This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
**ESSENTIAL RESPONSIBILITIES**
+ Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
+ Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
+ Engages in RPM Coding educational meetings and annual coding Summit.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ None
**Substitutions**
+ None
**Preferred**
+ Associate degree inmedical billing/coding, health insurance, healthcare or related field preferred.
**EXPERIENCE**
**Required**
+ 3 years HCC coding and/or coding and billing
**Preferred**
+ 5 years HCC coding and/or coding and billing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Certified Professional Coder (CPC)
+ Certified Risk Coder (CRC)
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Attention to Detail
+ Written and Oral Presentation Skills
+ Written Communications
+ Communication Skills
+ HCC Coding
+ MS Word, Excel, Outlook, PowerPoint
+ Microsoft Office Suite Proficient/ - MS365 & Teams
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$26.49
**Pay Range Maximum:**
$41.03
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273522
$26.5-41 hourly 30d ago
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Medical Device QMS Auditor
Environmental & Occupational
Medical coder job in Indianapolis, IN
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$98.1k-123.9k yearly Auto-Apply 47d ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in Indianapolis, IN
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
$98.1k-123.9k yearly Auto-Apply 48d ago
Medical Coder
Damar Staffing Solutions
Medical coder job in Indianapolis, IN
Client Profile\- An Indiana based Independent Physician\-Owned radiology practices founded in 1967.
Job Summary\- The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient\/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes.
Job Duties
Review and analyze medical records ensuring the correct assignment of ICD\-10, CPT and HCPCS codes.
Accurately code diagnostics imaging, interventional radiology procedures and other radiological services
Ensure that documentation supports the assigned codes and matches physician orders and radiology reports
Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting.
Collaborate with radiologists and other medical professionals to clarify diagnoses and procedures when documentation is insufficient or ambiguous.
Provide feedback to healthcare providers on coding issues and documentation improvement.
Adhere to coding guidelines, healthcare regulations and policies.
Stay updated with the latest coding changes, insurance requirements and compliance issues related to radiology.
Ensure accurate and timely submission of medical claims for radiology services to insurance companies and government programs
Follow up on denials, rejections and discrepancies to resolve billing issues.
Audit coding accuracy periodically and participate in quality improvement programs.
Manage EMR and other health information systems to store and retrieve coded information efficiently.
Offer up help and training if needed, to fellow employees
Must be a team player and adjust positively to new ides and procedures when implemented
Other duties are requested or assigned. May perform payment responsibilities.
Requirements
Qualifications
High School Diploma, 3+years of medical coding experience.
Excellent customer service skills, strong attention to details, multi\-task as needed.
Must be familiar with an EMR; Microsoft Office 365
Must be able to take responsibility and work under pressure. Work efficiently in a busy medical office.
Previous medical office experience is a must.
Must be a positive team player.
Strong knowledge of ICD\-10, CPT, and HCPCS codes specific to radiology is a plus.
Proficient inmedical terminology, especially radiological terms and procedures.
Days\/Hours: M\/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus)
Starting pay $22.00 to $25.00 hourly (Based on experience)
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$22-25 hourly 60d+ ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Indianapolis, IN
**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:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
+ The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties.
+ The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references.
+ These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.).
+ The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 43d ago
Coder Ambulatory Crtfd
Riverview Hospital 4.4
Medical coder job in Noblesville, IN
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 local laws, program policies and procedures and serves as an expert for coding and compliance.
* Other duties and projects as assigned.
Education Requirements:
* Minimum: High School Diploma or equivalent
Experience Requirements:
* Minimum: One (1) year experience with physician and/or medical billing/coding office operations.
* Preferred: Two (2) years experience with physician and/or medical billing coding office operations.
License and Certification Requirements:
* Certified Coder (CPC-A, CPC, CCS-P, OR RHIT)
$48k-57k yearly est. 28d ago
Medical Coding Appeals Analyst
Elevance Health
Medical coder job in Indianapolis, IN
Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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.
This position is not eligible for employment based sponsorship.
Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
PRIMARY DUTIES:
* Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.
* Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.
* Translates medical policies into reimbursement rules.
* Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.
* Coordinates research and responds to system inquiries and appeals.
* Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
* Perform pre-adjudication claims reviews to ensure proper coding was used.
* Prepares correspondence to providers regarding coding and fee schedule updates.
* Trains customer service staff on system issues.
* Works with providers contracting staff when new/modified reimbursement contracts are needed.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.
Preferred Skills, Capabilities and Experience:
* CEMC, RHIT, CCS, CCS-P certifications preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified - Other
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. 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.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$47k-68k yearly est. 3d ago
Medication Cart Auditor - Omnicell Technician
CVS Health 4.6
Medical coder job in Indianapolis, IN
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**_Please be aware that_** **_an active Pharmacy Technician license with the state of Indiana is required._**
**Job Summary: We are seeking a detail-oriented professional to serve as a Medication Cart Auditor for nursing home facilities. This primarily remote role involves reviewing documentation and cart inventory reports to ensure regulatory compliance, accuracy, and safety inmedication management. During facility visits, the technician may also perform functions such as Omnicell maintenance and replenishment.**
**Key Responsibilities:**
**- Conduct on-site audits of medication carts at nursing facilities.**
**- Identify discrepancies inmedication labeling, storage, expiration dates, and documentation.**
**- Provide written reports of audit findings with recommendations for corrective actions.**
**- Collaborate with consultant RPH, nursing staff, and facility leadership to ensure timely resolution of issues.**
**- Maintain up-to-date knowledge of state and federal regulations related to long-term care medication practices.**
**- Participate in periodic training and quality improvement initiatives.**
**- Replenishment and maintenance of Omnicell machines.**
**- Perform equipment audits.**
**- Participate in pharmacy activities, such as packaging, staging, EKits, and inventory as needed.**
**Qualifications:**
**-** **_Pharmacy Technician license with the state of Indiana (Required)_**
**- Experience in long-term care or nursing home settings strongly preferred.**
**- Strong attention to detail and analytical skills.**
**- Excellent written and verbal communication skills.**
**- Ability to work independently and manage time effectively in a remote environment.**
**Work Environment & Schedule:**
**- Primarily day shift.**
**- Requires travel for on-site visits.**
**- Company car provided daily.**
**- Weekend Rotation**
**Compensation & Benefits:**
**- Competitive hourly rate.**
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$17.00 - $28.46
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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. 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.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 03/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
$17-28.5 hourly 3d ago
Medical Coding Appeals Analyst
Carebridge 3.8
Medical coder job in Indianapolis, IN
Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
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
This position is not eligible for employment based sponsorship.
Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
PRIMARY DUTIES:
* Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.
* Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.
* Translates medical policies into reimbursement rules.
* Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.
* Coordinates research and responds to system inquiries and appeals.
* Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
* Perform pre-adjudication claims reviews to ensure proper coding was used.
* Prepares correspondence to providers regarding coding and fee schedule updates.
* Trains customer service staff on system issues.
* Works with providers contracting staff when new/modified reimbursement contracts are needed.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.
Preferred Skills, Capabilities and Experience:
* CEMC, RHIT, CCS, CCS-P certifications preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. 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.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$41k-56k yearly est. Auto-Apply 60d+ ago
HealthNet EMR Clinical Analyst - HealthNet
Healthnet, Inc. 4.0
Medical coder job in Indianapolis, IN
This position provides technical support, training and coordinates operational issues for HealthNet information systems. Assists in standardizing processes and procedures that are derived from users of the HealthNet information systems. The incumbent works to analyze system needs and current clinical needs, working with HealthNet associates, management and vendors to prepare program specifications. Implements new systems and system enhancements and resolves day-to-day user related system problems. Maintains systems to meet HealthNet operational goals and processes.
Essential Functions
Information Systems Support:
Serves as coordinator for all electronic medical record system issues, upgrades, changes and testing. Develops, maintains and modifies various system capabilities to ensure system enhancements that will be consistent with process goals and regulatory mandates. Performs functional or integrated testing of application updates, providing feedback of findings and facilitating communication to users in a manner to ensure compliance. Monitors functionality of systems as appropriate. Assists with the search and evaluation of technical solutions and/or alternatives.
Training and Development:
Provides training to associates and continuing education on specialized system processes. Develops and updates user documentation and information related to the most effective and productive use of the system. Maintains and continues to expand knowledge of applications, methods, operations and processes. Provides translation of how systems are used to support the processes established by the operations areas.
Information Systems Liaison:
Meets frequently with associates, Managers and Senior Management to provide information on system capabilities. Acts as project leader or participant in implementing system and process changes as required by clinical & operations areas. Provides consultative services for workflow and systems process issues. Interacts with HealthNet associates, Managers and Senior Management to maintain understanding of system requirements to support operational requirements.
Vendor Coordination:
Identifies necessary changes, problems, upgrade requirements to system vendors and technicians. Creates specifications for changes, upgrades or problem resolution. Monitors progress of resolution and coordinates testing of changes with system vendors.
System Documentation:
Responsible for creation and maintenance of detailed user documentation for HealthNet's electronic medical record systems and other HealthNet information systems.
Communication:
Performs quality evaluation of system performance and documents on a regular basis. Writes and seeks approval for policies and procedures documentation. Provides feedback on issues to management on a regular basis.
Readiness:
Job requires availability as needed to meet the business needs.
The preceding essential function statements are not intended to be an exhaustive list of tasks and functions for this position. Job descriptions provide a representative summary of the major duties and responsibilities performed by incumbents. Other tasks and functions may be assigned as needed to fulfill the mission of the organization.
Requires Bachelor's Degree in Nursing or a health-related field.
Requires knowledge of and experience in Patient Management; Scheduling; Referral; Accounts Receivable, and electronic medical record systems and processes; experience with networked information systems preferable.
Requires good customer service skills.
Requires Bachelor's Degree in Nursing or a health-related field.
Requires desktop computing skills to include knowledge of automated office application suites Requires expertise in determining user needs and requirements.
Requires knowledge of Quality Improvement Model and ability to recommend process and system improvements.
Requires knowledgeable of computer operations to include: software applications; hardware configuration; data review/retrieval; documentation and display of data.
Requires good written and verbal communication skills.
Requires ability to coordinate system changes; upgrades; and revisions necessary to support HealthNet processes.
Requires ability to successfully plan; monitor/support and improve activities.
Requires ability to meet aggressive deadlines within appropriate time frames.
Requires ability to work independently; as a team member or provide direction as a team leader.
Requires strong interpersonal and organizational skills.
Requires analytical capabilities.
Requires ability to adapt quickly to changing conditions and assimilating new processes into job functions.
Travel may be required.
$58k-78k yearly est. Auto-Apply 60d+ ago
Medical Records
Brightspring Health Services
Medical coder job in Indianapolis, IN
Our Company
ResCare Community Living
Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!
Responsibilities
Ensures the timely entry of medical data into computer system to facilitate processing and delivery of edited documentation for client facilities.
Maintains accurate updates and medical records documents for each specific facility.
Research all unedited sheets that are pended or unable to process due to illegibility or unfamiliar terminology on handwritten sheets provided by the facility.
Recognizes deviations and irregularities relating to data and system requirements and seeks resolution from originator, supervisor or manager.
Verifies and clarifies any or all problems or inquiries with the facility's documentation requests/needs.
Communicates with facilities nursing staff, Director of Nursing and Administrator on a regular basis regarding corrections of medical data.
Utilize reference materials available to improve skills regularly and ongoing.
Maintains the confidentiality of employees and patients/residents demographics and medical information.
Runs medical records forms and reports containing facility, patient and pharmaceutical information.
Assists consultant pharmacists by obtaining facility data from system as needed and also informs consultant pharmacists regarding department procedures.
Promotes customer goodwill and enhances corporate image to support the corporate mission, values and philosophy.
Conducts audit with the specific facility upon request using computerized data with facility data.
Observe and comply with all PharMerica policies and procedures.
The above duties or working procedures describe the chief function of the job and are not to be considered a detailed description of every duty of the job.
Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
About our Line of Business ResCare Community Living, an affiliate of BrightSpring Health Services, has five decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental, or cognitive disability. We provide a comprehensive range of high-quality services, including: community living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs. For more information, please visit ******************************* Follow us on Facebook and LinkedIn.
Salary Range USD $18.00 - $18.60 / Hour
$18-18.6 hourly Auto-Apply 34d ago
Medical Records Clerk
Tronitech
Medical coder job in Indianapolis, IN
You will be responsible for a variety of tasks including collecting patient information, issuing medical files, filing medical records, and processing patient admissions and discharge papers.
Medical Records Clerk Responsibilities:
Gathering patient demographic and personal information.
Issuing medical files to persons and agencies according to laws and regulations.
Helping with departmental audits and investigations.
Distributing medical charts to the appropriate departments of the hospital.
Maintaining quality and accurate records by following hospital procedures.
Ensuring patient charts, paperwork, and reports are completed in an accurate and timely manner.
Ensuring that all medical records are protected and kept confidential.
Filing all patients' medical records and information.
Supplying the nursing department with the appropriate documents and forms.
Completing clerical duties, including answering phones, responding to emails, and processing patient admission and discharge records.
Medical Records Clerk Requirements:
High school diploma or equivalent qualification.
A minimum of 2 years experience in a similar role.
Advanced understanding of medical terminology and administration processes.
Proficient in information management programs and MS Office.
Outstanding communication and interpersonal abilities.
Strong attention to detail with excellent organizational skills.
$29k-37k yearly est. 60d+ ago
Medical Records
Res-Care, Inc. 4.0
Medical coder job in Indianapolis, IN
Our Company ResCare Community Living Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!
Responsibilities
* Ensures the timely entry of medical data into computer system to facilitate processing and delivery of edited documentation for client facilities.
* Maintains accurate updates and medical records documents for each specific facility.
* Research all unedited sheets that are pended or unable to process due to illegibility or unfamiliar terminology on handwritten sheets provided by the facility.
* Recognizes deviations and irregularities relating to data and system requirements and seeks resolution from originator, supervisor or manager.
* Verifies and clarifies any or all problems or inquiries with the facility's documentation requests/needs.
* Communicates with facilities nursing staff, Director of Nursing and Administrator on a regular basis regarding corrections of medical data.
* Utilize reference materials available to improve skills regularly and ongoing.
* Maintains the confidentiality of employees and patients/residents demographics and medical information.
* Runs medical records forms and reports containing facility, patient and pharmaceutical information.
* Assists consultant pharmacists by obtaining facility data from system as needed and also informs consultant pharmacists regarding department procedures.
* Promotes customer goodwill and enhances corporate image to support the corporate mission, values and philosophy.
* Conducts audit with the specific facility upon request using computerized data with facility data.
* Observe and comply with all PharMerica policies and procedures.
* The above duties or working procedures describe the chief function of the job and are not to be considered a detailed description of every duty of the job.
* Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
About our Line of Business
ResCare Community Living, an affiliate of BrightSpring Health Services, has five decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental, or cognitive disability. We provide a comprehensive range of high-quality services, including: community living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs. For more information, please visit ******************************* Follow us on Facebook and LinkedIn.
Salary Range
USD $18.00 - $18.60 / Hour
$18-18.6 hourly Auto-Apply 28d ago
RN-Infection Preventionist/Medical Records Coordinator
Eaglecare LLC
Medical coder job in Anderson, IN
Infection Preventionist/Medical Records Opportunity at Edgewater Woods
Full Time Opportunity RN
The IP/Medical Records is responsible for the successful utilization of the electronic medical record (EMR). The Medical Records Coordinator will work with physicians, office staff, nursing management and staff to utilize the EMR through auditing, analysis, and training. They will also implement measures that will protect the residents and staff in the community. The IP/Med Records is responsible for assessing the education needs of the staff and coordinate programs based upon identified needs and ensure State and Federal compliance.
Skills Needed:
Attention to detail/Accuracy: Ensures the medical record is complete and accurate.
Training: The ability to teach and motivate staff, vendors, and other key stakeholders to ensure the database and records comply with company, Federal, and State guidelines.
Collaboration: Work with hospitals, physicians, nursing staff, and leadership to ensure that all records are obtained and maintained in the EMR.
Supportive Presence: Create a comforting and engaging atmosphere for our residents and staff.
Passion for Education and Training: Effectively educate healthcare staff and patients about infection prevention practices.
Leadership: The ability to lead and motivate others to follow infection prevention practices.
Data Management and Analysis: Monitor, track, analyze data and trends associated with infections, immunizations and antibiotic use.
Supportive Presence: Create a comforting and engaging atmosphere for our residents.
Requirements:
Graduate of an accredited school of nursing.
Minimum of one year in nursing management in the long-term industry.
Two years of professional nursing experience in long-term care, acute care, restorative care or geriatric nursing setting.
Demonstrates C.A.R.E. values to our residents, family members, customers and staff. Compassion, Accountability, Relationships and Excellence
Benefits and perks include:
Competitive Compensation: Access your earnings before payday. Take advantage of lucrative employee referral bonus programs, 401(k), FSA program, free life insurance, PTO exchange for pay programs and more.
Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to provide support in the workplace and Personalized Wellness Coaching.
Life in Balance: Holiday pay and PTO with opportunities to earn additional PTO. Employee Discount Programs that allow you to save on travel, retail, entertainment, food and much more.
Career Growth: Access to preceptors and mentorship programs, clinical and leadership development pathways, education partnerships with colleges and universities across the state like Ivy Tech and Purdue Global, financial assistance for continuing education, company sponsored scholarship programs, and tuition reimbursement.
Team Culture: A.R.E. Values: Compassion, Accountability, Relationships and Excellence carrying a legacy for improving the lives of Seniors across Indiana. Celebrate the hard work you and your team put in each day through employee recognition events and monthly and annual awards.
*Full-Time and Part-Time Benefits may vary, terms and conditions apply
About American Senior Communities
Compassion, Accountability, Relationships and Excellence are the core values for American Senior Communities. These words not only form an acronym for C.A.R.E., but they are also our guiding principles and create the framework for all our relationships with customers, team members and community at large.
American Senior Communities has proudly served our customers since the year 2000, with a long history of excellent outcomes. Team members within each of our 100+ American Senior Communities take great pride in our Hoosier hospitality roots, and it is ingrained in everything we do. As leaders in senior care, we are not just doing a job but following a calling.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$29k-37k yearly est. 5d ago
Health Information Specialist II - LRH
Datavant
Medical coder job in Indianapolis, IN
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.
**Position Highlights** :
+ Full-Time: Monday-Friday 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ Documenting information in multiple platforms using two computer monitors.
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ May schedules pick-ups.
+ Assist with training associates in the HIS I position.
+ Generates reports for manager or facility as directed.
+ Must exceed level 1 productivity expectations as outlined at specific site.
+ Participates in project teams and committees to advance operational strategies and initiatives as needed.
+ Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Must be 18 years of age or older.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ 1-year Health Information related experience.
+ Meets and/or exceeds Company's Productivity Standards
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$16-20.5 hourly 32d ago
Infection Preventionist/Medical Records Coordinator
American Senior Communities 4.3
Medical coder job in Anderson, IN
Infection Preventionist/Medical Records Opportunity at Edgewater Woods Full Time Opportunity LPN/RN The IP/Medical Records is responsible for the successful utilization of the electronic medical record (EMR). The Medical Records Coordinator will work with physicians, office staff, nursing management and staff to utilize the EMR through auditing, analysis, and training. They will also implement measures that will protect the residents and staff in the community. The IP/Med Records is responsible for assessing the education needs of the staff and coordinate programs based upon identified needs and ensure State and Federal compliance.
Skills Needed:
* Attention to detail/Accuracy: Ensures the medical record is complete and accurate.
* Training: The ability to teach and motivate staff, vendors, and other key stakeholders to ensure the database and records comply with company, Federal, and State guidelines.
* Collaboration: Work with hospitals, physicians, nursing staff, and leadership to ensure that all records are obtained and maintained in the EMR.
* Supportive Presence: Create a comforting and engaging atmosphere for our residents and staff.
* Passion for Education and Training: Effectively educate healthcare staff and patients about infection prevention practices.
* Leadership: The ability to lead and motivate others to follow infection prevention practices.
* Data Management and Analysis: Monitor, track, analyze data and trends associated with infections, immunizations and antibiotic use.
* Supportive Presence: Create a comforting and engaging atmosphere for our residents.
*
Requirements:
* Graduate of an accredited school of nursing.
* Minimum of one year in nursing management in the long-term industry.
* Two years of professional nursing experience in long-term care, acute care, restorative care or geriatric nursing setting.
* Demonstrates C.A.R.E. values to our residents, family members, customers and staff. Compassion, Accountability, Relationships and Excellence
Benefits and perks include:
* Competitive Compensation: Access your earnings before payday. Take advantage of lucrative employee referral bonus programs, 401(k), FSA program, free life insurance, PTO exchange for pay programs and more.
* Health & Wellness: Medical coverage as low as $25, vision and dental insurance. Employee Assistance Program to help manage personal or work-related issues, as well as Workforce Chaplains to provide support in the workplace and Personalized Wellness Coaching.
* Life in Balance: Holiday pay and PTO with opportunities to earn additional PTO. Employee Discount Programs that allow you to save on travel, retail, entertainment, food and much more.
* Career Growth: Access to preceptors and mentorship programs, clinical and leadership development pathways, education partnerships with colleges and universities across the state like Ivy Tech and Purdue Global, financial assistance for continuing education, company sponsored scholarship programs, and tuition reimbursement.
* Team Culture: A.R.E. Values: Compassion, Accountability, Relationships and Excellence carrying a legacy for improving the lives of Seniors across Indiana. Celebrate the hard work you and your team put in each day through employee recognition events and monthly and annual awards.
* Full-Time and Part-Time Benefits may vary, terms and conditions apply
About American Senior Communities
Compassion, Accountability, Relationships and Excellence are the core values for American Senior Communities. These words not only form an acronym for C.A.R.E., but they are also our guiding principles and create the framework for all our relationships with customers, team members and community at large.
American Senior Communities has proudly served our customers since the year 2000, with a long history of excellent outcomes. Team members within each of our 100+ American Senior Communities take great pride in our Hoosier hospitality roots, and it is ingrained in everything we do. As leaders in senior care, we are not just doing a job but following a calling.
$32k-40k yearly est. 5d ago
Senior Coder - Outpatient
Highmark Health 4.5
Medical coder job in Indianapolis, IN
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
**ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270102
$23-35.7 hourly 33d ago
Coder Ambulatory Crtfd
Riverview Health 4.4
Medical coder job in Noblesville, IN
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 local laws, program policies and procedures and serves as an expert for coding and compliance.
Other duties and projects as assigned.
Education Requirements:
Minimum: High School Diploma or equivalent
Experience Requirements:
Minimum: One (1) year experience with physician and/or medical billing/coding office operations.
Preferred: Two (2) years experience with physician and/or medical billing coding office operations.
License and Certification Requirements:
Certified Coder (CPC-A, CPC, CCS-P, OR RHIT)
$48k-57k yearly est. 29d ago
HealthNet EMR Clinical Analyst - HealthNet
Healthnet, Inc. 4.0
Medical coder job in Indianapolis, IN
This position provides technical support, training and coordinates operational issues for HealthNet information systems. Assists in standardizing processes and procedures that are derived from users of the HealthNet information systems. The incumbent works to analyze system needs and current clinical needs, working with HealthNet associates, management and vendors to prepare program specifications.
Implements new systems and system enhancements and resolves day-to-day user related system problems.
Maintains systems to meet HealthNet operational goals and processes.
$58k-78k yearly est. Auto-Apply 60d+ ago
Medical Records
Brightspring Health Services
Medical coder job in Indianapolis, IN
Job Description
Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!
Responsibilities
Ensures the timely entry of medical data into computer system to facilitate processing and delivery of edited documentation for client facilities.
Maintains accurate updates and medical records documents for each specific facility.
Research all unedited sheets that are pended or unable to process due to illegibility or unfamiliar terminology on handwritten sheets provided by the facility.
Recognizes deviations and irregularities relating to data and system requirements and seeks resolution from originator, supervisor or manager.
Verifies and clarifies any or all problems or inquiries with the facility's documentation requests/needs.
Communicates with facilities nursing staff, Director of Nursing and Administrator on a regular basis regarding corrections of medical data.
Utilize reference materials available to improve skills regularly and ongoing.
Maintains the confidentiality of employees and patients/residents demographics and medical information.
Runs medical records forms and reports containing facility, patient and pharmaceutical information.
Assists consultant pharmacists by obtaining facility data from system as needed and also informs consultant pharmacists regarding department procedures.
Promotes customer goodwill and enhances corporate image to support the corporate mission, values and philosophy.
Conducts audit with the specific facility upon request using computerized data with facility data.
Observe and comply with all PharMerica policies and procedures.
The above duties or working procedures describe the chief function of the job and are not to be considered a detailed description of every duty of the job.
Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
How much does a medical coder earn in Indianapolis, IN?
The average medical coder in Indianapolis, IN earns between $29,000 and $57,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Indianapolis, IN
$41,000
What are the biggest employers of Medical Coders in Indianapolis, IN?
The biggest employers of Medical Coders in Indianapolis, IN are: