85 jobs found in Kentucky

Job Description Job Description Salary: $15-$17/hour Education, Experience, and Licensing Requirements: High school diploma, GED, or equivalent University/college degree, or experience medical records, claims or billing areas is an asset. CCA (AHIMA) CCS (AAPC) or greater Expectations of Role: Manages the Insurance billing and collections processes. Excellent organizational skills and attention to detail. . Processes, tracks claims, and ensures accuracy and timeliness in the billing process. Provides excellent customer service to our clients. Inputs patient information into the practices billing software. Submits claims to insurance companies and follows up on unpaid claims. Posts ERA payments, Resolves any issues that arise with claims or payments. Maintains accurate records of billing and collection activities Generates monthly reports to track billing and collection performance. Accounts for coding and abstracting of patient encounters, including...

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 Experienced medical billing specialist needed for busy ambulatory surgery center. Must be familiar with insurance requirements, coverage verification and eligibility, benefits, etc. Knowledge of websites such as Availity, Optum, and Waystar, is a plus. Must be willing to cross-train within the billing department. We offer a competitive salary based upon experience and excellent benefits. Full time position, Monday-Friday, 8:00-4:30, no weekends or holidays. Great team to work with! Company Description Baptist Health Surgery Center is the only surgery center in Kentucky to be awarded Newsweek's America's Best Ambulatory Surgery Center in 2023 and 2024, and Business Rate's Best in Lexington based on Google reviews in 2025. Great team of people dedicated to providing excellent patient care. Company Description Baptist Health Surgery Center is the only surgery center in Kentucky to be awarded Newsweek's America's Best Ambulatory Surgery Center in...

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 Associate Director of Medical Operations position involves providing direct patient care and leading by example to ensure an exceptional patient experience. The role includes identifying and communicating opportunities...

A healthcare coding company is seeking a detail-oriented Outpatient Facility-Clinic Medical Coder to join their remote US team. The role involves assigning diagnostic and procedural codes for various specialties and ensuring compliance with healthcare regulations. Candidates must have CPC or CCS certification and at least 2 years of relevant coding experience. This part-time position offers flexible hours with a pay range of $30–$40 per hour. #J-18808-Ljbffr

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...

divh2Coder Specialty Office/h2pThe 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./ppQualifications Required:/pulliOne year medical coding in a specialty office/liliOne of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT/li/ulpDesired:/pulliDiploma/liliCertified Coding Associate OR Certified Coding Specialist OR Certified...

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...

A leading digital transformation partner is seeking an Inpatient Coder in Louisville, Kentucky. You will analyze complex records, ensuring accurate billing for Trauma 1 facility services. Candidates must have at least 2 years in inpatient coding and relevant certifications like RHIA or CCS. Strong communication and analytical skills are essential. Join our team to drive real impact and determine digital outcomes. #J-18808-Ljbffr

Responsibilities Evaluates coding based on Coding Guidelines. Reviews records for all care settings. Identifies high volume, high risk coding, and reimbursement and quality problems. Responsible for accurate assessment, analysis and summary of findings for coding validation. Provide auditing and feedback that is incorporated into training education programs. 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, South Carolina Qualifications Required: One year coding in healthcare setting One of: CCA or CCS or CPC Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder #J-18808-Ljbffr

This position plays a dual role in supporting the organization's compliance program and ensuring accurate clinical documentation and coding practices. This position is responsible for conducting audits, providing educational feedback to the providers from audited batches to ensure compliance with coding and billing requirements established by the payors, and supporting the development and implementation of compliance initiatives that align with federal and state regulations, payer requirements, and internal policies This position keeps Supervisor and Manager informed of daily progress and issues related to hospital and professional coding and compliance issues. Responsible for obtaining information for billing staff to follow-up on outstanding claims or recording of charges. Minimum Education, Experience, Training, and Licensures Required: High School Diploma or GED required Bachelor's degree preferred Certified Professional Coder - CPC Certification [or] Certified...

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-10-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...

Job Description The Job Shop and Technical Staffing is looking to hire an Medical Biller in the London, KY area. If you are interested please give us a call at 606-864-9675 to discuss more details! Click "Let's get started" to apply now! EOE Meet Your Recruiter Leigha Eldridge

Position Summary The Inpatient Coder is responsible for accurately reviewing, analyzing, and assigning ICD-10-CM/PCS/CPT diagnostic and procedure codes for all inpatient and observation encounters to ensure the integrity of the patient medical record and support optimal reimbursement. This role ensures coding compliance with regulatory and organizational guidelines, including CMS, UHDDS, and official coding guidelines. The Inpatient Coder collaborates with providers, clinical documentation improvement specialists, and other HIM staff to resolve documentation issues and promote complete, accurate, and timely coding. Minimum Qualifications Previous inpatient coding experience preferred. Bachelor's degree or Associate's degree in Health Information Management or related field required. An equivalent combination of education and/or work experience may be considered in lieu of required degree. CCS, CPC, RHIT, RHIA, or equivalent certification required within six months of...

Medical Records Certified Coder Opportunity Full Time, Dayshift Monday-Friday, Inperson $2,500 Sign On Bonus 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...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...

Join Datavant, a leading data platform company revolutionizing health data exchange! We are dedicated to ensuring every healthcare decision is supported by the right data at the right time. Our extensive health data network provides secure, accessible, and usable data, enabling healthcare professionals to make informed decisions. By becoming a part of our high-performing team, you will tackle some of healthcare's most complex challenges with innovative technology solutions. We value diversity in professional, educational, and personal experiences to achieve our ambitious vision. We are seeking experienced and credentialed outpatient coders to enhance our team. Candidates should have exceptional attention to detail and a robust understanding of medical terminology. This fully remote role offers a flexible schedule, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical records and accurately assign codes for...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO: Upper Extremity: - Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair - Elbows: Cubital tunnel release, Bursectomy, Arthroplasty - Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) - Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: - Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy - Pelvis: Fracture repairs - Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs - Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

divh2Clinical Record Auditor Supervisor/h2pThe 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 include filling in as an Auditor if needed, establishing the Auditing teams workflow to ensure efficiency and coverage, responsible for daily monitoring of Auditing work to ensure duties and responsibilities are being met accurately and timely, setting goals and service expectations for the Auditors, hiring, onboarding, and training new Auditors, creating quarterly analysis and activity summary reports, serving as point of contact for the Auditing team with other business leaders to provide service or address potential issues, and ensuring compliance of all company policies/procedures; local/state/federal laws/regulations and accreditation standards./ppQualifications include an active unrestricted RN license, an associates degree in nursing...

divh2Regional Medical Associate Director-Central/h2pJoin the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, youll 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./ppWere an RD-driven, AI-powered biopharma company committed to improving peoples 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...