26 other jobs found in Louisville, KY

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...

Regional Medical Associate Director-Central Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. The US Rare Disease, Regional Medical Associate Director (RMAD)-Central, will be responsible for cross-portfolio support including proactive engagement of select HCPs across multiple specialties. The RMAD will support pipeline initiatives, with a focus on enhancing awareness of disease states associated with late-stage pipeline assets (including alpha-1 antitrypsin deficiency-AATD) among HCPs across a breadth of accounts. We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system and innovative pipeline enables us to invent medicines and vaccines that treat and protect millions of...

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...

Clinical Record Auditor Supervisor The Clinical Record Auditor Supervisor is a clinician that provides day-to-day oversight of the Clinical Compliance Record Auditors and serves as the subject matter expert for the team. Responsibilities: May fill in as an Auditor if needed. Establishes the Auditing team's workflow to ensure efficiency and coverage. Responsible for daily monitoring of Auditing work to ensure duties and responsibilities are being met accurately and timely. Sets goals and service expectations for the Auditors. Hires, onboards, and trains new Auditors. Create quarterly analysis and activity summary reports. Serves as point of contact for the Auditing team with other business leaders to provide service or address potential issues. Ensures compliance of all company policies/procedures; local/state/federal laws/regulations and accreditation standards Qualifications: Active unrestricted RN license Associate's Degree in Nursing or the equivalent Minimum 8...

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...

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...

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...

Join Our Innovative Team as an Associate Director of Medical Care! At ChenMed, we are dedicated to transforming healthcare and improving lives every day. Are you an innovative and entrepreneurial-minded individual with a strong work ethic and ambition? Do you inspire those around you with your kindness and enthusiasm? If so, we want you on our rapidly expanding team! In this vital role, you'll supervise and train primary care providers (PCPs) at our assigned center, ensuring exceptional clinical quality, efficiency, and patient satisfaction. In addition to your leadership responsibilities, you'll also deliver patient care as a PCP. Key Responsibilities: Provide comprehensive care for older adult patients with both acute and chronic illnesses. Take full accountability for patient care outcomes, collaborating with specialists as necessary. Engage actively with hospitalists regarding patient admissions. Assess, diagnose, and manage complex health needs while...

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...

A client of ours located in Louisville, Kentucky is seeking a detail-oriented Medical Biller to join their professional healthcare team. This role is essential to the facility's financial health, focusing on the accurate submission of insurance claims, diligent follow-up on unpaid balances, and the resolution of billing discrepancies. The ideal candidate will be a motivated problem-solver who ensures that all patient and insurance data is handled with high integrity to minimize claim denials and accelerate reimbursement. This is a full-time permanent opportunity offering a competitive benefits and salary package. salary: $38,000 - $46,000 per year shift: First work hours: 8 AM - 5 PM education: High School Responsibilities Execute end-to-end revenue recovery by proactively monitoring the master aging report and researching the root causes of payment delays Manage complex claims resolution through diligent research and the processing of formal appeals to secure...

Job Title: Regional Medical Associate Director-Central Location: Remote/Field About the Job Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. The US Rare Disease, Regional Medical Associate Director (RMAD)-Central, will be responsible for cross-portfolio support including proactive engagement of select HCPs across multiple specialties. The RMAD will support pipeline initiatives, with a focus on enhancing awareness of disease states associated with late-stage pipeline assets (including alpha-1 antitrypsin deficiency-AATD) among HCPs across a breadth of accounts. About Sanofi: We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline...

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 provided and that no errors are made in coding....

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...

Datavant is a leading data platform company dedicated to health data exchange, with a vision that every healthcare decision is powered by accurate data at the right time. Our network is one of the largest and most diverse in the U.S., ensuring that data remains secure and accessible to enhance health decisions. Our clients include prominent life sciences firms, government agencies, and healthcare providers. Joining Datavant means becoming part of a high-performing, values-driven team that is committed to solving the intricate challenges of healthcare through technological innovations. Our diverse team members bring a rich array of professional, educational, and personal experiences to support our ambitious vision for the future of healthcare. Your Role: We are seeking credentialed inpatient coders who possess meticulous attention to detail and a solid understanding of medical terminology to join our dynamic team. This position offers the flexibility of fully remote work,...

Outpatient Coder 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

Inpatient Hospital Medical Coder An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities: Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform additional duties as requested by management from the hospital side of forms (not...

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...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: This role involves comprehensive medical record reviews to extract vital medical and demographic data, accurately interpret and apply diagnoses and procedures using ICD coding systems, and contribute to reducing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES: Thoroughly review and interpret medical records, physician treatment plans, outcomes, and other relevant information to assign appropriate ICD codes for diagnoses and procedures. (65%) Abstract necessary data elements to fulfill statistical requests from the hospital, health system, and medical staff, ensuring all coded and abstracted information is accurately input into the designated system. (15%) Manage medical information efficiently and support cash flow by monitoring and addressing the unbilled coding report. (10%) Stay updated on ICD guidelines by participating in training, reviewing coding clinics,...

Datavant is a leading data platform company specializing in health data exchange, dedicated to empowering healthcare decisions with timely and accurate data. We harness the power of the largest health data network in the U.S. to ensure data is secure and effectively used to enhance health outcomes. Joining Datavant means becoming a vital part of a high-performing, values-driven team that is addressing complex healthcare challenges with innovative solutions. Our team members come from diverse professional, educational, and personal backgrounds to pursue our ambitious vision for healthcare. We are actively seeking skilled and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a profound understanding of medical terminology. This remote position offers flexibility, allowing you to contribute significantly to the future of healthcare from your own home! What You Will Do: Review medical records...

Join Datavant, a leading data platform company revolutionizing health data exchange. Our mission ensures that every healthcare decision is guided by the right data at the right time and in the right format. As the world's foremost health data network, our platform enables secure, accessible, and actionable data, empowering healthcare stakeholders including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing, values-driven team, you'll contribute to innovative technology solutions that address some of healthcare's most challenging issues. Our diverse team brings various professional, educational, and life experiences together to achieve our ambitious goals for the healthcare sector. What You'll Be Doing: Conduct audits of coded medical charts according to the client's guidelines as assigned by the quality supervisor. Navigate multiple client guidelines with ease. Maintain a 95% quality average at the...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...