2 biller coder jobs found in Louisville

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...

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...