30 jobs found

Job Description Job Description Position Overview We are looking for a detail-oriented and experienced Patient Account Representative II to join our team. If you have a strong understanding of Revenue Cycle Management processes, especially in handling denials and appeals, we would love to hear from you. Key Responsibilities Analyze denials and determine the best course of action for appeal or resubmission. Prepare and submit accurate and compliant appeals for denied claims. Collaborate with billing, coding, and clinical staff to gather necessary information for appeals and resolve denial issues efficiently. Maintain detailed records of denial cases, including appeals filed and communications with insurance representatives. Monitor the status of appealed claims and follow up with insurance representatives to expedite resolution. Generate and analyze reports on denial trends, identify root causes, and recommend process improvements. Qualifications Required Education, Licensure,...

Job Description Job Description Phys Financial LLC is a leading Medical Coding and Billing organization located in Lexington, KY, dedicated to providing exceptional services to our clients. We are seeking highly skilled and detail-oriented Orthopedic/Podiatry Coder to join our team. The successful candidate will play a crucial role in accurately assigning diagnoses and procedures for inpatient stays and outpatient encounters. As a key member of our team, you will ensure compliance with coding and billing guidelines while maintaining high-quality standards. Core Duties and Responsibilities: Review and interpret medical record documentation to identify relevant diagnoses and procedures, and assign appropriate ICD-10, CPT, HCPCS codes and modifiers. Ensure timely and accurate coding, charging, and abstraction of accounts for assigned specialty areas. Stay updated on coding guidelines through participation seminars, and continuous study. Maintain current certification and...

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...

Job Description Job Description Are you looking for the best place to work?  Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients and team members?  ARC has been leading the way and has become one of the fastest growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors.  ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life,...

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 Clinical, Coder, Physician, Coding Specialist, Outpatient, Healthcare, Patient

Phys Financial LLC is a leading Medical Coding and Billing organization located in Lexington, KY, dedicated to providing exceptional services to our clients. We are seeking highly skilled and detail-oriented Orthopedic/Podiatry Coder to join our team. The successful candidate will play a crucial role in accurately assigning diagnoses and procedures for inpatient stays and outpatient encounters. As a key member of our team, you will ensure compliance with coding and billing guidelines while maintaining high-quality standards. Core Duties and Responsibilities: Review and interpret medical record documentation to identify relevant diagnoses and procedures, and assign appropriate ICD-10, CPT, HCPCS codes and modifiers. Ensure timely and accurate coding, charging, and abstraction of accounts for assigned specialty areas. Stay updated on coding guidelines through participation seminars, and continuous study. Maintain current certification and CEU's. Review and apply payer specific...

Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts Monitors assigned work queues to ensure all records are charged/coded in a timely matter Generates cod Coder, Medical, Cosmetic, Remote, Health, Healthcare

Medical Coder II (Ambulatory) - Remote job in Fort Knox, Kentucky! Job Summary: Support the Defense Health Agency (DHA) in accurately coding ambulatory procedures and outpatient visits. Work remotely and contribute to veteran healthcare services. Key Responsibilities: Assign ICD-10, CPT, HCPCS codes for ambulatory visits. Ensure APC and RBRVS compliance . Utilize MHS GENESIS, 3M Encompass 360, JLV systems. Qualifications: 4+ years ambulatory coding experience (or 2 years MTF experience). Certified Coder (CPC, CCS, RHIA, or RHIT) . Security clearance eligibility (Tier 1 Investigation) . Position contingent on contract award. With an early summer start date Come join our team of healthcare professionals! #ICSP www.epicgovernment.com EPIC GOVERNMENT employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families. Since 2004, Epic Government has built mutually...

Medical Coder III (inpatient) - Remote job in Fort Knox, Kentucky! Job Summary: Join a mission-driven team providing inpatient medical coding for the Defense Health Agency (DHA) . This fully remote position ensures compliance with DHA coding standards and accuracy requirements. Key Responsibilities: Assign ICD-10, HCPCS, CPT codes for inpatient services. Ensure DRG assignment, compliance, and accuracy . Utilize MHS GENESIS, 3M Encompass 360, JLV systems. Qualifications: 5+ years inpatient coding experience (or 3 years MTF experience). Certified Coder (CPC, CCS, RHIA, or RHIT) . Security clearance eligibility (Tier 1 Investigation) . Position contingent on contract award. With an early summer start date Come join our team of healthcare professionals! #ICSP www.epicgovernment.com EPIC GOVERNMENT employs healthcare professionals at government medical facilities providing care to military service members, retirees, and their families....

Job Description JSMC HIM Outpatient Coder JOB SUMMARY Responsible for the coding of diagnoses and procedures on SDS, OBS and OB Triage outpatient medical records. Initiating physician queries as appropriate to obtain clarifying or more specific documentation. Ability to accurately assign ICD-10-CM/PCS and CPT-4 codes to complex outpatient encounters such as observation, outpatient surgery and obstetrics. FUNCTIONAL DEMANDS Reports to: Coding Manager and/or HIM Director Inclement Weather: Non-essential JOB REQUIREMENTS Minimum Education High School graduate or GED equivalent. CCS or CPC required. Associates in Health Information Management (or similar program) from an accredited program preferred. Minimum Work Experience Medical terminology and anatomy and physiology required. Minimum of two (2) years' experience in outpatient care hospital based ICD-10-CM and CPT-4 coding required. Working knowledge of AHA Coding Clinics and Local Coverage Determination...

Job Details Job Location Caldwell Medical Center - PRINCETON, KY Position Type Full Time Job Shift Day Medical Billing Specialist 2- Full-Time Medical Billing Specialist 2 DEPARTMENT: Business REPORTS TO: Patient Financial Services Manager POSITION SUMMARY: The Medical Billing Specialist 2 ensures timely and accurate billing and collections of patient's accounts. The Medical Billing Specialist 2 is responsible for the timely processing of any duties or activity affecting prompt reimbursement to the hospital and clinics for services which it has rendered. This includes efficient billing of response to requests and inquiries. Employees work extensively with third party payers, state/federal/local governmental agencies, and physicians. Demonstrates vast experience in healthcare billing and follow up. POSITION RESPONSIBILITIES ESSENTIAL FUNCTIONS: Represents the organization in a positive and professional manner. Maintains and ensures patient and...

**Overview** CHI Saint Joseph Medical Group now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health includes 275 providers delivering quality care to patients across 88 locations in central and eastern Kentucky. Our full service network delivers a variety of Primary Care Services including Family Internal Geriatric and Pediatric Medicine in addition to several specialties to deliver custom care based on the unique needs of our patients. **Responsibilities** **Expectations:** + Accurately abstracts information from the service documentation, assigns appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance withestablished guidelines. + Communicates professionally with providers, practice management, and other stake holders either verbally or in writing. + Responsible for working encounters in the coding work queue or task lists in a timely manner. + Meets or exceeds organizational...

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 Associations Coding Clinics, and/or American Medical Associations 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...

Contract Type: Permanent WAH Location: Louisville - KY Date Published: 02-26-2025 Job ID: REF27859M Company Description: About Sutherland Artificial Intelligence. Automation.Cloud engineering. Advanced analytics.For business leaders, these are key factors of success. For us, they're our core expertise. We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence. We've created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as a service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA.We bring...

Overview: We are Hiring. Location: 530 S. Jackson Street Louisville, KY 40202 Shift: Days (Potential for remote work after completion of training and/or previous experience has been verified) About Us UofL Health is a fully integrated regional academic health system with seven hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehabilitation Institute and the Brown Cancer Center. With more than 12,000 team membersphysicians, surgeons, nurses, pharmacists and other highly skilled health care professionalsUofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Our Mission As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care. Job Summary This position is responsible for thorough review of clinical documentation...

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...

Responsibilities 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...

JOIN TEAM TRILOGY: Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. WHAT WE'RE LOOKING FOR: Job Summary The Clinical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural and diagnostic codes to resident records. Accurately assigns and sequences ICD-10-CM diagnostic and procedural codes and/or E&M and procedural codes to patient records for use in reimbursement and data collection. Fully remote. Roles and Responsibilities Confirms appropriate diagnosis related group assignments. Verifies patient information to identify any documentation vs. report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient's account/encounter....

Job Type Full-time Description Job Title: Certified Coder/Claims Submission Specialist Work Schedule: Full-Time office hours are generally M-F, 8:00 AM to 5:00 PM, with overtime as needed. Employment Classification: Non-exempt, Hourly Status : Full-Time Position Summary The Certified Coder/Claims Submission Specialist is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of his/her manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company's core values. Summary of Duties and Responsibilities Analyze provider...

Overview: WE ARE HIRING! Location: Remote About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrows physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient. With more than 13,000 team members physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. Our Mission As an academic health care system, we will transform the health of the...

Job Details Job Location HealthPoint Family Care Florence - Florence, KY Position Type Full Time Description HealthPoint is currently hiring for a Medical Billing Specialist for our Florence office. This position is responsible for managing all patient and insurance billings in a timely and efficient manner. This includes, but is not limited to, charge entry, payment entry, accounts receivable management, and responding to patients and payers and special projects as assigned. Competitive salary Nine paid federal holidays Birthday off paid Generous Paid Time Off Wide array of benefit plans such as health, dental, vision, flexible spending accounts, Safe Harbor 401K Plan, long term disability and group/voluntary life insurance plans. HealthPoint is private medical practice dedicated to patient wellness. The organization provides adult and pediatric medical, dental, mental health, substance abuse treatment, obstetrics and gynecology, and vision services. We offer...

Overview: The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Special Instructions: This is a system position open to all communities 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 Associations Coding Clinics, and/or American Medical Associations CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or...

The Medical Records Manager/ Coder is responsible for the administration of medical record services as well as hospital audits, abstracts, and coding patient's medical records in accordance with established numerical coding systemsand special hospita Medical, Records, Manager, Coder, Operations, Hospital, Healthcare