... and Medicaid programs * Providing comprehensive training for systems related to the patient ... program integrity * Monitoring RAI process for accuracy and completeness to assure accurate ...
... and Medicaid programs * Providing comprehensive training for systems related to the patient ... program integrity * Monitoring RAI process for accuracy and completeness to assure accurate ...
... and Medicaid programs * Providing comprehensive training for systems related to the patient ... program integrity * Monitoring RAI process for accuracy and completeness to assure accurate ...
... and Medicaid programs * Providing comprehensive training for systems related to the patient ... program integrity * Monitoring RAI process for accuracy and completeness to assure accurate ...
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Staff Accountant
Indianapolis, IN · On-site
$52K - $69K/yr
... program integrity initiatives. Essential Functions And Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
New
Staff Accountant
Indianapolis, IN · On-site
$52K - $69K/yr
... program integrity initiatives. Essential Functions And Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
New
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Staff Accountant
Indianapolis, IN · Hybrid
$52K - $69K/yr
... program integrity initiatives. Essential Functions and Primary Duties * Conduct research in order to determine compliance with relevant Medicaid or other government program regulations * Assist with ...
Residential Program Director
Indianapolis, IN · On-site
$42K - $55K/yr (+ commission)
The ideal candidate will have experience with Medicaid waivers and a passion for enhancing the ... Integrity, Inclusion and the empowerment of individuals rights.
Quick apply
Residential Program Director
Indianapolis, IN · On-site
$42K - $55K/yr (+ commission)
The ideal candidate will have experience with Medicaid waivers and a passion for enhancing the ... Integrity, Inclusion and the empowerment of individuals rights.
Residential Program Director
Indianapolis, IN · On-site
$42K - $55K/yr (+ commission)
The ideal candidate will have experience with Medicaid waivers and a passion for enhancing the ... Integrity, Inclusion and the empowerment of individuals rights.
Quick apply
Residential Program Director
Indianapolis, IN · On-site
$42K - $55K/yr (+ commission)
The ideal candidate will have experience with Medicaid waivers and a passion for enhancing the ... Integrity, Inclusion and the empowerment of individuals rights.
Chief Program Officer (Non-Profit & IDD Leadership)
$120K - $130K/yr
Founded over 70 years ago, we have built a strong reputation for excellence and integrity within ... Familiarity with Medicaid, CARF, or similar regulatory frameworks * Demonstrated experience ...
Chief Program Officer (Non-Profit & IDD Leadership)
$120K - $130K/yr
Founded over 70 years ago, we have built a strong reputation for excellence and integrity within ... Familiarity with Medicaid, CARF, or similar regulatory frameworks * Demonstrated experience ...
Chief Program Officer (Non-Profit & IDD Leadership)
Bristol, IN · On-site
$120K - $130K/yr
Founded over 70 years ago, we have built a strong reputation for excellence and integrity within ... Familiarity with Medicaid, CARF, or similar regulatory frameworks * Demonstrated experience ...
Quick apply
Chief Program Officer (Non-Profit & IDD Leadership)
Bristol, IN · On-site
$120K - $130K/yr
Founded over 70 years ago, we have built a strong reputation for excellence and integrity within ... Familiarity with Medicaid, CARF, or similar regulatory frameworks * Demonstrated experience ...
LTC Reimbursement Manager
Indianapolis, IN · On-site
$75K/yr
Works and coordinates with other OMPP sections to ensure integrity and fidelity to agency mission ... Must be familiar with Medicaid delivery systems and underlying programs. Familiarity with Indiana ...
LTC Reimbursement Manager
Indianapolis, IN · On-site
$75K/yr
Works and coordinates with other OMPP sections to ensure integrity and fidelity to agency mission ... Must be familiar with Medicaid delivery systems and underlying programs. Familiarity with Indiana ...
LTC Reimbursement Manager
Indianapolis, IN · On-site
$75K/yr
Works and coordinates with other OMPP sections to ensure integrity and fidelity to agency mission ... Must be familiar with Medicaid delivery systems and underlying programs. Familiarity with Indiana ...
LTC Reimbursement Manager
Indianapolis, IN · On-site
$75K/yr
Works and coordinates with other OMPP sections to ensure integrity and fidelity to agency mission ... Must be familiar with Medicaid delivery systems and underlying programs. Familiarity with Indiana ...
Medicare Sales Agent
Indianapolis, IN · On-site
Star Benefit Associates, an Integrity company, was founded with a focus on Small Group products ... Adhere strictly to Centers for Medicare & Medicaid Services (CMS) marketing guidelines (e.g ...
Medicare Sales Agent
Indianapolis, IN · On-site
Star Benefit Associates, an Integrity company, was founded with a focus on Small Group products ... Adhere strictly to Centers for Medicare & Medicaid Services (CMS) marketing guidelines (e.g ...
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
... Medicare and Medicaid programs as well as private payers. * Successfully passes the Medical ... and integrity of employee, patient, family, organizational and other medical information.
Staff Analyst
Indianapolis, IN · Hybrid
$59K - $78K/yr
... programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid ... integrity of data, performing statistical calculations to determine compliance with Federal ...
Staff Analyst
Indianapolis, IN · Hybrid
$59K - $78K/yr
... programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid ... integrity of data, performing statistical calculations to determine compliance with Federal ...
Medicaid Program Integrity information
What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?
| Aspect | Medicaid Program Integrity | Medicaid Claims Examiner |
|---|---|---|
| Primary Focus | Detecting and preventing fraud, waste, and abuse in Medicaid programs | Reviewing and processing Medicaid claims for accuracy and compliance |
| Required Credentials | Typically healthcare or compliance certifications, knowledge of Medicaid policies | Healthcare or claims processing certifications, attention to detail |
| Work Environment | Regulatory agencies, government offices, compliance departments | Insurance companies, healthcare providers, government Medicaid offices |
Medicaid Program Integrity professionals focus on safeguarding Medicaid funds by identifying fraudulent activities, while Medicaid Claims Examiners primarily verify claims for accuracy and proper coding. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work settings.
What are popular job titles related to Medicaid Program Integrity jobs in Indiana?
For Medicaid Program Integrity jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Integrity jobs in Indiana look for?
The top searched job categories for Medicaid Program Integrity jobs in Indiana are:
What cities in Indiana are hiring for Medicaid Program Integrity jobs?
Cities in Indiana with the most Medicaid Program Integrity job openings:
Registered Nurse (RN), Regional Assessment and Reimbursement Coordinator
Indianapolis, IN • On-site
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 22 days ago
Job description
Job Address:
8275 Allison Pointe Trail Suite 370Indianapolis, IN 46250
CommuniCare Health Services is currently looking to fill the key position of RN Regional Assessment and Reimbursement Coordinator in the Indianapolis, Indiana area.
PURPOSE/BELIEF STATEMENT
As the Regional Assessment and Reimbursement Coordinator, you will provide consultation, guidance, support, research, analysis, training, and expertise to attain business goals and quality outcomes in the delivery of care and services to our patients regardless of payer source. You will be responsible for multiple centers to evaluate and provide education, intervention, and support for the Resident Assessment Instrument (RAI) process, Federal and State regulations regarding reimbursement systems, and special contract reimbursement systems.
JOB RESPONSIBILITIES
POSITION REQUIREMENTS
Benefits
As a CommuniCare employee you will enjoy competitive wages and PTO plans in a great team atmosphere! We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.If you meet the requirements below for Mobile MDS Coordinator, and are interested in this opportunity, please respond to this ad with your letter of interest for immediate consideration.
About Us
A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another.
8275 Allison Pointe Trail Suite 370Indianapolis, IN 46250
CommuniCare Health Services is currently looking to fill the key position of RN Regional Assessment and Reimbursement Coordinator in the Indianapolis, Indiana area.
PURPOSE/BELIEF STATEMENT
As the Regional Assessment and Reimbursement Coordinator, you will provide consultation, guidance, support, research, analysis, training, and expertise to attain business goals and quality outcomes in the delivery of care and services to our patients regardless of payer source. You will be responsible for multiple centers to evaluate and provide education, intervention, and support for the Resident Assessment Instrument (RAI) process, Federal and State regulations regarding reimbursement systems, and special contract reimbursement systems.
JOB RESPONSIBILITIES
- Demonstrating knowledge of and interpreting applicable policies and procedures, State and Federal regulations, and interpreting changes to federal Medicare and Medicaid programs
- Providing comprehensive training for systems related to the patient assessment instrument, clinical software, Medicare reimbursement, Medicare coverage/eligibility requirements, State Medicaid reimbursement systems, and special contract systems
- Monitoring and supporting center reimbursement and clinical services
- Providing direction for the implementation of the case management process and providing on-going support as it relates to the program integrity
- Monitoring RAI process for accuracy and completeness to assure accurate, comprehensive patient assessment and reimbursement potential is reflected by medical record review, discussion, recommendation, documentation, and reporting
- Maintaining role of RN Resident Assessment Coordinator (RAC) when needed
- Recruiting and orienting new RACs as needed
- Establishing rapport and trust with regional and center teams, communicating concerns appropriately
POSITION REQUIREMENTS
- Registered Nurse license in primary state of residence
- Minimum of three (3) years of experience as a trainer in Medicare, Medicaid, RAI, and contract reimbursement systems preferred
- Multi-facility management experience preferred
Benefits
As a CommuniCare employee you will enjoy competitive wages and PTO plans in a great team atmosphere! We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.If you meet the requirements below for Mobile MDS Coordinator, and are interested in this opportunity, please respond to this ad with your letter of interest for immediate consideration.
About Us
A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another.
About CommuniCare Family of Companies
Sourced by ZipRecruiter
Company size
5,001 - 10,000 Employees
Headquarters location
Cincinnati, OH, United States