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Medicaid Software Jobs in Indiana (NOW HIRING)

Beacon Health System

Coder I

Granger, IN · On-site

Assigning accurately, when applicable, a DRG or APC to Medicare, Medicaid and other required payor's records with the assistance of various computerized grouper software. * Abstracting professional E ...

Beacon Health System

Coder I

Granger, IN · On-site

Assigning accurately, when applicable, a DRG or APC to Medicare, Medicaid and other required payor's records with the assistance of various computerized grouper software. * Abstracting professional E ...

CSpring

Business Intelligence Lead Developer

Indianapolis, IN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... software (including patches, fixes, and upgrades) and leading industry level standards or best ... Experience with State Medicaid / Medicare / Healthcare industry * Prior Experience in Tableau or BO ...

Beacon Health System

Coder I

Granger, IN

Assigning accurately, when applicable, a DRG or APC to Medicare, Medicaid and other required payor's records with the assistance of various computerized grouper software. * Abstracting professional E ...

Dellfor Technologies

Tableau Developer

Indianapolis, IN · On-site

$60K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Company Description Dellfor Technologies is founded by software professionals with fresh approach ... Mentor internal development team and promote self-service analytics to Medicaid users. Perform ...

EDGEWATER HEALTH

Revenue Cycle Coordinator

Gary, IN

Experience with provider credentialing software and CAQH. * Knowledge of Indiana Medicaid and behavioral health payer requirements. SUPERVISORY * Reports To: Revenue Cycle Director * Supervise: This ...

Summit Dental

Front Office Assistant

Columbus, IN · On-site

$14.75 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of dental insurance and Medicaid is highly recommended * Experience with CareStack practice management software is preferred Skills & Attributes * Excellent communication and interpersonal ...

Dental Solutions of Columbus

Front Office Assistant

Columbus, IN · On-site

$14.75 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of dental insurance and Medicaid is highly recommended * Experience with CareStack practice management software is preferred Skills & Attributes * Excellent communication and interpersonal ...

Dental Solutions of Columbus

Front Office Assistant

Columbus, IN · On-site

$14.75 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of dental insurance and Medicaid is highly recommended * Experience with CareStack practice management software is preferred Skills & Attributes * Excellent communication and interpersonal ...

Humana

Care Coordinator, RN Field Based

Crown Point, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging ... Where software engineers change lives. * Where every associate can build a professional path where ...

Humana

Care Coordinator, RN Field Based

East Chicago, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging ... Where software engineers change lives. * Where every associate can build a professional path where ...

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging ... Where software engineers change lives. * Where every associate can build a professional path where ...

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Showing results 41-60

All JobsMedicaid Software JobsMedicaid Software Jobs in Indiana

Medicaid Software information

What is the difference between Medicaid Software vs Medicaid Claims Specialist?

AspectMedicaid SoftwareMedicaid Claims Specialist
Primary RoleSoftware tools used to manage Medicaid data, billing, and complianceProcessing and reviewing Medicaid claims for accuracy and reimbursement
Required SkillsTechnical skills, software proficiency, data managementKnowledge of Medicaid policies, claims processing, attention to detail
Work EnvironmentHealthcare IT companies, software vendors, healthcare providersHealthcare facilities, insurance companies, Medicaid agencies
CertificationsNone typically required, but IT certifications helpfulMedical billing certifications, Medicaid-specific training

Medicaid Software refers to the tools and systems used to manage Medicaid data and billing processes, while Medicaid Claims Specialists focus on processing and verifying Medicaid claims. Both roles are essential in the Medicaid industry but serve different functions—one in software management and the other in claims processing.

What are some common challenges faced by professionals working with Medicaid software systems?

Professionals working with Medicaid software often encounter challenges such as navigating frequently changing federal and state regulations, integrating new modules with legacy systems, and ensuring data security and privacy in compliance with HIPAA. Additionally, collaborating with diverse stakeholders—including healthcare providers, government agencies, and IT teams—requires strong communication and project management skills. Staying updated with evolving technology standards and maintaining system interoperability are also key aspects of the role.

What are the key skills and qualifications needed to thrive as a Medicaid software specialist, and why are they important?

To thrive as a Medicaid Software Specialist, you need a solid background in healthcare IT, knowledge of Medicaid regulations, and experience with software development or implementation, typically supported by a degree in computer science or health informatics. Familiarity with Medicaid Management Information Systems (MMIS), claims processing tools, and compliance software is essential. Strong analytical skills, attention to detail, and effective communication help bridge the gap between technical teams and healthcare administrators. These skills ensure efficient, compliant, and user-friendly Medicaid systems that support both organizational goals and regulatory requirements.

What is Medicaid software?

Medicaid software refers to specialized technology platforms and applications designed to support the administration, management, and delivery of Medicaid health programs. These software systems help state agencies, healthcare providers, and payers manage eligibility, claims processing, member enrollment, reporting, and compliance with federal and state regulations. Medicaid software plays a crucial role in improving efficiency, reducing errors, and ensuring that Medicaid beneficiaries receive appropriate coverage and services. It can include modules for case management, billing, analytics, and provider management. Modern Medicaid software often integrates with other health information systems to facilitate seamless data exchange.

What are popular job titles related to Medicaid Software jobs in Indiana?

For Medicaid Software jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Medicaid Software jobs in Indiana look for?

The top searched job categories for Medicaid Software jobs in Indiana are:

What cities in Indiana are hiring for Medicaid Software jobs?

Cities in Indiana with the most Medicaid Software job openings:

Medicaid Software jobs near you

Coder I

Beacon Health System

Granger, IN • On-site

Full-time

Re-posted 2 days ago

Beacon Health System rating

6.7

Company rating: 6.7 out of 10

Based on 143 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers

Job description

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code.
MISSION, VALUES and SERVICE GOALS
  • MISSION: We deliver outstanding care, inspire health, and connect with heart.
  • VALUES: Trust. Respect. Integrity. Compassion.
  • SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and abstracting by:
  • Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient and inpatient records.
  • Obtaining accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, laboratory, radiology, operative and pathology reports.
  • Coding all procedures on inpatient records (all payors) and outpatient surgical records according to ICD-9-CM Codes, CPT-4 or Physician E&M (Evaluation & Management) Level Code (as applicable).
  • Referring questionable diagnoses and sequencing issues to the physician for clarification.
  • Communicating with the Patient Accounts staff and coordinating with department Manager any questionable abstract or coding problems.
  • Assigning ICD-9-CM Codes and completing a coding summary.
  • Reviewing and evaluating error messages and all incompatible DRGs to the manager or coordinator for a second level review.
  • Completing medical records for abstracting. Resolving any medical necessity related issues.

Completes medical record data entry duties by:
  • Abstracting diagnosis and procedure codes into the Hospital computer system according to specified guidelines.
  • Designating APC assignment on outpatient medical records.
  • Assigning accurately, when applicable, a DRG or APC to Medicare, Medicaid and other required payor's records with the assistance of various computerized grouper software.
  • Abstracting professional E&M codes, professional procedure codes, and technical component procedures into the Hospital computer system charging module according to specified guidelines.
  • Accurate and timely entry of charges on ED and OBS charts according to guidelines if applicable.

Ensures accurate and up-to-date coding by:
  • Quarterly internal and external auditing.
  • Reviewing Coding Clinic and attending coding workshops to enhance coding skills.
  • Billing software edits.
  • For the coding of diagnostic reports, a productivity standard of 250 reports is to be met and medical necessity holds resolved (based upon an 8 hour work day).
  • For the coding of inpatient, ambulatory surgery/observations and emergency records, one of the following productivity standards must be met (all include data entry and are based upon an 8 hr work day):
  • Inpatient Records: Coder I (15-19)
  • Ambulatory Surgery/Observation Records: Coder I (28-43)
  • Emergency Records Facility Records: Coder I (50-69)
  • Emergency Records Professional Records: Coder I (60-79)

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
  • Completing other job-related duties and projects as assigned.
ORGANIZATIONAL RESPONSIBILITIES
Associate complies with the following organizational requirements:
  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license/certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.
  • Available to work overtime in addition to working additional or other shifts and schedules when required.

Education and Experience
  • The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of coursework in medical terminology, anatomy, physiology and comprehensive knowledge of ICD-9-CM and CPT-4 coding principles. Attainment of certification as either RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician), CPC (Certified Professional Coder), or CPC-H (Certified Professional Coder-Hospital) or CCA (Certified Coding Associate credentialing and maintenance of the certification is required. One year of coding experience is preferred.
  • Non-Credentialed: CCCA (Certified Coding Associate) credentialing is required within two years of the start date and applicable for the position. Maintenance of the certification is required. Quality and productivity standards are the same as Level I.

Knowledge & Skills
  • Requires knowledge of medical terminology, anatomy and physiology necessary to code patient medical records utilizing established but specialized technical coding processes.
  • Requires knowledge of the fundamentals of DRG assignment and optimization.
  • Requires knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system in order to interface with physicians.
  • Requires the analytical skills to compile and process patient information abstracted from patient records.
  • Requires familiarity with computer data entry.
  • Requires accurate typing skills of at least 40 w.p.m.
  • An accuracy rate of 92% for inpatient and outpatient records is required for the Level I and II position. An accuracy rate of 95% for inpatient and outpatient records is required for the Coding Specialist position.
  • Demonstrates the interpersonal and communication skills (both verbal and written) necessary to interact with staff, physicians, and others.

Working Conditions
  • Works in an office environment.
  • May experience some mental/visual fatigue from careful and constant review of records, code books, and continued use of computer equipment.

Physical Demands
  • Requires the physical ability, motor coordination and stamina to perform the essential functions of the position.

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