72 jobs found in Frankfort, KY

A healthcare provider is seeking a remote Inpatient Coder based in Kentucky or Indiana. The role involves ensuring quality inpatient coding, particularly focusing on accuracy and adherence to coding guidelines. Candidates must possess either an associate degree or a Certified Coding Specialist credential, along with relevant certifications. This position offers an opportunity to contribute to clinical excellence and teamwork within a growing organization. #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

Associate Director, Medical Affairs (Scientific Communications / Publications) Remote Cabaletta Bio (Nasdaq: CABA) is a clinical-stage biotechnology company focused on developing and launching the first curative targeted cell therapies designed specifically for patients with autoimmune diseases. The CABA™ platform encompasses two complementary strategies which aim to advance the discovery and development of engineered T cell therapies with the potential to become deep and durable, perhaps curative, treatments for a broad range of autoimmune diseases. The lead CARTA (Chimeric Antigen Receptor T cells for Autoimmunity) strategy is prioritizing the development of rese-cel, a 4-1BB-containing fully human CD19-CAR T cell investigational therapy. Rese-cel is currently being evaluated in the RESET™ (REstoring SElf-Tolerance) clinical development program spanning multiple therapeutic areas, including rheumatology, neurology and dermatology. Cabaletta Bio’s headquarters and labs are...

Inpatient Coder page is loaded## Inpatient Coderlocations: Kentucky: Indianatime type: Full timeposted on: Posted Todayjob requisition id: R26099056**Summary****Job Description:*****Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN***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.***Qualifications:**** Associate degree.* In lieu of associate degree, Certified Coding Specialist...

A leading health organization is looking for a Clinical Investigator in Behavioral Health. This remote position involves conducting detailed reviews of medical records, analyzing billing practices, and identifying fraud and abuse. Successful candidates will have a Master's degree, relevant clinical experience, strong analytical and investigative skills, and knowledge of coding. Centene offers a competitive benefits package, including health insurance, 401(k), and flexible work options. #J-18808-Ljbffr

A healthcare provider is seeking a Specialty Coder I to join their team in a remote position, requiring residency in KY or IN. The role involves coding diagnoses and procedures for outpatient physician charges, reviewing medical records, and ensuring accurate coding for office and surgical services. Candidates should have a high school diploma, a coding certification, and at least one year of specialty coding experience. This position supports clinical excellence and innovation. #J-18808-Ljbffr

A leading U.S. healthcare company is seeking a Medical Coding Auditor who will review medical claims to ensure correct coding guidelines are followed. The position requires a minimum of 3+ years' experience with outpatient specialty surgeries and a relevant certification. This remote role includes varied work assignments, and candidates must be detail-oriented and able to manage multiple priorities. A competitive pay range and bonuses are part of the offer. #J-18808-Ljbffr

A data platform company is seeking an Inpatient Auditing Specialist to conduct coding audits and provide education with a focus on MS-DRG and APR-DRG. This remote role offers a flexible schedule and requires 5+ years of coding or auditing experience. Candidates should have CCS, RHIA, or RHIT certifications and a strong customer service focus. The job offers a competitive hourly rate between $35 and $45, along with other employment benefits. #J-18808-Ljbffr

A leading healthcare company is seeking an experienced Outpatient Medical Coding Auditor to manage coding disputes in a fully remote position. This role requires expertise in outpatient Behavioral Health coding and involves collaboration with coding professionals to ensure compliance and accuracy. The company offers comprehensive benefits, including health coverage from day one, tuition assistance, and a 401(k) retirement savings plan. Strong communication skills and CPC or CCS certification are essential. The anticipated salary range is between $59,300 and $80,900 annually. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

A healthcare organization is seeking a Medical Coding Auditor to conduct audits and ensure compliance with coding standards. The ideal candidate will have over 3 years of experience in medical coding and strong analytical skills. Responsibilities include identifying billing errors and providing summaries of findings. This position offers a base salary between $43,888 and $93,574 annually, plus excellent benefits, including flexible work schedules and a 401(k) plan. #J-18808-Ljbffr

Become a part of our caring community 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 Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor 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 Behavioral Health coding disputes and expertise in CPT/HCPCS code...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Responsibilities Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation. Provide detailed written summary of medical record review findings. Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. Research and accurately apply state or CMS guidelines related to the audit with minimal support. Review and discuss cases with Medical Directors to validate decisions. Assist...

Join to apply for the REMOTE - Outpatient Medical Coder 3 role at The Ohio State University Wexner Medical Center Join to apply for the REMOTE - Outpatient Medical Coder 3 role at The Ohio State University Wexner Medical Center Current Employees and Students: Please log in to Workday to use the internal job search and application process. Scope of Position Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD‑10‑CM/PCS diagnoses and procedure codes are applied to inpatients and CPT‑4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary The position is responsible for coding medical records...

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...

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...

Current Employees and Students: Please log in to Workday to use the internal job search and application process. Scope of Position Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary The position is responsible for coding medical records and other documents at the conclusion of the patient’s visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires...

A leading medical center in Kentucky is seeking a Medical Records Coding Specialist. This role involves coding outpatient medical records and reviewing claims for accuracy to ensure proper reimbursement. Candidates must have a CAHIIM approved coding certificate and appropriate credentials (RHIT, RHIA, CCS, or COC). The position supports accurate revenue capture and requires proficiency in coding standards. Join our team to contribute to quality patient care and effective claims processing. #J-18808-Ljbffr

A prominent educational medical center in Kentucky is seeking a Coding Specialist responsible for coding outpatient medical records and reviewing hospital claim edits to ensure timely billing. The ideal candidate will complete a CAHIIM approved coding program and possess certification from recognized health information management bodies. The position demands proficiency in coding guidelines and software tools for effective revenue cycle management. Benefits include ongoing education opportunities in a supportive environment. #J-18808-Ljbffr

A leading academic medical center in Kentucky is seeking a senior medical records coding specialist responsible for coding medical records for inpatient and outpatient services. The role requires an Associate’s degree in Health Information Management and credentials as a Registered Health Information Technician or equivalent, along with 2-6 years of relevant coding experience. This position emphasizes attention to detail, use of coding software, and adherence to health system policies. The role may involve addressing edits during the coding process and maintaining accuracy for hospital reimbursement. #J-18808-Ljbffr

Current Employees and Students Please log in to Workday to use the internal job search and application process. Scope of Position This area codes outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Wexner Medical Center and The James Cancer Hospital. ICD-10-CM codes are assigned for the diagnoses of all outpatients treated within the OSU Health System. ICD-10-CM diagnoses and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: emergency room, outpatient clinic including oncology clinic, observation, and other ancillary areas. This position is responsible for reviewing, analyzing, and resolving hospital claim edits that prevent claims...

About Otsuka We defy limitation, so that others can too. In going above and beyond-under any circumstances-for patients, families, providers, and for each other. It's this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka's opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing...

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...

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...