20 jobs found in Frankfort

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

This is a full time remote based position that specializes in advancing product expertise and functional skills of global medical affairs teams. The AD will serve as a therapeutic area expert (i.e., Nephrology/Immunology) by leading the training supporting the GMA Business Unit products, strategy and priorities. This role will be responsible for developing and executing the core training curriculum for a new product across all launch phases as well as training New Hire MSLs & GMA personnel supporting their therapeutic area. In addition, this role will be integral in the support of the GMA Peak Performers series, focusing on upskilling the performance of Global Medical Affairs. This will require original idea proposals, slide development, execution and evaluation. Leading live and virtual classroom trainings will also be an important deliverable of this position. The AD will partner and oversee regional/local Training Leads for their therapeutic area to develop tailored...

A medical device company in Kentucky is seeking a Logistics Coordinator responsible for managing in-house logistics and inventory for physician training courses. The ideal candidate will have a Bachelor’s degree, 3-5 years of relevant experience, and strong leadership skills. This role involves working closely with a team to ensure the success of various training events. Comprehensive benefits are available from day one, including medical, dental, and 401K matching. #J-18808-Ljbffr

Specialty Coder I page is loaded## Specialty Coder Ilocations: Kentuckytime type: Full timeposted on: Posted Todayjob requisition id: R26097829**Summary****Job Description:****Baptist Health Medical Group is looking for a Specialty Coder I to join their team.****This is a remote work position that requires residency in KY or IN**With supervision, codes diagnosis and procedures for outpatient physician charges at the Clinic level including Evaluation and Management levels, in office procedures, procedures/surgeries in multiple settings and other clinic/outpatient coding as assigned. Reviews the medical records thoroughly to facilitate the collection of patient care information. Codes diagnosis and CPT for office and Surgical services for providers.**Minimum Education, Training, and Experience Required:*** High School diploma* Coding certification of either CPC or CCS-P required.* 1 year experience in Specialty/Surgical Coding **Preferred:** 2+ years’ Professional...

Overview Internal Reference Number: R1049162 Summary: Why should you join the BlueCross BlueShield of South Carolina family of companies? We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the Southeast's most sophisticated data processing centers. We are a diverse family of subsidiary companies that enables us to build on multiple business strengths and deliver outstanding service to our customers. This open position is within CGS Administrators, a subsidiary that provides administrative and business services to state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers. We are expanding our Medicare Part A Medical Review team focused on Prior Authorizations, adding five new staff to enhance service to Medicare recipients. This position will lead a team of four to ten Medical Reviewers and...

A leading healthcare data collaboration platform is seeking an Inpatient Auditing Specialist to conduct audits on inpatient coding. This fully remote position requires 3+ years of coding and auditing experience, particularly with ICD-10-CM and CPT codes. Successful candidates will provide coder education and maintain high accuracy rates. Ideal for motivated individuals looking to positively impact healthcare data practices, this role includes competitive pay and benefits. #J-18808-Ljbffr

A leading healthcare organization is looking for a Remote Coder II to handle medical coding for orthopedic and surgical oncology. This role involves abstracting and assigning codes for appropriate reimbursement and ensuring compliance with healthcare regulations. The ideal candidate should possess relevant coding certifications and have a keen attention to detail, working independently to maintain accuracy in billing. This position offers the flexibility of working from home in Kentucky. #J-18808-Ljbffr

A leading healthcare administrator in Kentucky seeks a Medical Review Supervisor to manage daily activities of a Medical Review team. The ideal candidate should possess an active RN license, with a focus on quality service to Medicare recipients. Responsibilities include overseeing team performance and ensuring compliance with healthcare guidelines. This role offers a Monday to Friday schedule with competitive pay and a comprehensive benefits package. #J-18808-Ljbffr

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we\'ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and one of the nation\'s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare...

A regional healthcare provider in Kentucky is seeking a Clinical Coder to review medical record documentation and assign appropriate codes for reimbursement and statistical needs. The ideal candidate will have at least two years of coding experience and certifications such as CCS or CPC. Responsibilities include maintaining knowledge of coding guidelines, reconciling denied claims, and ensuring high levels of accuracy in coded claims. This position requires effective communication with physicians for clarifications when needed. #J-18808-Ljbffr

Remote CPC Tutor The Varsity Tutors Live Learning Platform has thousands of students looking for remote online CPC tutors. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Base contract rates start at $18/hour and increase for specialized subjects. Plus, you’ll earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no commuting required. Get matched with students best-suited to your teaching style and expertise. Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson generation, and...

Coder II, Orthopedic & Surgical Oncology, Remote, 8:00a-4:30p page is loaded## Coder II, Orthopedic & Surgical Oncology, Remote, 8:00a-4:30plocations: Remotetime type: Full timeposted on: Posted Todayjob requisition id: JR 2025-107008# **Primary Location:**Work From Home - KY - ULP - AMG# **Address:**Home OfficeRemote, KY 40601# **Shift:**First Shift (United States of America)# **Job Description Summary:**TBD# **Job Description:**The Coder II is responsible for abstracting and assigning valid CPT, ICD-10, HCPCs and modifiers to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and education opportunities to ensure proper coding, documentation, and accuracy of billing within their areas or responsibility/specialty. The Coder II will work independently with limited oversight and may require direction from...

Overview The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-10-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association’s Coding Clinics, and/or American Medical Association’s CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as well as...

A healthcare provider is looking for a Specialty Coder I in Kentucky. This remote position requires coding diagnosis and procedures for outpatient physician charges and thorough reviews of medical records. The ideal candidate will have a high school diploma, a coding certification, and experience in Specialty/Surgical coding. Join a team focused on clinical excellence and innovation. If you're committed to patient care and teamwork, we invite you to apply. #J-18808-Ljbffr

Medical Coding Coordinator Become a part of our caring community and help us put health first. Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you come in: The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and...

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Job Description Job Description Mobile anesthesia group is looking to hire Full time experienced Billing & Collections Specialist Accounts receivable and collections Review and evaluate AR policies and procedures and make suggestions for revisions and updating information Denial management A/R Management Follow-Up Review A/R reports monthly Patient Collections High volume and fast paced.  

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...