20 jobs found in Frankfort, KY

Associate Director, Business Intelligence PCO Medical Economics Join to apply for the Associate Director, Business Intelligence PCO Medical Economics role at CenterWell Senior Primary Care Associate Director, Business Intelligence PCO Medical Economics Join to apply for the Associate Director, Business Intelligence PCO Medical Economics role at CenterWell Senior Primary Care Get AI-powered advice on this job and more exclusive features. CenterWell Senior Primary Care provided pay range This range is provided by CenterWell Senior Primary Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $129,300.00/yr - $177,800.00/yr Become a part of our caring community and help us put health first The Associate Director, Business Intelligence collates, models, interprets and analyzes data in order to identify, explain, influence variances and trends. Explains variances and trends and enhances modeling techniques....

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) ESSENTIAL FUNCTIONS OF THE ROLE ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate depending on findings. Abstracts and validates required data elements into the coding and abstracting system. Works collaboratively with the Clinical...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver more-from better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement. Job Summary: This position is geared toward verification of transport and patient data as well as compliant coding and billing with...

Bluegrass Orthopaedics is hiring a full-time Certified Medical Coder in Lexington, KY. Under the direction of the Business Services Director & Coding Supervisor, performs various duties to accurately interpret and bill physician charges for physician services. Enters appropriate CPT and ICD-10 codes into EMR/billing system; bills charges. This position will report to the Coding Supervisor. As a representative of Bluegrass Orthopaedics, all comments, attitudes, actions, and behaviors directly impact the company s image and the perception of quality service. Interaction with patients, families, physicians, referral services, visitors, volunteers, coworkers, supervisors, and vendors must be conducted in a friendly, supportive, courteous, respectful, cooperative, and professional manner. This behavior fosters an atmosphere of teamwork aligned with company standards and guidelines, promoting positive relationships and excellent patient care. Duties and Responsibilities Performs...

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

Job Description: Baptist Health is looking for an Inpatient Coder to join our team in Louisville, KY Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding withcontinuous quality improvement when indicated. The coder ensures that accurate and complete coding isperformed 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 thedocumentation requirements and guidelines in accordance with Coding Clinic and AHA Official CodingGuidelines as they pertain to diagnosis and procedural coding. Minimum Education, Experience, Training and Licensures Required Associate degree No Experience Required Professional License or Certification: RHIA, RHIT or CCS Microsoft Office experience, EHR and Encoder experience preferred If you would like to be part of a growing family focused on supporting clinical excellence,...

Job Description: Baptist Health is looking for an Inpatient Coder to join our 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 inpatient coding withcontinuous quality improvement when indicated. The coder ensures that accurate and complete coding isperformed 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 thedocumentation requirements and guidelines in accordance with Coding Clinic and AHA Official CodingGuidelines as they pertain to diagnosis and procedural coding. Minimum Education, Experience, Training and Licensures Required Associate degree No Experience Required Professional License or Certification: RHIA, RHIT or CCS Microsoft Office experience, EHR and Encoder experience preferred If you would like to be part of a growing family...

Responsibilities Wellstone Regional Hospital is a 100-bed acute care facility located in Jeffersonville, Indiana and has been providing quality health care to the residents of Southern Indiana and the Louisville area since 2003. Wellstone specializes in the treatment of Adolescents, Children, and the Adult population. In addition to our in-patient services, we offer out-patient programs as well. Wellstone is currently searching for a Coder/HIM Clerk. Under the direction of the HIM Director, the Coder/Clerk will follow hospital, state, and federal rules on release of information, reviews requests for patient information and determines if release is valid. Responsible for the accurate abstracting and coding of information according to the current classification system. This is an hourly non-exempt position. Essential Functions of the job: Assemble Discharged charts for completeness in order for them to be coded Process Discharged charts for completeness and place...

Responsibilities Wellstone Regional Hospital is a 100-bed acute care facility located in Jeffersonville, Indiana and has been providing quality health care to the residents of Southern Indiana and the Louisville area since 2003. Wellstone specializes in the treatment of Adolescents, Children, and the Adult population. In addition to our in-patient services, we offer out-patient programs as well. Wellstone is currently searching for a Coder/HIM Clerk. Under the direction of the HIM Director, the Coder/Clerk will follow hospital, state, and federal rules on release of information, reviews requests for patient information and determines if release is valid. Responsible for the accurate abstracting and coding of information according to the current classification system. This is an hourly non-exempt position. Essential Functions of the job: Assemble Discharged charts for completeness in order for them to be coded Process Discharged charts for completeness and place on the...

Vaco is working with a great company looking to add a new Medical Coder to their Louisville, KY team! Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations Complying with medical coding guidelines and policies Receiving and reviewing patients' charts and documents for verification and accuracy Following up and clarifying any information that is not clear to other staff members Collecting information made by the Physician from different sources to prepare monthly reports Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence Requirements: 3-5 years of Medical Coding Experience CPC Certification Epic Experience HCC Experience Onsite Role Vaco by Highspring values a diverse workplace and strongly encourages...

As a medical billing specialist, you will be responsible for processing and managing medical claims and invoices for healthcare services provided to patients. Your primary objective will be to ensure accurate billing, timely submission of claims, and efficient reimbursement from insurance companies or patients. You will work closely with healthcare providers, insurance companies, and patients to resolve billing issues and discrepancies. This is a temporary to hire position. It is located in the East End and is 100% in office. Pay will depend upon experience. Qualifications - NextGen software experience is a plus - Must have at least 2 years of medical billing experience - High School Diploma or GED salary: $21 - $24 per hour shift: First work hours: 8 AM - 5 PM education: High School Responsibilities Review and verify patient demographic and insurance information for accuracy. Code and submit medical claims to insurance companies or government agencies using appropriate...

Job Description: Baptist Health is looking for an Inpatient Coder to join our team in Louisville, KY Function in a fully accountable role with respect to ensuring the overall quality of inpatient 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. Minimum Education, Experience, Training and Licensures Required Associate degree No Experience Required Professional License or Certification: RHIA, RHIT or CCS Microsoft Office experience, EHR and Encoder experience preferred If you would like to be part of a growing family focused on supporting...

Position Summary: The Medical Biller is responsible for compiling and submitting accurate claims to insurance companies and ensuring that healthcare providers are paid for services rendered. This role includes reviewing patient bills for accuracy, following up on claim statuses, appealing denied claims, and communicating with healthcare providers and insurance companies to resolve billing issues. Key Responsibilities: Claims Processing: Prepare and submit electronic and paper claims to insurance companies, Medicare, Medicaid, and other payers. Ensure accurate and timely claim submission by verifying information such as patient demographics, insurance coverage, and service codes. Resolve any discrepancies and correct errors before submitting claims. Insurance Verification and Authorization: Verify patients' insurance coverage and ensure pre-authorization for services as needed. Communicate with insurance companies and patients regarding coverage...

Vaco has partnered with a company looking for MEDICAL BILLERS to join their growing and fast-paced team! Overview: The Medical Biller plays a vital role in the healthcare revenue cycle by ensuring accurate and timely billing processes, maximizing revenue capture, and facilitating reimbursement from payers. This position requires strong attention to detail, knowledge of medical coding and billing practices, and proficiency in healthcare billing software. The ideal candidate will be highly organized, detail-oriented, and capable of multitasking in a fast-paced healthcare environment. Responsibilities: Claims Submission and Processing: Generate and submit accurate and timely claims for services rendered to patients, insurance companies, and third-party payers. Verify patient insurance coverage, eligibility, and benefits prior to claim submission, and obtain necessary authorizations as needed. Review claims for completeness, accuracy, and compliance with coding and billing...

DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician’s statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other...

DRG CODING AUDITOR Location : This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes audit tools and auditing workflow systems and reference information to make...

Job Title: Medical Coder - Primary Care (eClinicalWorks Experience Required) Job Summary: We are seeking a detail-oriented and experienced Medical Coder ( onsite in Louisville, KY). The ideal candidate will be responsible for reviewing clinical documentation and assigning appropriate CPT, ICD-10, and HCPCS codes, ensuring accuracy and compliance with billing regulations. Proficiency in eClinicalWorks (eCW) is required. Responsibilities: Review and analyze clinical documentation for accurate coding of diagnoses, procedures, and services. Assign appropriate ICD-10, CPT, and HCPCS codes in compliance with federal regulations and payer guidelines. Ensure coding accuracy and completeness for proper billing and reimbursement. Use eClinicalWorks (eCW) to enter and verify codes. Communicate with providers to clarify documentation and improve coding accuracy. Stay up to date with coding guidelines and payer requirements. Qualifications: Certified Professional Coder (CPC),...

Job Description Job Description Salary: $18-$19 A Medical Billing Assistant in a primary care setting using MDOfficeManager in Clarksville, Indiana, would have several key responsibilities to ensure smooth billing processes and proper reimbursement for services rendered. Below is a detailed list of responsibilities specific to this role: 1. Patient Information Management Verify Patient Details: Collect and verify accurate demographic and insurance information from patients. Update Insurance Information: Ensure that all insurance details are current and accurate in MDOfficeManager. 2. Coding and Documentation ICD-10, CPT, and HCPCS Coding: Assign appropriate codes to diagnoses (ICD-10) and procedures/services (CPT/HCPCS) performed during patient visits. Accurate Documentation: Ensure that all procedures and treatments are properly documented and coded according to regulatory guidelines. Ensure Correct Billing: Validate that all billed services match the procedures...