13 coder professional jobs found in Louisville, KY

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...

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 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...

Summary Job Description: Baptist Health is looking for a Coder Outpatient Surgery to join their team! This is a remote position that requires residency in KY or IN Function in a fully accountable role with respect to ensuring the overall quality of outpatient surgery andobservation coding with continuous quality improvement when indicated. The coder ensures that accurateand complete coding is performed so it can be used for measuring and reporting physician and hospitaloutcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensiveknowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHAOfficial Coding Guidelines as they pertain to diagnosis and procedural coding. Essential Duties: Ensures that accurate and complete coding is performed on outpatient surgery and observationencounters to be used for all reporting agencies and for measuring and reporting of physician andhospital...

We Are More Than A Health System We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the...

Job Opportunity: Coder Outpatient Surgery Baptist Health is looking for a Coder Outpatient Surgery to join their team! This is a remote position that requires residency in KY or IN. Function in a fully accountable role with respect to ensuring the overall quality of outpatient surgery and observation coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up-to-date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Essential duties include: Ensuring that accurate and complete coding is performed on outpatient surgery and observation encounters to be used for all reporting agencies and for measuring and reporting of...

Coder II The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement. Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner. Ensures the final diagnosis...

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...

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...

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...

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...