68 jobs found

Lake Cumberland Regional Hospital People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state-of-the-art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services. The City of Somerset blends southern hospitality with abundant recreational opportunities including a 65,000-acre lake with 1,200 miles of shoreline. Somerset is host to nationally recognized, high quality performing and visual arts, concerts and other special events to the community. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits Competitive Paid Time Off / Extended Illness Bank package for full-time employees Employee Assistance Program - mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Professional Development and Growth Opportunities And much...

Job Title Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Minimum Education: High School graduate or equivalent. Minimum Work Experience: Two years experience in billing, insurance, office procedures in a medical setting preferred. Required Skills: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Language Skills: Able to communicate effectively in English, both verbally and in writing.

Medical Records Certified Coder Opportunity Full Time, Dayshift Monday-Friday, Inperson As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community. The Ridge Behavioral Health System is a 110-bed hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years. Job Duties Include: Meets coding quality score of 95% accuracy in assignment of diagnoses and procedure codes as measured by the quarterly coding audit performed by Corporate. Coordinate treatment through treatment planning, the treatment team process, and...

Welbehealth Pace Coding Auditor And Educator WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews...

Allegheny Health Network Job Posting 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. Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. Performs other duties as assigned or required....

A medical device company in Kentucky is seeking a QA Compliance Specialist responsible for overseeing quality and regulatory compliance within a regulated environment. The ideal candidate will have at least 4 years of experience in Quality Assurance, with strong skills in audits and CAPA management. This contract position requires a bachelor's degree and offers opportunities to work on critical quality assurance initiatives in a dynamic team environment. #J-18808-Ljbffr

Physician Associate Director of Medical Operations Location US-KY-Louisville Job ID 352407 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 HQ @ Fern Valley Concentra, our premier 24 hour location in Louisville. 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...

Coder Specialty Office The Coder Specialty Office assures the integrity of the Norton Medical Group billing, insurance, coding, and accounting and referral functions. The incumbent serves as a liaison between the practice and the billing office as well as the accounting department of Norton Healthcare. In performing job functions, utilizes age appropriate principles of growth and development for patients of all ages according to the practice specialty. 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, or South Carolina. Qualifications Required: One year medical coding in a specialty office One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Inpatient Coder ICD-10 OR...

Associate Director Of Medical Operations Associate Director of Medical Operations HQ @ Fern Valley Concentra, our premier 24 hour location in Louisville. 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...

divh2Medical Coder/h2pAt Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they cant get to a doctors office. For many, the ER becomes their first touchpoint with the healthcare systemdriving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, weve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway./ppAs a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. Youll play a...

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...

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...

divh2Coder II/h2pThe 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...

Responsibilities 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...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal...

Overview Drees Homes is a family-owned home building company with a passion for making custom homes easy. For over 95 years, we have taken care of our employees and our customers. It's why we rank as the 21st largest privately-owned builder in the country and have a track record of long-tenured employees. We're proud of being named a 2023 and 2024 U.S. Best Managed Company, a program sponsored by Deloitte Private and The Wall Street Journal, and we've been officially certified as a Great Place to Work in both 2023 and 2024. Enrich your career at a company that values integrity, excellence, opportunity, stability and success. Headquartered in Fort Mitchell, Kentucky, Drees has operations in ten metropolitan areas: Greater Cincinnati and Cleveland, Ohio; Austin, Dallas and Houston, Texas; Indianapolis, Indiana; Jacksonville, Florida; Nashville, Tennessee; Raleigh, North Carolina; and Washington, DC. Responsibilities/Qualifications First Equity Mortgage , a subsidiary of Drees...

Medical Billing Specialist OrthoCincy Description Promotes the company’s mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with payers who have no response, addressing payer rejections, handling correspondence, and appealing denials. Essential Job Functions The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine...

A leading orthopedic practice in Edgewood, Kentucky, is looking for a Medical Billing Specialist to manage claims, ensure timely submission, and liaise with payers. This entry-level role requires strong communication and organizational skills, a high school diploma, and knowledge of medical billing terminology. Successful candidates will enjoy working in a medical office environment and must be able to handle stressful situations professionally. Full-time position offering a chance to grow in the medical billing field. #J-18808-Ljbffr

Join to apply for the Clinical Coder I role at Appalachian Regional Healthcare (ARH) 2 days ago Be among the first 25 applicants Overview The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, notably CPT-4 for surgical procedures for outpatient and/or physician services; and/or HCPCS coding, notably Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association’s Coding Clinics, and/or American Medical Association’s CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled...

Overview The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association’s Coding Clinics, and/or American Medical Association’s CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as well as...

A regional healthcare provider in Hazard, Kentucky is seeking a Clinical Coder I. The role involves reviewing medical records and assigning codes for reimbursement. Applicants must have coding experience and relevant certifications. This is an entry-level, full-time position that offers the chance to work in the health care sector with a strong focus on compliance and accuracy in coding practices. #J-18808-Ljbffr

Description General Job Summary: Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email, or...

About this Position The Medical-Legal Death Investigation Supervisor plays a vital leadership role at the intersection of public health, public safety, and justice in Lane County. This position is responsible for supervising and supporting the medical-legal death investigation team while also having the ability to occasionally perform complex death investigations involving traumatic, suspicious, unattended or unexplained deaths. This team is not a desk-only group. Our MLDI’s are responsible for 24/7 response to death scenes, coordinating with law enforcement, medical providers, the State Medical Examiner, and the District Attorney’s Office, while ensuring investigations are conducted with accuracy, integrity, and compassion. The work directly supports grieving families, informs legal and public health decisions, and upholds the community’s trust in local government. As the supervisor, you will guide and mentor professional death investigators, set investigative priorities, ensure...

Entity: Owensboro Health Regional Hospital | Department: Pulmonary | Work Hours: 36 | Weekend Requirements: As Needed | 0.9 FTE Job Summary: Provides nursing leadership while ensuring implementation of clinical objectives and quality patient care. Provides direct nursing care in accordance with established policies, procedures, and protocols of the healthcare organization. Job Responsibilities: Provides leadership, orientation, training, coaching, and mentoring to staff. Ensures staff compliance with department and organization policies, procedures, and protocols. Responds to complaints about patient care and manages through established channels. Implements and monitors patient care plans. Monitors, records, and communicates patient condition as appropriate. Serves as a primary coordinator of all disciplines for well-coordinated patient care. Assesses and coordinates patients' discharge planning needs with members of the healthcare team. Assesses...