14 jobs found in Louisville

Job Opportunity Evaluates coding based on Coding Guidelines. Reviews records for all care settings. Identifies high volume, high risk coding, and reimbursement and quality problems. Responsible for accurate assessment, analysis and summary of findings for coding validation. Provide auditing and feedback that is incorporated into training education programs. This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina Required: One year coding in healthcare setting One of: CCA or CCS or CPC Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder

Job Description Job Description Overview $100,000 Bonus Eligible! Associate Director of Medical Operations Through our evidenced based medicine approach, Concentra’s goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we’ve grown, we’ve expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement opportunities, and benefits. The Associate Director of Medical Operations position involves providing direct patient care and leading by example to ensure an exceptional patient experience. The role includes...

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

Regional Medical Associate Director-Central Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. The US Rare Disease, Regional Medical Associate Director (RMAD)-Central, will be responsible for cross-portfolio support including proactive engagement of select HCPs across multiple specialties. The RMAD will support pipeline initiatives, with a focus on enhancing awareness of disease states associated with late-stage pipeline assets (including alpha-1 antitrypsin deficiency-AATD) among HCPs across a breadth of accounts. We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system and innovative pipeline enables us to invent medicines and vaccines that treat and protect millions of...

Specialty Coder I 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 coding experience If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is...

Clinical Record Auditor Supervisor The Clinical Record Auditor Supervisor is a clinician that provides day-to-day oversight of the Clinical Compliance Record Auditors and serves as the subject matter expert for the team. Responsibilities: May fill in as an Auditor if needed. Establishes the Auditing team's workflow to ensure efficiency and coverage. Responsible for daily monitoring of Auditing work to ensure duties and responsibilities are being met accurately and timely. Sets goals and service expectations for the Auditors. Hires, onboards, and trains new Auditors. Create quarterly analysis and activity summary reports. Serves as point of contact for the Auditing team with other business leaders to provide service or address potential issues. Ensures compliance of all company policies/procedures; local/state/federal laws/regulations and accreditation standards Qualifications: Active unrestricted RN license Associate's Degree in Nursing or the equivalent Minimum 8...

Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. Delivering quality care starts with ensuring our processes and...

Job Title Evaluates coding based on Coding Guidelines. Reviews records for all care settings. Identifies high volume, high risk coding, and reimbursement and quality problems. Responsible for accurate assessment, analysis and summary of findings for coding validation. Provide auditing and feedback that is incorporated into training education programs. This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina Qualifications Required:- One year coding in healthcare setting- One of: CCA or CCS or CPC Desired:- Diploma- Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder Norton Healthcare is an Equal Opportunity Employer M/F/Disability/Veteran/S Exual Orientation/Gender Identity Equal Employment Opportunity is the Law

Inpatient Drg Medical Coder Delivering Digital Outcomes. Driving Real Impact. Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers. Job Description In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for trauma 1 facility inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder , you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. As a part of our...

Randstad is seeking a detail-oriented and experienced Medical Billing Specialist to join our client's revenue cycle team. In this role, you will be responsible for the full lifecycle of medical claims, ensuring accuracy from initial charge entry to final payment. The ideal candidate possesses a deep understanding of insurance workflows and a proactive approach to resolving claim denials. Qualifications: Minimum of 2 years of hands-on experience with either NextGen or eClinicalWorks (eCW) is strictly required. High School Diploma or equivalent; professional billing certification (e.g., CPB or CPC) is a plus. Proven experience in medical billing, insurance verification, and the appeals process. Ability to spot discrepancies in complex financial records and patient accounts. Proficiency in Microsoft Excel and general electronic health record (EHR) navigation. This is a contract-to-hire position onsite office position (East End area) Apply today! Contact Angela...

Physician Associate Director of Medical Operations Location US-KY-Louisville Job ID 357457 Pos. Category Medical - Physician Pos. Type Full Time Recruiter : Full Name: First Last Karen Brown Overview $100,000 Bonus Eligible! Associate Director of Medical Operations Through our evidenced based medicine approach, Concentra's goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we've grown, we've expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement opportunities, and benefits. The...

A client of ours located in Louisville, Kentucky is seeking a detail-oriented Medical Biller to join their professional healthcare team. This role is essential to the facility's financial health, focusing on the accurate submission of insurance claims, diligent follow-up on unpaid balances, and the resolution of billing discrepancies. The ideal candidate will be a motivated problem-solver who ensures that all patient and insurance data is handled with high integrity to minimize claim denials and accelerate reimbursement. This is a full-time permanent opportunity offering a competitive benefits and salary package. salary: $38,000 - $46,000 per year shift: First work hours: 8 AM - 5 PM education: High School Responsibilities Execute end-to-end revenue recovery by proactively monitoring the master aging report and researching the root causes of payment delays Manage complex claims resolution through diligent research and the processing of formal appeals to secure...

Job Title: Regional Medical Associate Director-Central Location: Remote/Field About the Job Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. The US Rare Disease, Regional Medical Associate Director (RMAD)-Central, will be responsible for cross-portfolio support including proactive engagement of select HCPs across multiple specialties. The RMAD will support pipeline initiatives, with a focus on enhancing awareness of disease states associated with late-stage pipeline assets (including alpha-1 antitrypsin deficiency-AATD) among HCPs across a breadth of accounts. About Sanofi: We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline...