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Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.

YEAR

Elevance Health Inc

DRG Coding Auditor - MS-DRG and APR-DRG

Keeps providers and management updated on new policy regulations and coding issues as well as suggestions to improve workflow and processes to ensure compliance with all regulations; audits notes from providers to ensure the provider is coding in a compliant manner according to governmental rules and regulations; provides feedback to the provider if there are any questions or concerns; meets with providers face-to-face to review documentation and coding guidelines as necessary. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.

Health & Hospital Corporation

Supervisor Professional Coding

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Develop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.

Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA)

Elevance Health

DRG Coding Auditor - Ms-Drg And Apr-Drg

Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

IRecruitee

We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters.

R1 RCM Inc

Clinical Coding Appeals Nurse

In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.

Accenture Plc

Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321

The specialist is responsible for various aspects of decision-making and coding reviews to facilitate, obtain, validate, and reconcile appropriate provider documentation for clinical conditions that accurately reflect the severity of illness and complexity of patient care. Their duties include confirming treatments with medical staff, identifying missing information, and submitting forms to insurers for reimbursement ensuring the accuracy and completeness of provider selected ICD-10-CM codes before claim submission.

Millennium Physician Group

Risk Adjustment Coding Specialist II-1

Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, and Texas, Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States. The Risk Adjustment Coding Specialist I is responsible for reviewing the patient's medical record for clinical indicators supportive of an underlying diagnosis to be presented to a clinician for review during a subsequent face-to-face encounter.

Risk Adjustment Coding Specialist I

The Risk Adjustment & Coding Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to promote accurate clinical documentation along with HCC opportunities identified via performed analysis.

Risk Adjustment & Coding Educator

Minimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Financial Operations Analyst Lead - Payment Integrity Datamining

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. The Commercial Insights Analyst is responsible for analyzing and interpreting commercial, program, operational, and customer data to deliver clear, actionable insights that support client performance, program optimization, and business decision-making.

Valeris

Commercial Insights Analyst

The Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.

Wisconsin Physicians Service Insurance Corp

Medicare Pricing Analyst

Akumin is a leading provider of outpatient radiology and oncology services, partnering with top hospitals and health systems nationwide to deliver advanced diagnostic imaging and exceptional patient care close to home. Specific duties include, but are not limited to: Analyze billing, collections, and operational data to identify trends, discrepancies, and root causes of denials, short pays, and SLA‑related issues.

Akumin Inc

Billing Operations Analyst

It has been utilized in over 7,000 liver transplants to date to keep donor livers in a metabolically active state outside the body enabling longer preservation times and functional assessment of the organ prior to transplant, leading to an increased number of organs available for transplant. Founded in 1921, Terumo Corporation (TSE:4543) strives to fulfil its mission of “Contributing to Society through Healthcare” by providing a comprehensive range of solutions in the fields of therapeutic procedures, hospital operations, and life sciences in more than 160 countries and regions. .

OrganOx

Senior Data Quality Analyst

Workable

At Beckman Coulter Life Sciences, we know time is the most critical facet in the laboratory today: time to get life-saving therapies to patients faster; reclaiming time by automating tedious manual workflows; and saving time spent addressing erroneous or complex results. This role partners with category managers, finance, operations, and business leaders to analyze spend, supplier performance, contracts, and market trends in order to identify savings, mitigate risk, and support strategic sourcing initiatives.

Danaher is a global science & technology innovator committed to helping our customers solve complex challenges and improve quality of life worldwide. Our world class brands are leaders in some of the most demanding and attractive industries, including life sciences, medical diagnostics, dental, environmental and applied solutions. Our globally diverse team of 71,000 associates is united by a common culture and operating system, the Danaher Business System, which serves as our competitive advantage. We generated $19.9B in revenue last year. We are ranked #162 on the Fortune 500 and our stock has outperformed the S&P 500 by more than 5,200% over 25 years.
At Danaher, you can build a career in a way no other company can duplicate. Our brands allow us to offer dynamic careers across multiple industries. We're innovative, fast-paced, results-oriented, and we win. We need talented people to keep winning. Here you'll learn how DBS is used to shape strategy, focus execution, align our people, and create value for customers and shareholders. Come join our winning team.
Danaher is committed to competitive compensation that typically has key components including base salary, variable annual incentive compensation based on personal and company performance, and long-term incentive.

Danaher Corp

Senior Procurement Analyst

As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.

ClinDCast

Epic HB Analyst

Demonstrated ability to use generative AI and large language model (LLM) tools effectively and responsibly to support analytics, coding, research, documentation, and other work processes, with appropriate attention to data privacy, accuracy, validation, and organizational policies. Develops, validates, and maintains predictive analytics and machine learning models for use cases such as donor propensity, segmentation, retention, upgrades, campaign response, forecasting, and other museum priorities.

Museum Core

Development Business Analyst

The role has wide ranging responsibilities for the Information Security department; including undertaking business as usual activities like alert triage, technical incident management, improving threat detections, consuming threat intelligence, assessing cloud risks, vulnerability assessment, and working on various other cyber security projects. Instead of spending your entire day triaging alerts, you'll mainly work on different cyber security projects such as building detection logic, automating repetitive workflows and partnering closely with GRC and Product Security to improve security telemetry across the CloudBees enterprise and product environment.

CloudBees Inc

Senior SOC Analyst

This role calls for experience with SQL and AI/ML, hands-on use of AI and AI coding tools as well prior audit and related experience to accelerate analysis, documentation, and work paper development, plus some administration of the team's audit tooling. You'll work directly with audit teams across the full audit life-cycle (risk assessment, planning, execution, and reporting), building AI logic, SQL queries, Python scripts, and Tableau dashboards that make the audit process more defensible.

Coding Analyst Jobs in Indianapolis, IN

DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health Inc

Supervisor Professional Coding Health & Hospital Corporation

Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA) Elevance Health Inc

DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance Health

DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health

Clinical Coding Appeals Nurse R1 RCM Inc

Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture Plc

Risk Adjustment Coding Specialist II-1 Millennium Physician Group

Risk Adjustment Coding Specialist I Millennium Physician Group

Risk Adjustment & Coding Educator Millennium Physician Group

Financial Operations Analyst Lead - Payment Integrity Datamining Elevance Health Inc

Commercial Insights Analyst Valeris

Medicare Pricing Analyst Wisconsin Physicians Service Insurance Corp

Billing Operations Analyst Akumin Inc

Senior Data Quality Analyst OrganOx

Senior Procurement Analyst Danaher Corp

Epic HB Analyst ClinDCast

Development Business Analyst Museum Core

Senior SOC Analyst CloudBees Inc

Internal Audit Senior Analyst, Data Analytics Salesforce Inc

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