United Health Care Staffing jobs

The Patient Financial Services Denial Specialist is responsible for reviewing denied claims and carrying out the appeals process. This position works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence, and possibly setting up arbitration between parties. The denial analyst has a working knowledge of state/federal laws that relate to contacts and to the appeals process. Maintains and monitors integrity of the claim development and submission process. Essential Job Functions Executes the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to and/or resolving appeals with third-party payers in a timely manner. Regularly makes complex decisions within the scope of the position, and is comfortable working independently Works closely with insurance and managed care companies to ensure proper review and processing of denied claims Acts as a liaison between insurance companies and physicians to provide medical necessity for denied claims Identifies and tracks payer denials trends and works with the payers to correct any erroneous denials and works with the departments to review and improve processes to avoid these denials in the future Conducts relevant research to assist with completing the appeals process and to stay informed on best practices and policy reforms Maintains data on the types of claims denied and root causes of denials, and collaborates with team members to make recommendations for improvements and resolving issues Contacts patients to communicate insurance coverage denials and works with the patient to overturn the denials related to patient information needed Works closely with Denial Manager to provide key information for the Denial Task Force Meetings. Complies with State and Federal regulations, accreditation/compliance requirements, and policies, including those regarding fraud and abuse, confidentiality, and HIPAA. Maintains current knowledge of rules and regulations of third party payers. Performs related duties as required Training: Candidate needs to be able to come onsite to either Burr Ridge or our Harvey location for a few weeks for training. They will then be able to work from home. Required Qualifications High School Diploma or GED 3-5 years of Hospital Billing (HB) Denials experience Proven appeals and denial resolution experience Strong understanding of the revenue cycle from start to finish Schedule: M-F 7am-3:30pm

We are seeking a dedicated OB/GYN Physician to join a mission-driven outpatient team focused on providing compassionate, high-quality care to women across all stages of life. The ideal candidate will deliver comprehensive OB/GYN services in a collaborative, community-based setting and work closely with interdisciplinary providers to ensure seamless continuity of care. Key Responsibilities Provide full-spectrum outpatient OB/GYN care, including prenatal and postnatal visits, annual exams, contraception management, IUD insertions, and minor gynecologic procedures. Coordinate patient care with hospitalist and specialty providers for deliveries or hospital-based needs. Maintain an average patient load of 10-20 patients per day, adjusted based on procedure volume. Participate in on-call coverage for clinic triage, offering guidance to mid-level providers and minimizing unnecessary ER referrals. Collaborate with a diverse care team to uphold a community health-focused mission. Complete all charting and documentation accurately and on time, with flexibility for some remote work

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 Patient Account Resolution Representative position is responsible for answering inbound billing inquires in a professional, compassionate, and knowledgeable manner from the point of initial contact through account resolution. Primary functions include attentively listening, researching, educating and resolving billing inquiries as efficiently and accurately as possible to ensure patient satisfaction. Maintains patient confidentiality and documentation appropriately for easy follow up. This role supports the mission and values of the organization by maintaining positive, honest and productive relationships both internally and externally. Exceptional Skills and Qualifications Applicants for this position should demonstrate the ability to collaborate effectively within a team environment, possess excellent communication skills, and exhibit dependability and reliability. Additionally, candidates should maintain a focused approach and a positive attitude towards problem-solving. * High school diploma or GED equivalent required. * Two (2) or more years of experience in revenue cycle healthcare. * Healthcare, insurance, medical billing and/or reimbursement experience preferred. * Working knowledge of Revenue Cycle processes. * Experience with Microsoft Office Suite products, including Excel, Outlook, PowerPoint, Teams and Word. * Ability to research, troubleshoot, and de-escalate patient billing concerns. * Working math aptitude and critical thinking skills. * Ability to perform in a fast-paced environment. * Maintains patient confidentiality and documentation appropriately for easy follow-up. * Previous experience with Epic EMR strongly preferred. * This position will allow the flexibility to work remotely after the initial training period with the expectation to work on-site on an as needed basis per the needs of the hiring department. * Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida, and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

Serve as a critical Charge Generation Tracker (CGT) Specialist and regulatory gatekeeper, ensuring strict compliance with all coding, billing, and third-party guidelines. This role is essential for revenue integrity and correct charge capture across the system. You will act as the primary resource for clinical staff, providers, and administration on coding and billing regulatory matters. Key Responsibilities Regulatory Compliance & CGT Management: Maintain and update the CGT in compliance with federal, state, and payer regulations, ensuring accurate reflection of clinical practice and proper synchronization with IT applications. Edit Review & Resolution: Review and resolve assigned billing/coding edits within prescribed timeframes, routing issues to appropriate owners and collaborating with clinical/charge capture staff for resolution. Monitor daily edit reports and address delinquencies. Expert Support & Resource: Provide expert regulatory support, guidance, and research on coding, billing, and charge capture to providers, clinical charge capture specialists, and administrative staff. Act as the primary subject matter expert for the organization. Education & Training: Develop and conduct educational courses, seminars, and training materials for physicians, clinicians, and billing staff on professional documentation, coding, and billing guidelines. Audit & Monitoring: Lead annual regulatory reviews (CPT, CMS updates) and perform quality audits of patient accounts to identify opportunities for improvement in documentation, charge capture, and coding. Monitor key coding and billing publications for timely compliance. Requirements CPC certification EPIC 3-5 years of experience in professional billing & coding Knowledge of CPT / HCPCS codes and third-party reimbursement policies Working knowledge of Microsoft applications; ability to create and present reports to physicians Schedule/Shift: Monday-Friday 8am-5pm (EST) **PLEASE NOTE**: This is a Hybrid position so candidates must be from the New England area, preferably in MA. Candidates must be able and willing to come on-site for at-the-elbow support, especially during new practice implementations

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 Principal Trainer plays a vital role in the success and evolution of the IT Training Team. This position is responsible for developing and maintaining Epic new hire training, leading the creation of training solutions for IT projects, and serving as a subject-matter expert for a team of Digital Support Specialists. Through collaboration, innovation, and a deep understanding of clinical and operational workflows, the Principal Trainer ensures that caregivers across the Network receive effective, role-based training that supports safe, efficient, and confident use of technology. Key Responsibilities Training Development & Delivery * Design and deliver Epic training curriculum using adult learning principles. * Lead new hire training programs and maintain current, role-based content. * Create tip sheets, simulations, eLearning courses, and resources using tools like uPerform and Amplifire. Training Environment & Technical Support * Build and maintain Epic training environments using Training Wheels, patient build spreadsheets, and duplication tools (Scotty, Mitosis). * Troubleshoot end-user issues and resolve ServiceNow tickets within SLA. Trainer & Team Engagement * Train and mentor Credentialed Trainers and Digital Support Specialists. * Provide coaching and feedback to ensure instructional excellence. Collaboration & Project Leadership * Partner with Epic reps, SMEs, analysts, and Project Managers to align training with business needs. * Lead training efforts for IT projects, including rollout planning and workflow validation. * Evaluate training effectiveness and implement improvements. Competencies & Business Impact * Proficiency in Microsoft Office Suite. * Strong background in adult education and communication. * Demonstrated ability to drive results through collaboration and innovation. 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 positive attitude toward problem-solving. * Bachelor's degree is required. Preferred fields include primary/secondary education, adult education, clinical areas, or related disciplines. * In lieu of the above, a combination of experience and education will be considered. * Epic Certification required within three (3) months of hire. * Minimum of three (3) years of experience in training, education, or clinical operations required. * Two (2) years of Epic training experience preferred. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

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 Digital Support Specialist is a dual-function expert in end-user training and clinical/non-clinical application support, with a strong focus on Epic systems. This role delivers high-quality technical training, provides hands-on support, and ensures seamless adoption and optimization of applications across diverse care settings. The specialist collaborates with IT, training, and operational teams to drive effective application use and workflow integration. Key Responsibilities: Coaching & Engagement * Deliver virtual coaching and real-time support to end users. * Lead onsite training events * Analyze system data to identify optimization opportunities. * Document and share caregiver feedback for continuous improvement. Content Development & Collaboration * Partner with Principal and Technical Trainers to ensure content accuracy. * Observe workflows and suggest curriculum updates. * Test and validate lesson plans in training environments. * Identify and report build/workflow inconsistencies. Epic Credentialing & Application Support * Credential in multiple Epic applications as needed. * Provide at-the-elbow support during go-lives, upgrades, and rounding. * Offer workflow enhancement and general IT support. Training Delivery & Facilitation * Facilitate engaging classroom and virtual training sessions. * Prepare materials and follow standard operating procedures. * Foster a collaborative learning environment and adapt teaching methods to learner needs. 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 positive attitude toward problem-solving. * Bachelor's Degree is required. * A combination of education and experience may be considered in lieu of a degree. * Minimum of two (2) years of healthcare and/or relevant IT training experience required. * Strong instructional and presentation skills. * Deep understanding of clinical workflows. * Effective troubleshooting and communication abilities. * Passion for continuous learning and improvement. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

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 Epic Analyst will be responsible for planning, system analysis, application building, testing, maintenance, upgrades, configuration, and support per assigned Epic application. This role will consistently demonstrate effective communication and team building skills. The Epic Analyst will serve as a champion for documentation, build and testing standards. This role will work with departments and end users to ensure that the teams collaborate to meet the Network's strategic and business needs. This position will support the CHNw Lab Solutions suite of applications and applicants should be proficient in the following: * Provide technical expertise and support for laboratory information systems including Epic Beaker, RALS, Data Innovations, and NovaNet Point of Care. * Ensure proper integration and communication between lab systems and hospital information systems including HL7 Interfaces. * Collaborate with IT and lab personnel to troubleshoot and resolve technical issues. * Maintain system documentation and knowledge base for the IT Lab Team. * Monitor system performance and implement upgrades and improvements as needed. * Participate in the evaluation and implementation of new laboratory technologies and systems. 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 positive attitude toward application building. * High School Diploma or GED equivalent required. * Bachelor's degree in information technology or healthcare related field preferred. * Must have relevant IT or healthcare experience using Epic EMR. Role placement will be based on experience level and discretion of hiring leader: o Associate Epic Analyst: § Relevant IT or healthcare experience (previous Epic end user experience preferred). o Epic Analyst: § At least 1 year of experience working with Epic. o Senior Epic Analyst: § 4 or more years of experience working with Epic (or 2 years in a certified Epic analyst role). * Must obtain Epic certification within 4 months of hire. * Oversees and coordinates all server and application upgrades/updates. * Understands basic server operating system and database architecture. * Manages and maintains relationships with vendors to ensure consistent platform support. * Articulates options and recommendations to leaders to assist with decisions on proposed solutions or functionality. * Experience in application building, troubleshooting, maintenance, and design strongly preferred. * Ability to provide on-call support for after hours and weekends as needed per department needs. * This position will be a hybrid role if you reside within a 60-mile radius of 7260 Shadeland Station, Indianapolis, IN 46256. Hybrid expectations include in-office work once to twice a week and/or on an as needed basis per the needs of the hiring department. * This position will allow the flexibility to work remotely if you reside outside of the 60-mile radius parameter of 7260 Shadeland Station, Indianapolis, IN 46256. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida, and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year of certified coding experience Additional Information All your information will be kept confidential according to EEO guidelines.

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 This position is responsible for management of the credentialing and privileging process, Medical Staff Committees, and management of Medical Staff performance improvement data. The Medical Staff Coordinator will serve as a resource to credentialed and/or privileged members of the Medical Staff and other areas within the integrated system. The Medical Staff Coordinator ensures that credentialing and privileging processes are in compliance with applicable hospital, state and federal regulatory requirements, Medical Staff Bylaws, Rules and Regulations. The Medical Staff Coordinator must adhere to professional confidentiality standards in accordance with legal, ethical and hospital policies. This position will report directly to the Director of Medical Staff Services. 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 positive attitude toward problem-solving. * Associate's Degree required. * In lieu of the above education requirements, a combination of experience and education will be considered. * Minimum of two (2) years of experience in Medical Staff Services or legal/regulatory agency, with direct responsibility for credentialing. * Must obtain Medical Staff Management and/or Certified Provider Credentialing Specialist as recognized by the National Association of Medical Staff Services within 7 years of employment in position. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

Join Community The Innovative Healthcare Collaborative of Indiana, (IHCI), is a joint venture between Community Health Network and Deaconess Health system. Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system. Make a Difference Are you passionate about improving healthcare outcomes through strategic outreach and quality initiatives? IHCI is seeking a dynamic Quality and Contract Analyst to lead our outreach-driven quality performance efforts. This role is pivotal in engaging internal teams, provider partners, and payer organizations to drive measurable improvements in value-based care. Why Outreach Matters This role places a strong emphasis on outreach-a key differentiator from other positions on the team. You'll be the face of IHCI's quality mission, building relationships and driving change across a complex, matrixed environment. Your ability to connect, communicate, and collaborate will be essential to our success. Outreach-Focused Responsibilities * Lead outreach efforts to engage providers, payers, and internal stakeholders. * Represent IHCI in payer meetings and quality committees. * Reach out to patients via phone, letters, and Epic MyChart to close care gaps. * Collaborate with IHCI leadership to design and implement quality interventions. * Drive continuous improvement using Lean Six Sigma and CQI methodologies. Exceptional Skills and Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication and organizational skills, and a positive attitude toward problem-solving. * High School Diploma or GED required; bachelor's degree preferred. * CPHQ certification preferred. * Three (3) years in healthcare or managed care with project management experience. * Strong understanding of CQI principles; Lean Six Sigma certification preferred. * Experience analyzing quality data and driving improvement. * Familiarity with ACO Quality Reporting, CMS/NCQA standards, and population health strategies. * Ability to work collaboratively with physician practices and payer partners. * Intermediate proficiency in Microsoft Office, especially Excel. * Excellent communication, organizational, and outreach skills. * Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida, and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

Join Community The Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health System. Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system. Make a Difference * The Clinical Documentation Specialist reports to the Clinical Documentation Integrity Manager and performs patient chart reviews to ensure accuracy * Using their clinical and technical knowledge, the Clinical Documentation Specialist is responsible for: timely, accurate, and complete review of patient charts prior to patient encounters * Uses a variety of technical platforms to complete workflows * Interpreting reports and validating diagnosis codes representing patient symptoms and conditions * Communicating professionally with providers to assist in accuracy of documentation; contributing to the provider education body of work and assisting with education initiatives * Participating in post encounter reviews, sending queries & providing information * Collaborating with and providing clinical support to Risk Adjustment Coders for chart reviews and queries. Exceptional Skills and Qualifications * Applicants for this position should possess excellent verbal and written communication skills with proficiency in organization and planning; working knowledge of quality improvement theory and practice; knowledge of federal, state and private payer regulations. * Registered Nurse with a minimum of three (3) years Clinical Documentation Integrity/Improved in an OUTPATIENT setting * Associate or Bachelor of Science degree in Nursing; must be graduate of Accreditation Commission for Education in Nursing or Commission on Collegiate Nursing Education accredited nursing program preferred. * AAPC, AHIMA or ACDIS certification REQUIRED This is a REMOTE position. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

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 Patient Account Representative is responsible for managing all aspects of accounts receivables to ensure maximum/timely reimbursement for services performed for hospital billing and claims. The patient account role will be responsible for keeping current on all payer specific regulations and procedures and will provide written summaries of findings and recommendations. This position is customer focused with emphasis on accounts receivable management. The Patient Account Representative is required to follow established guidelines, take action to recover delinquent accounts with the payers. Place calls to the payers to collect and assist in maintaining Network A/R days. Follow up maybe performed by way of payer websites when appropriate. This position will allow the flexibility to work from home upon completion of the initial training period. Your exceptional skills and qualifications * Two years or more years' of experience in revenue cycle healthcare within a medium to larger healthcare system * Must be knowledgeable regarding payer billing guidelines * High School Diploma or GED required * Adheres to all network and departmental procedures and policies * Complies with applicable state/federal laws and the program requirements of accreditation agencies and federal, state and government health plans * Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others * Ensures confidentiality of patient records * Follows appropriate steps to resolve denials within specified timeframe * Follows appropriate steps to resolve insurance correspondence scanned into mail queues * Follows billing and collection procedures as outlined in policies and provides payers with the appropriate and necessary information to adjudicate claim * Maintains A/R to meet Network set goals * Meets productivity standards designated by the department * Meets QA standards designated by the department * Monitors the billing and follow up holds at all sources, ensures timely resolution and is responsible for keeping assigned tasks current * Participates in monthly conference calls with specific payers Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

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 Community Health Network is seeking a Technical Systems Analyst to serve as a trusted authority on assigned applications and technologies. This role bridges the gap between IT and business operations, helping to solve challenges and achieve strategic goals through innovative technical solutions. As a Technical Systems Analyst, you will collaborate with caregivers, colleagues, and vendors to manage technology roadmaps and features. You'll work closely with operations and IT experts to support applications such as Microsoft Enterprise Suite, Microsoft Power Platform, HL7, API's, SQL, and may contribute to special projects using project management methodologies. Key Responsibilities Serve as a subject matter expert for assigned applications and systems. Collaborate with business and IT teams to develop and implement technology solutions. Manage vendor relationships and monitor technology roadmaps. Support application architecture, data alignment, and interface communication. Utilize structured query languages, reporting tools, and programming languages. Provide hardware support and assist with application development. Participate in special projects assigned by leadership. 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 positive attitude toward problem-solving. Associate's degree in information technology or equivalent. In lieu of the above education requirements, a combination of experience and education will be considered. Two (2) or more years of relevant IT experience required. Healthcare experience is preferred. Strong analytical and problem-solving abilities. Excellent organizational and communication skills. Proven interpersonal and relationship-building strengths; approachable and collaborative. Ability to remain calm and supportive in high-pressure situations. Active listening, empathetic responses, and compassionate engagement. Team-oriented mindset with a focus on building and contributing to high-performing teams.

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 Epic Analyst will be responsible for planning, system analysis, application building, testing, maintenance, upgrades, configuration, and support per assigned Epic application. This role will consistently demonstrate effective communication and team building skills. The Epic Analyst will serve as a champion for documentation, build and testing standards. This role will work with departments and end users to ensure that the teams collaborate to meet the Network's strategic and business needs. 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 positive attitude toward application building. · High School Diploma or GED equivalent required. · Bachelor's degree in information technology or healthcare related field preferred. · Must have relevant IT or healthcare experience using Epic EMR. Role placement will be based on experience level and discretion of hiring leader: Associate Epic Analyst: Relevant IT or healthcare experience (previous Epic end user experience preferred). Epic Analyst: At least 1 year of experience working with Epic. Senior Epic Analyst: 4 or more years of experience working with Epic (or 2 years in a certified Epic analyst role). · Must obtain Epic certification within 4 months of hire. · Experience in application building, troubleshooting, maintenance, and design strongly preferred. · Ability to provide on-call support for after hours and weekends as needed per department needs. · This position will be a hybrid role if you reside within a 60-mile radius of 7260 Shadeland Station, Indianapolis, IN 46256. Hybrid expectations include in-office work once to twice a week and/or on an as needed basis per the needs of the hiring department. · This position will allow the flexibility to work remotely if you reside outside of the 60-mile radius parameter of 7260 Shadeland Station, Indianapolis, IN 46256. Community caregivers performing work remotely are permitted to live in the following states\: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida, and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date.

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. Community Health Network MD Anderson Cancer Center is a partnership between Community Health Network and MD Anderson Cancer Center, one of the world's largest and most respected cancer centers. The partnership formed in 2022 elevated a prior affiliation between Community and MD Anderson Cancer Network , a program of MD Anderson. This new partnership represents a full clinical and operational integration of Community's cancer services with MD Anderson across all five of Community's sites of cancer care. Community MD Anderson is one of a select few partners with MD Anderson, a global leader in cancer care, and the only partner in Indiana. Make a Difference The Clinical Coordinator (RN) acts as liaison between vendors and providers in securing most reliable, up to date testing options and providing education necessary related to specific testing. Responsibilities include processing orders for 2 nd path reviews, coordinating shipping to third party labs, maintaining 2 nd path review work queue while keeping it up to date, corresponding with doctors on status of 2 nd path reviews, processing genomic orders in both Epic and third party online portals, liaison between ordering doctors and third party testing providers, educating staff/providers on new and existing genomic testing, creating educational material for participating offices, and other related tasks as needed. The office is located on the south side of Indianapolis at the South Cancer Center, but travel to other locations is required on occasion. The RN will be able to work remotely from home a few days a week once training has been completed. Exceptional Skills and Qualifications -Graduate of National League for Nursing (NLN), Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA) accredited school of nursing, or three years of related professional nursing experience. -Licensed as a Registered Nurse (RN) with a valid license to practice in the state of Indiana as listed in the Nurse Licensure Compact (NLC). - Bachelor's Degree in Nursing Required. In lieu of Bachelor's Degree in Nursing, an Associate Degree in Nursing with 2-4 years of additional experience is acceptable. Master's Degree in Nursing preferred . -Two to five years of nursing experience required. -Genomics experience a plus. -Excellent communication skills. -Excellent team skills. -Compassionate and caring. -Accountable. -Self-directed. -EPIC experience a plus.

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 We are seeking a highly skilled and experienced Sr Systems Engineer to oversee all aspects of our enterprise Intel systems. This role is critical to ensuring the highest levels of reliability, performance, and security across our infrastructure. You will lead implementation, configuration, maintenance, and troubleshooting efforts while keeping our systems on the cutting edge of technology. The ideal candidate will collaborate closely with IT staff and Community Health Network customers to support a rapidly evolving digital environment that underpins our enterprise growth. Key responsibilities: * Evaluate and implement state-of-the-art technologies to meet business needs. * Maintain, upgrade, and troubleshoot enterprise Intel systems for optimal performance in a Microsoft Azure environment. * Design and manage system architecture with high availability and real-time replication in a Microsoft Azure environment. * Monitor system performance and conduct capacity planning. * Participate in 24x7 on-call rotation to ensure system integrity and uptime. * Interface with vendors for issue resolution and product evaluation. * Lead disaster recovery planning and execution. * Analyze user requirements and recommend hardware/software solutions. * Ensure compliance with enterprise IT standards and policies. 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 positive attitude toward problem-solving. * High School Diploma or GED required. * Bachelor's degree in computer science or related field preferred. * Minimum of five (5) to seven (7) years supporting enterprise-scale environment required. * Microsoft AZ900 and AZ104 certification preferred. * Epic Software certification a plus. * Expertise in architecting enterprise-class solutions. * Proven ability to manage large-scale systems and projects. * This position will allow flexibility to work remotely. Community caregivers performing work remotely are permitted to live in the following states: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable. • Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. • Remain current on medical coding guidelines and reimbursement reporting requirements. • Check chart assignments every day and report accurately all hours worked on a weekly basis. • Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. • Comply with HIPAA laws and regulations. • Participate in testing and training as required by the Company. Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required • At least one years' experience as a medical coder/abstractor. • Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred); • Ability to code using an ICD-9-CM code book (without using an encoder); • Strong clinical skills related to chronic illness diagnosis, treatment and management; • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts); • Personal discipline to work remotely without direct supervision; • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5); • Computer proficiency (including MS Windows, MS Office, and the Internet); • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better; • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills; • Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation. Qualifications 1 year of certified coding experience Additional Information All your information will be kept confidential according to EEO guidelines.

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 Digital Support Specialist is a dual-function expert in end-user training and clinical/non-clinical application support, with a strong focus on Epic systems. This role delivers high-quality technical training, provides hands-on support, and ensures seamless adoption and optimization of applications across diverse care settings. The specialist collaborates with IT, training, and operational teams to drive effective application use and workflow integration. Key Responsibilities: Coaching & Engagement * Deliver virtual coaching and real-time support to end users. * Lead onsite training events * Analyze system data to identify optimization opportunities. * Document and share caregiver feedback for continuous improvement. Content Development & Collaboration * Partner with Principal and Technical Trainers to ensure content accuracy. * Observe workflows and suggest curriculum updates. * Test and validate lesson plans in training environments. * Identify and report build/workflow inconsistencies. Epic Credentialing & Application Support * Credential in multiple Epic applications as needed. * Provide at-the-elbow support during go-lives, upgrades, and rounding. * Offer workflow enhancement and general IT support. Training Delivery & Facilitation * Facilitate engaging classroom and virtual training sessions. * Prepare materials and follow standard operating procedures. * Foster a collaborative learning environment and adapt teaching methods to learner needs. 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 positive attitude toward problem-solving. * Bachelor's Degree is required. * A combination of education and experience may be considered in lieu of a degree. * Minimum of two (2) years of healthcare and/or relevant IT training experience required. * Strong instructional and presentation skills. * Deep understanding of clinical workflows. * Effective troubleshooting and communication abilities. * Passion for continuous learning and improvement. Why Community? At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community. Caring people apply here.

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 Epic Analyst will be responsible for planning, system analysis, application building, testing, maintenance, upgrades, configuration, and support per assigned Epic application. This role will consistently demonstrate effective communication and team building skills. The Epic Analyst will serve as a champion for documentation, build and testing standards. This role will work with departments and end users to ensure that the teams collaborate to meet the Network's strategic and business needs. This position will support the CHNw Lab Solutions suite of applications and applicants should be proficient in the following: · Provide technical expertise and support for laboratory information systems including Epic Beaker, RALS, Data Innovations, and NovaNet Point of Care. · Ensure proper integration and communication between lab systems and hospital information systems including HL7 Interfaces. · Collaborate with IT and lab personnel to troubleshoot and resolve technical issues. · Maintain system documentation and knowledge base for the IT Lab Team. · Monitor system performance and implement upgrades and improvements as needed. · Participate in the evaluation and implementation of new laboratory technologies and systems. 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 positive attitude toward application building. · High School Diploma or GED equivalent required. · Bachelor's degree in information technology or healthcare related field preferred. · Must have relevant IT or healthcare experience using Epic EMR. Role placement will be based on experience level and discretion of hiring leader: o Associate Epic Analyst: § Relevant IT or healthcare experience (previous Epic end user experience preferred). o Epic Analyst: § At least 1 year of experience working with Epic. o Senior Epic Analyst: § 4 or more years of experience working with Epic (or 2 years in a certified Epic analyst role). · Must obtain Epic certification within 4 months of hire. · Oversees and coordinates all server and application upgrades/updates. · Understands basic server operating system and database architecture. · Manages and maintains relationships with vendors to ensure consistent platform support. · Articulates options and recommendations to leaders to assist with decisions on proposed solutions or functionality. · Experience in application building, troubleshooting, maintenance, and design strongly preferred. · Ability to provide on-call support for after hours and weekends as needed per department needs. · This position will be a hybrid role if you reside within a 60-mile radius of 7260 Shadeland Station, Indianapolis, IN 46256. Hybrid expectations include in-office work once to twice a week and/or on an as needed basis per the needs of the hiring department. · This position will allow the flexibility to work remotely if you reside outside of the 60-mile radius parameter of 7260 Shadeland Station, Indianapolis, IN 46256. Community caregivers performing work remotely are permitted to live in the following states\: Indiana, Illinois, Ohio, Michigan, Kentucky, Florida, and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however, if hired, they will be required to relocate to one of the above states within 60 days of their employment date.