developing and executing the core training curriculum for new products throughout all launch phases. Conducting training for new hire Medical Science Liaisons (MSLs) and GMA personnel within therapeutic areas. Supporting the GMA Peak Performers series aimed at enhancing the skills and performance of Global Medical Affairs. Creating original ideas for training sessions, developing presentation slides, and evaluating their effectiveness. Facilitating live and virtual classroom training sessions. Additionally, you will collaborate with regional/local training leads to...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

A leading healthcare company seeks a Nurse Auditor 2 to perform clinical audits and ensure accurate medical record documentation. This remote role involves interpreting coding and making clinical decisions based on provider information. Candidates must possess a valid U.S. RN license and at least one year of clinical experience, particularly with the Home Health Care Payment Driven Groupings Model. The position offers competitive pay ranging from $78,400 to $107,800, with additional benefits and a bonus incentive plan. #J-18808-Ljbffr

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high...

A healthcare organization in Granger, Indiana seeks a candidate for operational support coordination. This role involves supervising staff, managing office functions, and ensuring patient care quality in a medical office environment. Applicants should have a high school diploma, with a preference for a Bachelor's degree, and must possess at least three years of healthcare and management experience. Strong leadership and organizational skills are essential for ensuring efficient operations and excellent customer service. #J-18808-Ljbffr

Description Saint Joseph Health System is proud to offer Daily Pay. Work Today, Get Paid Today! Saint Joseph Health System is proud to offer Daily Pay. Work Today, Get Paid Today! Employment Type Full time Shift 12 Hour Day Shift Job Summary Acts as a resource to the Manager, Nursing Staff and Health Team members by coordinating patient care activities and communicating patient information to the appropriate individuals. Through clinical, educational, administrative and research roles, the Supervisor, Clinical Nursing is accountable for their actions in the delivery of patient care. They provide nursing care to a patient population using the nursing process which entails assessment, diagnostic formulation, planning, implementation and evaluation of nursing care. Is required to maintain an extensive and diverse knowledge base, flexibility in practice and the need to be adaptable to changes in technology, legislation and nursing practice. Incorporates ethical and legal...

Outpatient Risk Adjustment Coder IHCI Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered and we couldn't do it without you. The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes. Reporting to the Clinical Documentation Integrity...

Join Syneos Health as a Manager/Associate Director of Regulatory Medical Writing Syneos Health is at the forefront of biopharmaceutical solutions, dedicated to accelerating client success. We bring unique insights from clinical, medical affairs, and commercial sectors to tackle contemporary market challenges. Our Clinical Development framework places the customer and patient at the core of our operations. We are continuously seeking innovative ways to streamline our processes, not only making Syneos Health easier to collaborate with but also a more fulfilling place to work. Be part of a passionate team dedicated to transforming lives and delivering therapies efficiently. Explore the impact of our 29,000 employees across 110 countries. Your Role and Responsibilities Manage project-specific tasks for medical writing staff, including overseeing salary administration, recruitment, performance appraisals, and professional development. Review and edit departmental...

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered - and we couldn't do it without you. Make a Difference The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. Exceptional Skills and Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail....

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

A regional compliance organization is seeking a Community Based Contract Compliance Auditor in Indianapolis, Indiana. The role involves conducting comprehensive audits and reviews of contracted provider businesses, ensuring billing practices are accurate while educating and recommending corrective plans. Candidates should possess strong analytical skills, with a commitment to adhering to state laws and policies. Frequent travel within designated regions is essential as part of this collaborative role. #J-18808-Ljbffr

Join Datavant, the leading data collaboration platform in healthcare, where our mission is to secure, access, and make health data actionable. We provide essential data solutions for various healthcare entities, including providers, health plans, researchers, and life sciences companies. Be part of a dynamic team that is revolutionizing how health data is utilized to improve health outcomes. What We Are Looking For: We are excited to find a Lead Profee Coder with a robust orthopedic background, particularly in spinal procedures. The ideal candidate will efficiently oversee work queue volumes, address coding queries from physicians and staff daily, and effectively communicate between the client and coding team. Key Responsibilities: Review medical record documentation thoroughly to accurately identify diagnoses and procedures that require coding for profee charts, ensuring compliance with federal regulations. Engage proactively with physicians to clarify code...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical...

Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

Job Overview The Community Based Contract Compliance Auditor will be part of a regional team that provides on-site monitoring and reviews of DCS community based contracted provider businesses. on-site monitoring and reviews of DCS community based contracted provider businesses. Responsibilities The auditor will conduct reviews throughout DCS regions 9, 10, and 11 which covers the central part of the state. Community Based reviews will evaluate DCS services and billing to assure there are no errors and billing has been performed appropriately. The auditor will educate, recommend and create plans of corrections when any errors are found. The auditor will conduct audits throughout the same regions as listed above. Community based audits will be a more comprehensive look at a provider's practices from point of service to billing. The auditor will educate, recommend, and create plans of corrections as well as pursue any financial damages to the state within this process. The auditor...