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United Health Care Staffing Remote jobs

- 35 jobs
  • Medical Records Technician - Team Lead - VA Facility - 248653 -

    Medix™ 4.5company rating

    Houston, TX jobs

    Remote Inpatient Coding Team Lead - VA Federal Contract Location: 100% Remote (Work from Home) Schedule: Monday - Friday | 8:00 AM - 4:30 PM CT Employment Type: Full-Time Federal Contract (GS-9 Equivalent) We are looking for a Medical Records Technician - Team Lead to oversee inpatient coding operations for the VA. This role combines high-level inpatient coding with supervisory duties, including workflow management, staff training, and quality oversight. Key Responsibilities Leadership: Oversee coding accuracy and timeliness; provide guidance and education to the coding team. Workflow Management: Assign cases, monitor productivity, and resolve coding-related denials. Training: Mentor new coders and students; develop training materials for staff. Clinical Coding: Perform inpatient coding duties (ICD-10 CM/PCS, DRGs, HCPCS) and support audit resolution. Collaboration: Work closely with the Inpatient Coding Supervisor and VA clinicians. Required Qualifications Credential: Must hold one of the following: RHIT, RHIA, CCS, CCS-P, or CPC. Experience: Minimum of three years of continuous inpatient coding experience in a large, complex facility. Leadership Exp: Demonstrated experience in mentorship, reporting, or supervisory roles within a coding environment. Citizenship: Must be a U.S. Citizen with proficient English skills. Why Apply? Professional Growth: Opportunity to move into a leadership role within a stable federal environment. Work-Life Balance: 100% Remote work with a consistent Monday-Friday, 8:00 AM - 4:30 PM CT schedule. Meaningful Work: Lead a team dedicated to safeguarding the medical records of our nation's Veterans. Ready to lead a remote coding team? Apply now!
    $30k-39k yearly est. 3d ago
  • Patient Account Rep - Community Home Medical Equipment (CHME) Customer Service/Billing

    Community Health Network 4.3company rating

    Fishers, IN jobs

    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 for Community Home Medical Equipment is a critical part of our Patient Service and Revenue Cycle Team. The Customer Service/Billing position is customer focused with emphasis on Billing task and Clerical office duties received for the Durable Medical Equipment (DME) we provide. This will include insurance questions and patient question resolution, daily billing task and clerical duties. 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 equivalent required. * Two (2) or more years of experience in revenue cycle healthcare. * Healthcare, insurance, medical billing and/or reimbursement experience preferred. * Prior Durable Medical Equipment/Home Medical Equipment (DME/HME) experience. * Previous experience with Brightree EMR strongly preferred. * Ability to learn and maintain knowledge of insurance qualification requirements for Durable Medical Equipment (DME). * Ability to establish and maintain Professional relationships with Providers that are ordering Durable Medical Equipment (DME). * Ability to multi-task and work in a fast-paced environment to ensure patients are receiving the needed equipment timely. * Familiar with Medicare, Medicaid and Commercial insurance terms and processes. * Exceptional customer service phone etiquette and experience. * This position will allow the flexibility to work hybrid/remote 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.
    $27k-33k yearly est. 60d+ ago
  • Instructional Designer | Talent Development - Hybrid

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 As an Instructional Designer, you'll partner with Talent Development Managers to design impactful learning experiences that align with network strategies. You'll design and deliver solutions using diverse formats-video, eLearning, instructor-led sessions, and virtual tools-while advising on best practices. In addition, you'll design scalable learning aligned to business and leadership competencies and be responsible for defining and tracking program-level KPIs-ensuring learning drives measurable behavior change and business impact. 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. The Instructional Designer should also have: Bachelor's degree in instructional design, instructional technology, education, or related field Three (3) or more years of experience designing some combination of classroom training, virtual training, and eLearning Intermediate to advanced proficiency in Microsoft Suite and industry standard authoring platform such as Articulate Studio; as part of the interview process, you may be asked to provide work samples or complete a job-related exercise Accomplished at utilizing learning technology and LMS tools, Workday experience is a plus Strong interpersonal, collaboration, and relationship building skills Excels at creating and managing all marketing and communications related to identified programs while maintaining an internal website Excellent at project management, planning, and prioritization Skilled at creating post-training evaluation process management to measure and communicate KPIs
    $27k-38k yearly est. Auto-Apply 2d ago
  • Manager Care Management, IHCI

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 IHCI Manager of Case Management will have primary responsibility for day-to-day and strategic oversight of the Social Worker teams. The Manager will contribute to the ongoing development of clinical guidelines, care plans, and protocols used in the delivery of population health services. This role will lead effectively, excel at working in an ambiguous environment, and drive organizational change collaboratively as we build infrastructure to support value-based payment models. Exceptional Skills and Qualifications Applicants for this position will bring population health and value-based care clinical operations and care management experience that demonstrates leadership, strong employee engagement, and proven clinical outcomes. The applicant will also have experience with transitions of care, post-acute care, and experience leading value-based care, population health, and clinical transformational initiatives. This leader must possess a high degree of integrity and bring both energy and initiative necessary to build out and scale operations associated with sustainable performance in value-based care. * Bachelor's degree in nursing or Master's degree in social work is required. * 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) is required. * 3 or more years of clinical staff management experience in population management, managed care/insurance, or hospital case management department setting is preferred. * 3 or more years of care management experience in a clinical setting is preferred. * 5 or more years of experience leading and managing operations across multiple markets is preferred. * Remote work with in-person meetings throughout the year. * Prefer a candidate living in the Indianapolis area. 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.
    $42k-63k yearly est. 20d ago
  • Business Intelligence Analyst - Hybrid

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 Business Intelligence Analyst to join our Analytics team. This role is pivotal in developing and deploying analytic solutions that support value-based care initiatives. You will transform data into actionable insights, and build visualizations that drive strategic decisions across our healthcare network. Business Intelligence & Visualization * Develop meaningful dashboards and reports using tools like PowerBI, Tableau, Qlik, or Epic Hyperspace. * Translate business needs into technical requirements and analytics solutions. * Extract and transform data using intermediate SQL queries and best practices. * Collaborate with statisticians to incorporate statistical rigor into reporting. 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 required (or equivalent combination of education and experience). * Minimum 3 years in a business intelligence role required. * Healthcare analytics experience preferred. * Strong SQL and data visualization skills. * Familiarity with Epic modules (Ambulatory, HIM, Campaigns, Bridges). * Understanding of statistical principles and healthcare regulatory programs. * Ability to manage multiple projects and work independently. * Excellent communication and critical thinking skills. 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.
    $68k-91k yearly est. 32d ago
  • Epic Analyst - MyChart, EpicCare Link, Hello World, Epic Campaigns and Haiku/Canto

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 6 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.
    $32k-52k yearly est. Auto-Apply 18d ago
  • Sourcing Analyst - Hybrid

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 has an excellent opportunity for a Strategic Sourcing Analyst to join our Purchasing team. This role supports strategic sourcing activities to achieve cost reductions, standardization of products and services across the Network, while maintaining or improving product quality and supplier service levels. As a Strategic Sourcing Analyst, you will: * Conduct competitive bidding processes for direct and indirect commodities and services using Requests for Proposals (RFPs). * Analyze vendor responses, perform cost-benefit analysis, and develop reports/presentations for Supply Chain leadership and internal stakeholders. * Research market trends and identify alternative sourcing opportunities aligned with organizational strategy. * Collaborate with the Director of Strategic Sourcing and Value Analysis team to ensure compliance with Group Purchasing Organization goals and Network standards. * Negotiate with vendors to obtain favorable purchase terms and maintain contractual compliance. 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 in business management, hospital administration, or related field required. * In lieu of degree, a combination of education and experience will be considered. * Minimum of 3 years in a strategic sourcing or buying position (preferably in healthcare) required. * Strong analytical and negotiation skills. * Excellent communication and presentation abilities. * Strong organizational capabilities. * Ability to conduct complex analysis. * Ability to manage multiple priorities and drive change. * Knowledge of healthcare supply chain and sourcing strategies 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.
    $31k-44k yearly est. 34d ago
  • Manager Care Management, IHCI

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 IHCI Manager of Case Management will have primary responsibility for day-to-day and strategic oversight of the Social Worker teams. The Manager will contribute to the ongoing development of clinical guidelines, care plans, and protocols used in the delivery of population health services. This role will lead effectively, excel at working in an ambiguous environment, and drive organizational change collaboratively as we build infrastructure to support value-based payment models. Exceptional Skills and Qualifications Applicants for this position will bring population health and value-based care clinical operations and care management experience that demonstrates leadership, strong employee engagement, and proven clinical outcomes. The applicant will also have experience with transitions of care, post-acute care, and experience leading value-based care, population health, and clinical transformational initiatives. This leader must possess a high degree of integrity and bring both energy and initiative necessary to build out and scale operations associated with sustainable performance in value-based care. Bachelor's degree in nursing or Master's degree in social work is required. 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) is required. 3 or more years of clinical staff management experience in population management, managed care/insurance, or hospital case management department setting is preferred. 3 or more years of care management experience in a clinical setting is preferred. 5 or more years of experience leading and managing operations across multiple markets is preferred. Remote work with in-person meetings throughout the year. Prefer a candidate living in the Indianapolis area.
    $49k-80k yearly est. Auto-Apply 19d ago
  • Database Administrator - Epic ODBA

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 Database Administrator (Epic ODBA) is responsible for overseeing all aspects of the enterprise database environments, including the Epic Operational Database Administration. This includes implementation, configuration, maintenance, troubleshooting, security, resource monitoring, and documentation. The role ensures the highest reliability and performance of all enterprise databases while keeping systems up-to-date and aligned with cutting-edge technologies. The DBA works closely with IT staff and internal customers to develop and maintain a complex, state-of-the-art infrastructure that supports the organization's growth and digital transformation. Key responsibilities: * Investigate and assess state-of-the-art technologies; evaluate, test, and implement solutions to meet enterprise business requirements. * Maintain, upgrade, and troubleshoot enterprise database environments for optimal reliability and performance. * Design, administer, and manage enterprise databases, including monitoring and tuning systems. * Perform Epic ODBA tasks such as database configuration, optimization, and support for Epic applications. * Participate in 24x7 on-call rotation to maintain system integrity and availability. * Coordinate disaster recovery processes and develop database security policies. * Analyze and resolve complex database problems quickly and efficiently. * Provide technical consultation to applications and operations staff. * Establish and maintain positive working relationships across departments. 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. * 3-5 years of experience supporting enterprise-scale database environments, with expert-level knowledge of current technologies and performance capabilities required. * Epic Operational Database Administrator (ODBA) is strongly preferred. * SQL Database Administrator (DBA) experience preferred. * Ability to build effective relationships and deliver exceptional customer service. * Strong teamwork and collaboration skills are important. * Expertise in planning and controlling large-scale enterprise systems. * Advanced troubleshooting and problem-solving capabilities. * Knowledge of Epic ODBA, database security, performance tuning, and disaster recovery processes. * 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.
    $66k-84k yearly est. 30d ago
  • Lead Internal Auditor - Compliance (RN)

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 Lead Internal Auditor (Compliance, RN) works under the general supervision of the Manager of Internal Audit, Physician Coding and Compliance and assists in reviewing various healthcare functions, with particular emphasis on compliance with coding, billing, and medical record documentation requirements for hospitals, physician practices, home health, long-term care, surgery centers, and more. Responsibilities include determining audit scope, developing audit plans, evaluating audit evidence, and drawing conclusions based on billing and federal/state regulations. This individual may also provide guidance or expertise to less experienced auditors on clinical/compliance issues and will draft audit reports to effectively communicate scope, work performed, results, and proposed action plans. 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 of Science in Nursing (BSN) is required. In lieu of degree, a combination of education and experience will be considered. Minimum of five (5) years in healthcare auditing and/or internal control documentation and evaluation. Minimum of three (3) years as a Registered Nurse. Knowledge of coding/billing systems utilized in healthcare (CPT, HCPCS, ICD-10) and documentation/regulatory requirements for billing healthcare services. Certified Internal Auditor (CIA) or Certified Coding Specialist (CCS) certification preferred. 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. Prerequisite Skills Effective written and verbal communication skills. Strong planning, analytical, organizational, and business skills. Knowledge of healthcare systems, including coding and reimbursement expertise. Project management expertise. Perform audits to evaluate adequacy and effectiveness of internal controls. Recommend improvements to ensure compliance and financial integrity. Develop and refine audit programs; execute audit tests and interpret results. Draft clear, persuasive reports of findings and recommendations, present to leadership. Lead, direct, and supervise other auditors; serve as a resource for team members. Ability to work independently and collaboratively as part of a team.
    $37k-55k yearly est. Auto-Apply 14d ago
  • Patient Account Resolution Rep - Client Services

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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.
    $29k-35k yearly est. Auto-Apply 60d+ ago
  • QM Nurse Abstractor - Remote/Hybrid Temporary Assignment

    Community Health Network of Connecticut, Inc. 4.3company rating

    Wallingford, CT jobs

    Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking four (4) experienced HEDIS Nurse Abstractors. This is a remote/hybrid position and may require some travel within the state of Connecticut. Assignment starts January 2026 and runs through April 2026. MAJOR DUTIES AND RESPONSIBILITIES: Candidate will work with the HEDIS team to conduct medical record abstraction reviews of records. Additionally, reviews require data analysis and research within data/claims systems, along with critical thinking skills as they will conduct research in a thoughtful and methodical search to locate specific claim information. Candidate will be able to apply the technical specifications to records in electronic systems and written records. All results will be entered into the certified HEDIS software platform. Candidates must work under the supervision of internal staff and designated lead to achieve goals and keep the project moving by adhering to measured productivity requirements. Module testing for HEDIS specific measures may be required according to designated role. Candidate must pass a medical record abstraction test prior to starting actual record reviews. Must be flexible and willing to develop and share strategies to accomplish goals. Project is a timed study with tight deadlines that require high production/quality and staff committed to the entire season. REQUIRED EXPERIENCE AND KNOWLEDGE: Any combination of education and/or experience which would provide an equivalent background will be considered; registered nurse (RN), licensed professional graduate of an accredited school of nursing Requires a strong knowledge of HEDIS technical specifications and NCQA health plan accreditation guidelines (minimum 1- 2 years). Excellent skill set for audit and abstraction of medical records Demonstrated knowledge and experience in managed care membership, provider, and/or hospital systems preferred. Candidates must have excellent computer skills and analysis capabilities, along with ability to log-on into multiple software as service tools. Knowledge of Microsoft office is required (proficient in Word, Excel, Outlook) Candidates must understand codes for services based on diagnosis and procedure based on HEDIS Technical Specification requirements to support the overread process and validation of services as required. Must be research and detail oriented with the tenacity to find medical records and claim specific data for a specific measure within a given period. Requires effective written, oral, and interpersonal communication skills. Experience with Electronic Medical Record systems Candidate should reside in Connecticut We are dedicated to having a workplace where everyone feels valued, respected, and empowered to succeed. We embrace a wide range of perspectives and backgrounds, ensuring fair treatment and opportunities for all employees. We value our team's rich array of experiences and viewpoints, which contribute to our innovative and collaborative environment.
    $59k-81k yearly est. Auto-Apply 44d ago
  • IT Analyst - Pipeline

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    This posting is part of an ongoing talent pipeline to build a qualified candidate pool for future Epic Analyst, Business Systems Analyst, Technical Systems Analyst - Associate, Analyst, Senior Levels. While there may not be an immediate vacancy, applications are reviewed proactively, and candidates may be considered as roles open across the Network. 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 talented professionals to join our Enterprise Systems Analyst team. This job family includes three specialized tracks-Epic Analyst, Business Systems Analyst, and Technical Systems Analyst-each offering multiple levels (Associate, Analyst, Senior) and opportunities for growth. As part of our team, you will play a critical role in implementing, maintaining, and optimizing enterprise applications and technology solutions that support caregivers, patients, and business operations across our Network. Key Responsibilities * Configure, test, and maintain assigned applications and systems. * Analyze business or technical requirements and translate them into effective solutions. * Provide troubleshooting and technical support for end users. * Collaborate with IT and operational teams to optimize workflows and system performance. * Manage vendor relationships and technology roadmaps (for technical tracks). * For senior roles: Lead complex projects, mentor junior analysts, and contribute to strategic initiatives. Exceptional Skills and Qualifications Applicants for this posting should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem-solving. Education Requirements * Associate Level: Associate Degree in Information Technology or equivalent relevant experience. * Analyst Level: Associate or Bachelor's Degree in Information Technology or equivalent relevant experience. * Senior Level: Bachelor's Degree in Information Technology or equivalent relevant certifications/experience. Licenses & Certifications * Epic Track: Epic Certification required within six (6) months of hire for Associate and Analyst levels; required at hire for Senior level. Experience Requirements * Associate Level: Minimum of 1 year of relevant IT experience (Healthcare preferred for Epic and Technical tracks). * Analyst Level: Minimum of 2 years of relevant IT or healthcare experience. * Senior Level: Minimum of 4 years of analyst experience with advanced expertise in assigned applications. Core Skills * Strong problem-solving, organizational, and communication skills. * Ability to build relationships and work collaboratively. * Remain composed under pressure and act with empathy. * For senior roles: Leadership, mentoring, strategic thinking, and advanced technical troubleshooting. Work Arrangement * 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 Join Us? You'll be part of a dynamic team that bridges technology and business, helping us deliver innovative solutions that improve patient care and operational efficiency. We offer competitive benefits, opportunities for professional growth, and a collaborative work environment. Apply Today to start your journey as an IT Analyst and make a meaningful impact in healthcare technology. 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.
    $73k-100k yearly est. 6d ago
  • Patient Service Rep - Colon Care - Shadeland -Hybrid

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 Service Representative works in conjunction with providers and clinical staff to take care of patients' administrative needs. This position is vital to giving the patient the “Patient's First” service and treatment they deserve as soon as they are spoken with. This role is responsible for answering telephones, scheduling appointments for colonoscopies for patients with colon/rectal need concerns, coordinating referrals, and checking insurance eligibility. This position utilizes our electronic medical record system to verify and update patient demographic information. Exceptional Skills and Qualifications Applicants for this position must have strong listening and communication skills and work well under pressure in a fast-paced environment. The applicant must be able to multi-task, have attention to detail, strong organization skills, and be a team player. Applicants must demonstrate good judgement for maintaining confidentiality. High school diploma or GED equivalent is required. 1 year of experience in a healthcare environment or a minimum of 2 years of customer service experience. Knowledge of medical terminology is preferred. Experience with electronic medical records is preferred. Strong computer skills including experience with Intranet and Internet usage, Excel, Word, email, and web-based applications. If employee chooses to work remotely, must have high-speed internet access and quiet workspace
    $28k-32k yearly est. Auto-Apply 44d ago
  • Sr Systems Engineer - Microsoft 365

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 highly skilled Senior Systems Engineer specializing in Microsoft 365 (including Outlook / Email, Teams). This includes design, implementation, configuration management, automation, maintenance, troubleshooting, security, resource performance monitoring and support documentation. It is extremely important to the enterprise that our Cloud Environments offer the highest reliability and performance possible. Key Responsibilities: Design and implement scalable, secure, and high-performance cloud solutions in Microsoft 365. Provides advanced technical with Microsoft 365, including support of Enterprise email, Microsoft Teams, as well as other M365 technologies. Effectively and concisely conveys information and ideas to individuals and teams by communicating in a focused and compelling way. Ensure compliance with industry standards and security best practices. Participate in disaster recovery and business continuity planning for Azure environments. Provide technical leadership and mentorship. Stay updated on Azure advancements and recommend innovative solutions. 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 Microsoft 365 applications and enterprise email architecture. Expertise in Microsoft 365 applications. Strong knowledge of Email configuration such as DKIM / DMARC / SPF / BIMI, as well as utilizing legal holds and performing searches of email. Experience with email security products and concepts. Proficiency in scripting languages such as PowerShell or Python. Excellent problem-solving and communication skills. Preferred Qualifications\: Azure certification or ability to attain within 12 months. Experience with email security tools such as Abnormal AI. Experience with email eDiscovery in Microsoft 365. 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.
    $82k-101k yearly est. Auto-Apply 22d ago
  • Remote Certified Coders

    Altegra Health 4.4company rating

    Memphis, TN jobs

    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.
    $32k-40k yearly est. 60d+ ago
  • IT Project Manager - Hybrid

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 Under the direction of the Information Technology (IT) Manager of Project Management Office (PMO), the IT Project Manager will effectively manage several concurrent medium to large complex projects and personnel throughout the full project lifecycle to ensure successful completion of activities for designated products, systems or 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 degree in an Information Technology or business-related field preferred. * In lieu of the above education requirement, a combination of experience and education will be considered. * Three (3) years of project-related experience with associate degree or ten (10) years in project management in lieu of degree. * Previous experience with ServiceNow strongly preferred. * Ability to work under pressure and balance competing demands of customers across a portfolio of medium to large projects and associated teams. * Ability to work proactively and take full ownership of tasks. * Possesses exceptional communication skills, verbal, written, and active listening. * Ability to develop and foster positive customer and team relationships through a sense of collegiality and teamwork. * Actively works to apply new approaches or divergent thinking to existing problems. * Possesses and utilizes exceptional organizational skills. * Actively works to leverage tools and technologies that support team collaboration to deliver high value results. * Demonstrates proficiency with tools and techniques related to project management. * Demonstrates professional attitude, personal drive, initiative, attention to detail, commitment to excellent customer service, and strong work ethic. 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.
    $69k-97k yearly est. 10d ago
  • Patient Account Rep

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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
    $31k-39k yearly est. Auto-Apply 52d ago
  • Instructional Designer | Talent Development - Hybrid

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 As an Instructional Designer, you'll partner with Talent Development Managers to design impactful learning experiences that align with network strategies. You'll design and deliver solutions using diverse formats-video, eLearning, instructor-led sessions, and virtual tools-while advising on best practices. In addition, you'll design scalable learning aligned to business and leadership competencies and be responsible for defining and tracking program-level KPIs-ensuring learning drives measurable behavior change and business impact. 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. The Instructional Designer should also have: * Bachelor's degree in instructional design, instructional technology, education, or related field * Three (3) or more years of experience designing some combination of classroom training, virtual training, and eLearning * Intermediate to advanced proficiency in Microsoft Suite and industry standard authoring platform such as Articulate Studio; as part of the interview process, you may be asked to provide work samples or complete a job-related exercise * Accomplished at utilizing learning technology and LMS tools, Workday experience is a plus * Strong interpersonal, collaboration, and relationship building skills * Excels at creating and managing all marketing and communications related to identified programs while maintaining an internal website * Excellent at project management, planning, and prioritization * Skilled at creating post-training evaluation process management to measure and communicate KPIs 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.
    $27k-38k yearly est. 2d ago
  • Sourcing Analyst - Hybrid

    Community Health Network 4.3company rating

    Indianapolis, IN jobs

    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 has an excellent opportunity for a Strategic Sourcing Analyst to join our Purchasing team. This role supports strategic sourcing activities to achieve cost reductions, standardization of products and services across the Network, while maintaining or improving product quality and supplier service levels. As a Strategic Sourcing Analyst, you will: Conduct competitive bidding processes for direct and indirect commodities and services using Requests for Proposals (RFPs). Analyze vendor responses, perform cost-benefit analysis, and develop reports/presentations for Supply Chain leadership and internal stakeholders. Research market trends and identify alternative sourcing opportunities aligned with organizational strategy. Collaborate with the Director of Strategic Sourcing and Value Analysis team to ensure compliance with Group Purchasing Organization goals and Network standards. Negotiate with vendors to obtain favorable purchase terms and maintain contractual compliance. 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 in business management, hospital administration, or related field required. In lieu of degree, a combination of education and experience will be considered. Minimum of 3 years in a strategic sourcing or buying position (preferably in healthcare) required. Strong analytical and negotiation skills. Excellent communication and presentation abilities. Strong organizational capabilities. Ability to conduct complex analysis. Ability to manage multiple priorities and drive change. Knowledge of healthcare supply chain and sourcing strategies preferred.
    $31k-44k yearly est. Auto-Apply 34d ago

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